Sleep: The secret to sleeping well and waking refreshed. Prof. Idzikowski Chris

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       Introduction

      Sleep and wakefulness are two sides of the same coin and just about everyone has had a problem with them at one time or another. For many people the difficulties associated with sleep – sleeplessness, sleepiness, tiredness, fatigue – are short-lived and manageable while for others they become chronic and very hard to cope with.

      People who need more than the average amount of sleep, say 9-10 hours a day tend to get little sympathy from those who get by on less. The latter, the ‘short’ sleepers, cannot understand why more is necessary to feel, function and look well. They are likely to know what it is like only when they cannot get enough sleep or their sleep is disrupted, such as from long commutes which do not leave much time for work and sleep, illness, jet lag, shift work, caring for others, etc. They have managed so they will wonder why it is not possible for others to cope – of course, they might lack insight because they are themselves chronically sleep-deprived; rather like someone who has drunk a little alcohol and thinks they are performing as well as before. Hence ‘long’ sleepers have a problem, as do ‘average’ sleepers if their sleep is disrupted and they are not getting enough. Those people with sleep disorders such as insomnia, narcolepsy, sleep apnoea (stopping breathing during sleep) or restless legs will be similarly aware that people who don’t have these disorders seem not to care.

      Well, this book does care and its aim is not only to help both the sufferers from sleep disorders but also those who want to feel better rested. After all, it has been shown that daytime napping improves mental performance later in the day. The book takes a systematic approach by first exploring what sleep is, its patterns and different stages. This enables readers to understand what their sleep problem is as well as enabling them to work out solutions for themselves. Chapter 2 runs through all those factors that impact on sleep. Sleep varies over our lifetimes and Chapter 3 examines these changes; it helps to understand whether there is a natural process at work or an underlying problem.

      Chapter 4 starts to look at solutions that may not necessarily require medical aid or intervention. Chapter 5 delves even deeper and provides some self-assessment procedures that may give an idea of what is causing the sleep problems.

      The field of sleep medicine has grown over the last decade or so. In the US it has become a medical speciality. In the UK, on the other hand, expertise runs across a number of specialities, ranging from general practice to respiratory medicine, ENT surgery, psychiatry, neurology and occupational medicine. Sleep medicine has developed in a way that is shared across countries and Chapters 6 and 7 deal with what are now considered sleep disorders and their specific solutions.

      Disturbed or shortened sleep not only has an impact on mental performance, both in terms of concentration and increased risk of car accidents, for instance, but it is also associated with diabetes, obesity, heart disease and strokes. Problems with sleep should be tackled and this book shows how to go about this.