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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.<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 = National Academies|archive-url=|archive-date=|url-status=|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=|url-status=|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]] * [[Insomnia]] ==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 | date = Jan 10, 2019 | website = me-pedia.org|language=en|archive-url=|archive-date=|url-status=|access-date=2019-04-29}}</ref> == References == {{Reflist}} [[Category:Signs and symptoms]] [[Category:Sleep signs and symptoms]]
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