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DSM-IV - Substance-Induced Sleep Disorder

[From American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Text rev. Washington, DC: American Psychiatric Association; copyright 2000.] ...

  1. A prominent disturbance in sleep that is sufficiently severe to warrant independent clinical attention.
  2. There is evidence from the history, physical examination, or laboratory findings of either (1) or (2):
    1. the symptoms in Criterion A developed during, or within a month of, substance intoxication or withdrawal
    2. medication use is etiologically related to the sleep disturbance
  3. The disturbance is not better accounted for by a sleep disorder that is not substance induced. Evidence that the symptoms are better accounted for by a sleep disorder that is not substance induced might include the following: the symptoms precede the onset of the substance use (or medication use); the symptoms persist for a substantial period of time (e.g., about a month) after the cessation of acute withdrawal or severe intoxication or are substantially in excess of what would be expected given the type or amount of the substance used or the duration of use; or there is other evidence that suggests the existence of an independent non–substance-induced sleep disorder (e.g., a history of recurrent non–substance-related episodes).
  4. The disturbance does not occur exclusively during the course of a delirium.
  5. The sleep disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.


Note: This diagnosis should be made instead of a diagnosis of substance intoxication or substance withdrawal only when the sleep symptoms are in excess of those usually associated with the intoxication or withdrawal syndrome and when the symptoms are sufficiently severe to warrant independent clinical attention.
Code [Specific substance]-induced sleep disorder: Alcohol; amphetamine; caffeine; cocaine; opioid; sedative, hypnotic, or anxiolytic; other [or unknown] substance
Specify type:
Insomnia type: if the predominant sleep disturbance is insomnia
Hypersomnia type: if the predominant sleep disturbance is hypersomnia
Parasomnia type: if the predominant sleep disturbance is a parasomnia
Mixed type: if more than one sleep disturbance is present and none predominates
Specify if:
With onset during intoxication: if the criteria are met for intoxication with the substance and the symptoms develop during the intoxication syndrome
With onset during withdrawal: if criteria are met for withdrawal from the substance and the symptoms develop during, or shortly after, a withdrawal syndrome



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1 comments:
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Parag said...
April 28, 2011 at 9:53 AM  

Insomnia Sleeping too little Takes the form of problems falling or staying asleep. It may be characterized by non-restorative sleep. Insomnia must last at least one month and be causing distress or psychosocial impairment.
Sleep Disorders

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