middle-of-the-night awakening

(redirected from nocturnal awakening)

middle-of-the-night awakening

Insomnia characterised by a difficulty in returning to sleep once awakened after going to sleep for the night and before getting up at one’s usual time in the morning. MOTN awakening is associated with excessive daytime sleepiness and fatigue.

Frequency
Occurs in one-third of the general population at least three nights/week.

Aetiology
Anxiety, obstructive sleep apnoea, chronic pain, pregnancy, toilet needs, depression, bipolar disorder, obesity, hypertension, heart disease, alcohol consumption, menopause, etc.

Management
No medication is consistently effective.
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References in periodicals archive ?
Nocturnal awakening was the sleep disorder symptom most commonly associated with GERD.
At the end of run-in period, the baseline symptoms and signs of asthma, PFT, amount of rescue medication and nocturnal awakening due to asthma symptoms were recorded.
Less common symptoms include hypnagogic or hypnopompic hallucinations, sleep paralysis, vivid dreams and frequent nocturnal awakening, behavioral changes, obesity, and cognitive impairment.
TO) said on Monday that it has received approval from Health Canada for Silenor (doxepin hydrochloride) for the treatment and symptomatic relief of insomnia characterised by frequent nocturnal awakening and/or early morning awakenings.
When this disturbance occurs at night, when cortisol levels should be at their lowest, the quality of insomnia is typically an alert "ready to get to work" one, or agitated and hypervigilant, or even a startled or shocked sensation on sudden nocturnal awakening.
There were no differences in outcomes between the two study arms in terms of number of episodes of poor asthma control, nocturnal awakening, quality of life, airway reactivity, or pulmonary function.
Also, at 8 months the infants in the experimental group were less likely to snore, needed less feeding upon nocturnal awakening and were reported to have been more alert during the day.
Although 34% of all patients required trips to the emergency department within the prior 3 months, children with nocturnal awakening from asthma were more than twice as likely as other children to have gone to the ER (50% vs.
In addition, frequent nocturnal awakening can also lead to behavioral problems as a result of daytime sleepiness, and can accentuate developmental delays.
The most frequently reported factors associated with disturbed sleep onset were worries (IL), nervousness (SH) and pain (NH), whereas nocturia was the most frequently reported cause of nocturnal awakening by all groups.
Users demonstrate craving phenomena, wanton pleasure-seeking behavior, and occasional agitated nocturnal awakening when deprived of access to these substances.
Clinical PFT, use of rescue medication and nocturnal awakening due to asthma symptoms was assessed and compared between pre-intervention and post-intervention.