http://www.nap.edu/catalog/11617.html We ship printed books within 1 business day; personal PDFs are available immediately. Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem Harvey R. Colten and Bruce M. Altevogt, Editors, Committee on Sleep Medicine and Research ISBN: 0-309-65727-X, 424 pages, 6 x 9, (2006) This PDF is available from the National Academies Press at: http://www.nap.edu/catalog/11617.html Visit the National Academies Press online, the authoritative source for all books from the National Academy of Sciences, the National Academy of Engineering, the Institute of Medicine, and the National Research Council: • Download hundreds of free books in PDF • Read thousands of books online for free • Explore our innovative research tools – try the “Research Dashboard” now! • Sign up to be notified when new books are published • Purchase printed books and selected PDF files Thank you for downloading this PDF. If you have comments, questions or just want more information about the books published by the National Academies Press, you may contact our customer service department toll- free at 888-624-8373, visit us online, or send an email to [email protected]. This book plus thousands more are available at http://www.nap.edu. Copyright © National Academy of Sciences. All rights reserved. Unless otherwise indicated, all materials in this PDF File are copyrighted by the National Academy of Sciences. Distribution, posting, or copying is strictly prohibited without written permission of the National Academies Press. Request reprint permission for this book. Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem http://www.nap.edu/catalog/11617.html SLEEP DISORDERS AND SLEEP DEPRIVATION AN UNMET PUBLIC HEALTH PROBLEM Committee on Sleep Medicine and Research Board on Health Sciences Policy Harvey R. Colten and Bruce M. Altevogt, Editors THE NATIONAL ACADEMIES PRESS Washington, DC www.nap.edu Copyright © National Academy of Sciences. All rights reserved. Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem http://www.nap.edu/catalog/11617.html THE NATIONAL ACADEMIES PRESS • 500 Fifth Street, N.W. • Washington, DC 20001 NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. This study was supported by contracts between the National Academy of Sciences and the American Academy of Sleep Medicine, the Department of Health and Human Services (con- tract No. N01-OD-4-2139), the National Sleep Foundation, and the Sleep Research Society. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project. Library of Congress Cataloging-in-Publication Data Sleep disorders and sleep deprivation : an unmet public health problem / Committee on Sleep Medicine and Research, Board on Health Sciences Policy ; Harvey R. Colten and Bruce M. Altevogt, editors. p. ; cm. Includes bibliographical references and index. Supported by contracts between the National Academy of Sciences and the American Academy of Sleep Medicine, the Department of Health and Human Services, the National Sleep Foundation, and the Sleep Research Society Contract no. N01-OD-4-2139 ISBN 0-309-10111-5 (hardback) 1. Sleep disorders—Social aspects. 2. Sleep deprivation—Social aspects. 3.Sleep—Social aspects. 4. Public health. I. Colten, Harvey R. II. Altevogt, Bruce M. III. Institute of Medicine (U.S.). Committee on Sleep Medicine and Research. [DNLM: 1. Sleep Disorders—United States. 2. Health Policy—United States. 3.Sleep Deprivation—United States. WM 188 S63178 2006] RC547.S554 2006 362.196′8498—dc22 2006014107 Additional copies of this report are available from the National Academies Press, 500 Fifth Street, N.W., Lockbox 285, Washington, DC 20055; (800) 624-6242 or (202) 334-3313 (in the Washington metropolitan area); Internet, http://www.nap.edu. For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu. Copyright 2006 by the National Academy of Sciences. All rights reserved. Printed in the United States of America. The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin. Copyright © National Academy of Sciences. All rights reserved. Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem http://www.nap.edu/catalog/11617.html “Knowing is not enough; we must apply. Willing is not enough; we must do.” —Goethe Advising the Nation. Improving Health. Copyright © National Academy of Sciences. All rights reserved. Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem http://www.nap.edu/catalog/11617.html The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Acad- emy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences. The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engi- neers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineer- ing programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. Wm. A. Wulf is president of the National Academy of Engineering. The Institute of Medicine was established in 1970 by the National Academy of Sci- ences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its con- gressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute of Medicine. The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the gov- ernment, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. Wm. A. Wulf are chair and vice chair, respectively, of the National Research Council. www.national-academies.org Copyright © National Academy of Sciences. All rights reserved. Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem http://www.nap.edu/catalog/11617.html COMMITTEE ON SLEEP MEDICINE AND RESEARCH HARVEY R. COLTEN (Chair), Columbia University, Health Sciences and College of Physicians and Surgeons, New York FRANCOIS M. ABBOUD, University of Iowa GENE D. BLOCK, University of Virginia THOMAS F. BOAT, University of Cincinnati, Ohio IRIS F. LITT, Stanford University School of Medicine, California EMMANUEL MIGNOT, Stanford University, California ROBERT H. MILLER, American Board of Otolaryngology, Texas F. JAVIER NIETO, University of Wisconsin School of Medicine and Public Health ALLAN I. PACK, University of Pennsylvania Medical Center KATHY P. PARKER, Emory University, Georgia SAMUEL J. POTOLICCHIO, The George Washington University Medical Center, Washington, DC SUSAN REDLINE, Case Western Reserve University School of Medicine, Ohio CHARLES F. REYNOLDS III, University of Pittsburgh, Pennsylvania CLIFFORD B. SAPER, Harvard Medical School, Massachusetts Study Staff BRUCE M. ALTEVOGT, Study Director SARAH L. HANSON, Research Associate DAVID CODREA, Financial Associate AMY HAAS, Administrative Assistant ELEANORE EDSON, Research Fellow CATHARYN T. LIVERMAN, Senior Program Officer ANDREW M. POPE, Board Director LORA K. TAYLOR, Senior Project Assistant Consultant MIRIAM DAVIS, School of Public Health and Health Services, George Washington University, Washington, DC Copyright © National Academy of Sciences. All rights reserved. Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem http://www.nap.edu/catalog/11617.html BOARD ON HEALTH SCIENCES POLICY FRED H. GAGE (Chair), The Salk Institute for Biological Studies, La Jolla, California GAIL H. CASSELL, Eli Lilly and Company, Indianapolis, Indiana JAMES F. CHILDRESS, University of Virginia, Charlottesville ELLEN WRIGHT CLAYTON, Vanderbilt University Medical School, Nashville, Tennessee DAVID R. COX, Perlegen Sciences, Mountain View, California LYNN R. GOLDMAN, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland BERNARD D. GOLDSTEIN, University of Pittsburgh, Pittsburgh, Pennsylvania MARTHA N. HILL, Johns Hopkins University School of Nursing, Baltimore, Maryland ALAN LESHNER, American Association for the Advancement of Science, Washington, D.C. DANIEL MASYS, Vanderbilt University Medical Center, Nashville, Tennessee JONATHAN D. MORENO, University of Virginia, Charlottesville E. ALBERT REECE, University of Arkansas, Little Rock MYRL WEINBERG, National Health Council, Washington, D.C. MICHAEL J. WELCH, Washington University School of Medicine, St. Louis, Missouri OWEN N. WITTE, University of California, Los Angeles MARY WOOLLEY, Research!America, Alexandria, Virginia IOM Staff ANDREW M. POPE, Director AMY HAAS, Board Assistant DAVID CODREA, Financial Associate Copyright © National Academy of Sciences. All rights reserved. Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem http://www.nap.edu/catalog/11617.html Independent Report Reviewers This report has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with proce- dures approved by the National Research Council’s Report Review Com- mittee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published re- port as sound as possible and to ensure that the report meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the deliberative process. We wish to thank the following individuals for their review of this report: Ruth Benca, Department of Psychiatry, University of Wisconsin, Madison Mary A. Carskadon, Sleep Research Laboratory, Brown University Norman H. Edelman, Health Sciences Center, SUNY Stony Brook University Stephen L. Hauser, Department of Neurology, University of California, San Francisco Meir H. Kryger, Sleep Disorders Center, St. Boniface General Hospital Winnipeg, Manitoba, Canada Lawrence S. Lewin, Executive Consultant, Chevy Chase, Maryland Thomas Roth, Sleep Center, Henry Ford Hospital, Detroit, Michigan Joan L. Shaver, College of Nursing, University of Illinois at Chicago Joseph S. Takahashi, Department of Neurobiology & Physiology, Northwestern University vii Copyright © National Academy of Sciences. All rights reserved. Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem http://www.nap.edu/catalog/11617.html viii REVIEWERS Terry B. Young, Department of Population Health Sciences, University of Wisconsin Although the reviewers listed above have provided many constructive comments and suggestions, they were not asked to endorse the conclusions or recommendations, nor did they see the final draft of the report before its release. The review of this report was overseen by David J. Kupfer, Univer- sity of Pittsburgh School of Medicine, and Floyd E. Bloom, Professor Emeri- tus Department of Neuropharmacology, The Scripps Research Institute. Ap- pointed by the National Research Council and Institute of Medicine, they were responsible for making certain that an independent examination of this report was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this report rests entirely with the authoring committee and the institution. Copyright © National Academy of Sciences. All rights reserved.