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Unrefreshing sleep

2019-10-03T13:35:17Z

JCC1:x

'''Unrefreshing 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.<ref>{{Cite web|url=https://ammes.org/symptoms-of-mecfs/|title=Symptoms of ME/CFS – American ME and CFS Society|language=en-US|access-date=2019-09-26}}</ref><ref>{{Cite web|url=https://www.health.harvard.edu/a_to_z/chronic-fatigue-syndrome-a-to-z|title=Chronic Fatigue Syndrome|last=Publishing|first=Harvard Health|website=Harvard Health|access-date=2019-09-26}}</ref><ref>{{Cite book|url=https://www.ncbi.nlm.nih.gov/books/NBK284902/|title=Review of the Evidence on Major ME/CFS Symptoms and Manifestations|last=Syndrome|first=Committee on the Diagnostic Criteria for Myalgic Encephalomyelitis/Chronic Fatigue|last2=Populations|first2=Board on the Health of Select|last3=Medicine|first3=Institute of|date=2015-02-10|publisher=National Academies Press (US)|language=en}}</ref>

It is a core symptom in the diagnosis of [[SEID]] (ME/CFS).<ref name=":0">{{Cite web|url=http://iom.nationalacademies.org/~/media/Files/Report%20Files/2015/MECFS/MECFScliniciansguide.pdf|title=Beyond Myalgic Encephalomyelitis/Chronic Fatigue Syndrome - Redefining an Illness|last=|first=|date=2015|website=nationacademies.org|archive-url=|archive-date=|dead-url=|access-date=}}</ref> [[Fibromyalgia]] patients also experience unrefreshing sleep.<ref>{{Cite web|url=https://www.webmd.com/fibromyalgia/guide/fibromyalgia-symptoms|title=Fibromyalgia Symptoms|website=WebMD|language=en|access-date=2019-10-03}}</ref><ref>{{Cite web|url=https://www.mayoclinic.org/diseases-conditions/fibromyalgia/symptoms-causes/syc-20354780|title=Fibromyalgia - Symptoms and causes|website=Mayo Clinic|language=en|access-date=2019-10-03}}</ref>

==Prevalence==

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)."<ref>[http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2015/MECFS/MECFScliniciansguide.pdf Beyond Myalgic Enceplhalomyelitis/Chronic Fatigue Syndrome - Defining an Illness - Guide for Clinicians]</ref>

==Symptom recognition==
*In the [[Fukuda criteria]], the symptom of unrefreshing sleep can be used to help form a diagnosis.<ref>[http://www.cfids-me.org/cdcdefine.html The CDC (Fukuda 1994) Definition for Chronic Fatigue Syndrome]</ref>
*In the [[Systemic Exertion Intolerance Disease|SEID]] criteria, it is a mandatory core symptom.<ref name=":0" />

==Notable studies==
* 1997, [https://www.ncbi.nlm.nih.gov/pubmed/9170115 Sleep anomalies in the chronic fatigue syndrome. A comorbidity study.]<ref>{{Cite journal|last=Fischler|first=B.|last2=Le Bon|first2=O.|last3=Hoffmann|first3=G.|last4=Cluydts|first4=R.|last5=Kaufman|first5=L.|last6=De Meirleir|first6=K.|date=1997|title=Sleep anomalies in the chronic fatigue syndrome. A comorbidity study|url=https://www.ncbi.nlm.nih.gov/pubmed/9170115|journal=Neuropsychobiology|volume=35|issue=3|pages=115–122|doi=10.1159/000119331|issn=0302-282X|pmid=9170115}}</ref>

*2016, [http://repository.urosario.edu.co/handle/10336/12243 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]<ref>{{Cite web|url=http://repository.urosario.edu.co/handle/10336/12243|title=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|last=Rincón|first=Ximena|last2=Kerr|first2=Jonathan|date=2016|website=repository.urosario.edu.co|archive-url=|archive-date=|dead-url=|access-date=|last3=Herrera|first3=Diego|last4=Ibáñez-Pinilla|first4=Milciades}}</ref> Note: This study did not use [[PEM]] as a inclusionary symptom nor did it use any [[Definitions of ME and CFS]] including the most symptom liberal of valid definitions, [[SEID]]. The only entry criteria noted were [[fatigue]] and [[muscle pain]] which seem to be the broadest and loose of symptom definitions [[Reeves criteria]] and [[Oxford criteria]].

==Possible causes==

==Potential treatments==

==See also==
* [[Sleep dysfunction]]
==Learn more==
*2016, [http://www.occupycfs.com/2016/04/22/how-i-sleep-at-night/ How I sleep at night]
*2019, [https://www.verywellhealth.com/unrefreshing-sleep-in-chronic-fatigue-syndrome-716108 Unrefreshing Sleep in Chronic Fatigue Syndrome]<ref name=":1">{{Cite web|url=https://www.me-pedia.org/wiki/Unrefreshing_sleep|title=Unrefreshing Sleep in Chronic Fatigue Syndrome|last=|first=|authorlink=Adrienne Dellwo|last2=|first2=|authorlink2=|date=Jan 10, 2019|website=www.me-pedia.org|language=en|archive-url=|archive-date=|dead-url=|access-date=2019-04-29}}</ref>

== References ==
<references />

[[Category:Signs and symptoms]]
[[Category:Sleep signs and symptoms]]

Unrefreshing sleep

2019-10-03T13:16:40Z

JCC1:added fibro info