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The perspective of management of sleep disorders in Japan

Published online by Cambridge University Press:  16 April 2020

T Okuma*
Affiliation:
National Center of Neurology and Psychiatry, 4-1-1 Ogawahigashi-cho.Kodaira, Tokyo187, Japan
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Summary

Increases in psychosocial stress and disruption of the biological clock due to irregular sleep-wake schedules as well as an increase in the elderly population have resulted in an increase in sleep disorders, most notably insomnia. In order to manage insomnia, correction of a poor sleep environment is of primary importance. We now have many good GABA A receptor agonists such as benzodiazepines and cyclopyrrolones (zopiclone) for use as hypnotics, but to achieve improvements in nocturnal sleep and restoration of daytime functions, short- or ultra-short acting hypnotics are recommended. Zopiclone has been reported to show weaker effects on sleep architecture than other benzodiazepines and does not exacerbate mild or moderate sleep apnea syndrome. Some patients are therapeutic-dose dependent on hypnotics or anxiolytics without showing detectable side effects. It may be possible for some insomniacs, particularly forelderly people, to use the minimum necessary dose of hypnotics to achieve good sleep and live a happy life from the standpoint of good quality of life.

Type
Research Article
Copyright
Copyright © Elsevier, Paris 1995

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References

Balter, MUhlenhuth, EUS National Household Survey of the use of psychotherapeutic medications (1990). The Management of Insomnia Chicago: Pragmaton, 1992 5Google Scholar
Coleman, RMMiles, LEGuilleminault, CSleep-wake disorders in the elderly: A polysomnographic analysis. J Am Geriatr Soc 1981;29:289–96CrossRefGoogle ScholarPubMed
Coleman, RMRoffwarg, HPKennedy, SJSleep-wake disorders based on a polysomnographic diagnosis. A national cooperative study. JAMA 1982;247:9971003CrossRefGoogle ScholarPubMed
Fukui, SDependence on benzodiazepines with special reference to long-term users Fundamental and Clinical Problems of Benzo-diazepine Hypnotics Proceedings. Upjohn Symposium,Gotenba 1991 314 (In Japanese)Google Scholar
Ishizuka, YUsui, AShiraishi, KOkado, TFukuzawa, HKariya, TAn epidemiological study of sleep disturbance in Kofu city Annual Report of the National Project "Study on the Diagnosis.Treatments and Epidemiology of Sleep Disorders Ministry of Health and Welfare, 1994;5560 (In Japanese)Google Scholar
Horiguchi, JSasaki, AInami, Y, et al. An epidemiological study on patterns of sleep-wake complaints in the aged compared with younger subjects. Seishin igaku 3 1991;33:403–9 (In Japanese)Google Scholar
Inanii, YHoriguchi, JInnami, T, et al. An epidemiological study of sleep-wake disorders in the elderly. Seishin Igakuu 1990;32:521–6 (In Japanese)Google Scholar
Inoue, YKuri, TTakada, KShimizu, OTakasu, JHazama, HUse of hypnotics and its side effects: a study on Japanese hospital workers. Ann Rep Pharmacopsychiat Res Found 1994;25:3744 (In Japanese)Google Scholar
Inoue, YHypnotics and sleep apnea syndrome. Medical Tribune 1993;26:45 (In Japanese)Google Scholar
Kajimura, NKato, MOnuma, TOkuma, TA quantitative sleep-EEG study in schizophrenics: comparison of benzodiazepine hypnotics and zopiclone. Ann Rep Pharmacopsychiat Res Found 1993;24:33–9Google Scholar
Karasawa, ANormal sleep and sleep disorders in the elderly. Chiryougaku. 1983;11:6974 (In Japanese)Google Scholar
Maeda, YFuruta, TYamaguchi, NHamahara, AA survey on sleep disorders in the elderly. Mental Health Ishikawa 1987;28:30–5 (In Japanese)Google Scholar
Murasaki, MA survey on the attitude of Japanese physicians to the use of hypnotics. Nihon Iji-shinpo 1993;3626:3248(In Japanese)Google Scholar
Nakazawa, Y ed. Clinical Studies on Sleep and Arousal Disorders Tokyo: Igaku-shoin, 1986 (In Japanese)Google Scholar
Nishida, TNakazawa, YKotorii, T, et al. Attitude of patients with sleep disorders towards hypnotic drugs. Kyushu N-psych 1989; 35: 111–15 (In Japanese)Google Scholar
Okuma, TDiagnosis and management of insomnia in Asia. In: Mohan, Kumar VMallick, HNNayar, USleep-Wakefulness New Delhi: Wiley Eastern, 1993 121–27Google Scholar
Uchimura, NNakazawa, YSakamoto, THirano, TMuksa, M ed. A study of sleep disorders in the elderly in Kurume city. Annual Report on the National Project "Study on Diagnosis, Treatments and Epidemiology of Sleep Disorders Ministry of Health and Welfare 1994;6570 (In Japanese)Google Scholar
Urata, JKamei, YSimizu, JHasunuma, MOkutu, TThe prevalence of hypnotic drug prescriptions for outpatients in 6 national hospitals. Annual Report of the National Project "Diagnosis, Treatments and Epidemiology of Sleep Disorders" Ministry of Health and Welfare 1994;33–6 (In Japanese)Google Scholar
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