%0 Journal Article
%T Sleep disturbances in patients with liver cirrhosis: prevalence, impact, and management challenges
%A Marie Bruyneel
%A Thomas Serst¨¦
%J Archive of "Nature and Science of Sleep".
%D 2018
%R 10.2147/NSS.S186665
%X Sleep¨Cwake disturbances are common in liver cirrhosis and associated with impaired quality of life. The most common abnormalities are insomnia (difficulties falling asleep and maintaining sleep, or unrefreshing sleep), excessive daytime sleepiness, and sleep¨Cwake inversion (disturbances of circadian rhythmicity). The underlying pathophysiological mechanisms for sleep disturbances in cirrhosis are complex and may include disturbed metabolism of melatonin and glucose, alterations in thermoregulation, and altered ghrelin secretion profiles. Sleep¨Cwake abnormalities are related to the presence of hepatic encephalopathy (HE) and improvement in sleep parameters can be observed when HE is properly managed. A few non-specific treatments for sleep¨Cwake abnormalities have been tried with encouraging results for hydroxyzine and modafinil. However, due to the potential for medication toxicity in these disabled patients, further studies are needed to address the potential role of non-drug therapies in this population (eg, cognitive behavioral therapy, mindfulness, yoga) that have demonstrated usefulness in insomnia disorders
%K sleep disorders
%K hepatic encephalopathy
%K liver cirrhosis
%K excessive daytime sleepiness
%K circadian rhythm
%K insomnia
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220431/