Sleep Health: Can We Define It? Does It Matter? (original) (raw)

Journal Article

1Sleep Medicine Institute and Department of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, PA

Disclosure Statement

This was not an industry supported study. Dr. Buysse has served as a paid consultant on scientific advisory boards for the following companies: Esai, Merck, Philips Respironics, Purdue Pharma, and General Sleep Corporation. Dr. Buysse has also spoken at single-sponsored educational meetings for Servier. He has also spoken at a single-sponsored lecture for Astellas. Dr. Buysse is supported by the following NIH grants: MH 024652, AG 020677, MH 078961, AR 052155. There is no off-label or investigational use of drugs.

*Address correspondence to: Daniel J. Buysse, MD, 3811 O'Hara St., E-1127, Pittsburgh, PA 15213; Tel: (412) 246-6413; E-mail: buyssedj@upmc.edu

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Revision received:

01 October 2013

Accepted:

01 November 2013

Published:

01 January 2014

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Abstract

Good sleep is essential to good health. Yet for most of its history, sleep medicine has focused on the definition, identification, and treatment of sleep problems. Sleep health is a term that is infrequently used and even less frequently defined. It is time for us to change this. Indeed, pressures in the research, clinical, and regulatory environments require that we do so. The health of populations is increasingly defined by positive attributes such as wellness, performance, and adaptation, and not merely by the absence of disease. Sleep health can be defined in such terms. Empirical data demonstrate several dimensions of sleep that are related to health outcomes, and that can be measured with self-report and objective methods. One suggested definition of sleep health and a description of self-report items for measuring it are provided as examples. The concept of sleep health synergizes with other health care agendas, such as empowering individuals and communities, improving population health, and reducing health care costs. Promoting sleep health also offers the field of sleep medicine new research and clinical opportunities. In this sense, defining sleep health is vital not only to the health of populations and individuals, but also to the health of sleep medicine itself.

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