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.
References in periodicals archive ?
The authors observed that 86% of patients presented some sleep disturbance (nocturnal awakening in 92%, difficulty falling asleep in 67%, and early waking in the morning in 62%); insomnia was detected in 45%.
Named "Nocturnal Awakening," the installation featured various innovative technologies, visual and auditory effects meant to delve deep into the psyche of each visitor, and upend their notions of physical space, to create an unimaginable and emotionally vibrant evening. The structure itself was a two-floor, multiroom labyrinth that brought the bat - the creature most synonymous with the night and the icon of Bacardi, to life with a series of chilling installations that told the story of metamorphosis.
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.
Specialist pharmaceutical company Paladin Labs Inc (TSX:PLB.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.