Unrefreshing sleep

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Unrefreshing sleep or nonrestorative sleep is a light sleep that, even after a full night, doesn't leave you rested.

People with ME/CFS will often awaken feeling exhausted as if they have not slept.[1][2][3]

It is a core symptom in the diagnosis of SEID (ME/CFS).[4]Fibromyalgia patients also experience unrefreshing sleep.[5][6]

Prevalence[edit | edit source]

The "Report Guide for Clinicians" by the IOM and a part of the Institute of Medicine report states: "Despite the absence of a specific objective alteration in sleep architecture, the data are strong that the complaint of unrefreshing sleep is universal among patients with ME/CFS (SEID) when questions about sleep specifically address this issue. While polysomnography is not required to diagnose ME/CFS (SEID), its use to screen for treatable sleep disorders when indicated is appropriate. Diagnosis of a primary sleep disorder does not rule out a diagnosis of ME/CFS (SEID)."[7]

Symptom recognition[edit | edit source]

  • In the Fukuda criteria, the symptom of unrefreshing sleep can be used to help form a diagnosis.[8]
  • In the SEID criteria, it is a mandatory core symptom.[4]

Notable studies[edit | edit source]

Possible causes[edit | edit source]

Potential treatments[edit | edit source]

See also[edit | edit source]

Learn more[edit | edit source]

References[edit | edit source]

  1. "Symptoms of ME/CFS – American ME and CFS Society". Retrieved September 26, 2019.
  2. Publishing, Harvard Health. "Chronic Fatigue Syndrome". Harvard Health. Retrieved September 26, 2019.
  3. Syndrome, Committee on the Diagnostic Criteria for Myalgic Encephalomyelitis/Chronic Fatigue; Populations, Board on the Health of Select; Medicine, Institute of (February 10, 2015). Review of the Evidence on Major ME/CFS Symptoms and Manifestations. National Academies Press (US).
  4. 4.04.1 "Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome - Redefining an Illness" (PDF). National Academies. 2015.
  5. "Fibromyalgia Symptoms". WebMD. Retrieved October 3, 2019.
  6. "Fibromyalgia - Symptoms and causes". Mayo Clinic. Retrieved October 3, 2019.
  7. Beyond Myalgic Enceplhalomyelitis/Chronic Fatigue Syndrome - Defining an Illness - Guide for Clinicians
  8. The CDC (Fukuda 1994) Definition for Chronic Fatigue Syndrome
  9. Fischler, B.; Le Bon, O.; Hoffmann, G.; Cluydts, R.; Kaufman, L.; De Meirleir, K. (1997). "Sleep anomalies in the chronic fatigue syndrome. A comorbidity study". Neuropsychobiology. 35 (3): 115–122. doi:10.1159/000119331. ISSN 0302-282X. PMID 9170115.
  10. Rincón, Ximena; Kerr, Jonathan; Herrera, Diego; Ibáñez-Pinilla, Milciades (2016). "Prevalencia de síntomas de fatiga crónica / encefalomielitis miálgica (SFC/EM) y su relación con factores ocupacionales en trabajadores en una empresa de vigilancia en Bogotá, Colombia, 2016". repository.urosario.edu.co.
  11. "Unrefreshing Sleep in Chronic Fatigue Syndrome". me-pedia.org. January 10, 2019. Retrieved April 29, 2019.

systemic exertion intolerance disease (SEID) - A term for ME/CFS that aims to avoid the stigma associated with the term "chronic fatigue syndrome", while emphasizing the defining characteristic of post-exertional malaise (PEM). SEID was defined as part of the diagnostic criteria put together by the Institute of Medicine (IOM) report of 10 February 2015.

myalgic encephalomyelitis (M.E.) - A disease often marked by neurological symptoms, but fatigue is sometimes a symptom as well. Some diagnostic criteria distinguish it from chronic fatigue syndrome, while other diagnostic criteria consider it to be a synonym for chronic fatigue syndrome. A defining characteristic of ME is post-exertional malaise (PEM), or post-exertional neuroimmune exhaustion (PENE), which is a notable exacerbation of symptoms brought on by small exertions. PEM can last for days or weeks. Symptoms can include cognitive impairments, muscle pain (myalgia), trouble remaining upright (orthostatic intolerance), sleep abnormalities, and gastro-intestinal impairments, among others. An estimated 25% of those suffering from ME are housebound or bedbound. The World Health Organization (WHO) classifies ME as a neurological disease.

chronic fatigue (CF) - Persistent and abnormal fatigue is a symptom, not an illness. It may be caused by depression, multiple sclerosis, fibromyalgia, chronic fatigue syndrome or many other illnesses. The term "chronic fatigue" should never be confused with the disease chronic fatigue syndrome.

The information provided at this site is not intended to diagnose or treat any illness.
From MEpedia, a crowd-sourced encyclopedia of ME and CFS science and history.