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Abstrak :
L’ouvrage décrit l’abord clinique et thérapeutique de l’insomnie ce qui intéresse les laboratoires d‘hypnotiques, de tranquillisants, d’antidépresseurs, de phytothérapie, d’homéopathie. Il décrit aussi les hypersomnies ce qui intéresse les mêmes laboratoires ainsi que ceux qui produise les stimulants cérébraux. Il aborde les troubles de la vigilance avec les apnées du sommeil.

Abstrak :
Pola kerja gilir serta berbagai karakteristik pekerja minyak berisiko menimbulkan insomnia pada pekelja. Penelitian ini bertujuan mengetahui prevalensi insomnia dan faktor-faktor yang berhubungan, terutama pola krja gilir. Metode penelitian Desain penelitian ini adalah potong lintang. Pemilihan subyek dengan teknik total popularion sampling pada pekemja yang on board saat studi dilakukan. Setiap responden mengisi kuesioner, formulir SCL-90 dan Insomnia Rating Scale-KSBPJ. Hasil Dari hasil 129 responden didapatkan 66 (5l,2 %) mengalami insomnia., 95% nya tergolong insomnia berderajat ringan. Masa kerja terbanyak di atas 5 tahun (4l,l%} dan pola kenja non kelja gilir (43,4%). Faktor risiko yang berhubungan dengan insomnia adalah dugaan gangguan jiwa (Acyusred OR=2,47 95% C1 1,06 - 5,80 dan p=0,03). Sedangkan variable lainnya tidak bermakna. Kesimpulan Dari peneiitian ini dapat disimpulkan bahwa risiko yang paling berperan pada terjadinya insomnia adalah gangguan jiwa. Kerja gilir tidak terbukti mempengaruhi insomnia.

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Background Shift work and others characteristic of oil company workers contribute to the risk of insomnia. This study showed the prevalence of insomnia and its related factors among workers in an on shore oil company. Method The study design was cross sectional. Total population sampling technique was applied to recruit participants. Every respondent was asked to fill a questionnaire, SCL-90 form, and Insomnia Rating Scale form, translated by Kelompok Studi Psikiatri Biologi Jakarta. Results One hundred and twenty nine respondent participated in the study. Prevalence of insomnia was 5l,2%, mostly mild insomnia(95%). Most of the participants had worked for more than live years (4l,1%) and dominated with non-shift pattern (43,4%). The result showed only suspected mental disorder workers (Adjusted 0R=2,47 95% CI 1,06 - 5,30, p=0.03) had significant association with insomnia. Conclusion The contributed risk factor of insomnia in this study was only suspected mental disorder. There wasn?t proved that shift work contributed to insomnia.

Abstrak :
Caregiver memiliki peran dan tanggung jawab untuk merawat dan membantu pasien kanker dalam melakukan aktivitas sehari-hari yang berdampak pada kesehatan fisik dan mental caregiver seperti kelelahan, depresi dan gangguan tidur. Tujuan penelitian membuktikan pengaruh aerobic terhadap fatigue, depresi dan sulit tidur pada caregiver. Metode penelitian kuantitatif dengan desain quasi eksperimen pre test and post test with control grup design. Responden berjumah 40 (20 kelompok kontrol) dan (20 kelompok intervensi). Hasil menunjukkan terdapat perbedaan yang bermakna pada perbedaan skor fatigue, depresi dan gangguan tidur pada kelompok intervensi dan kontrol dengan masing-masing (p value 0,001), (p value 0,000) dan (p value 0,000). Selisih perbedaan skor fatigue dan depresi setelah intervensi antara kelompok intervensi dan kontrol tidak ada perbedaan yang bermakna (p value 0,55) dan (p value 0,39), perbedaan yang bermakna terdapat pada gangguan tidur dengan (p value 0,003). Latihan aerobic dapat menurunkan tingkat fatigue, depresi dan gangguan tidur pada caregiver kanker. ......Caregivers have roles and responsibilities to care for and assist kanker patients in carrying out daily activities that have an impact on the caregiver's physical and mental health such as fatigue, depression and sleep disturbances. The aim of the study was to prove the effect of aerobics on fatigue, depression and sleeplessness in caregivers. Quantitative research method with quasi-experimental design pre test and post test with control group design. There were 40 respondents (20 control groups) and (20 intervention groups). The results showed that there were significant differences in the scores of fatigue, depression and sleep disturbances in the intervention and control groups with (p value 0.001), (p value 0.000) and (p value 0.000), respectively. There was no significant difference between the intervention and control groups (p value 0.55) and (p value 0.39), a significant difference was found in sleep disturbances with (p value 0.003). Aerobic exercise can reduce levels of fatigue, depression and sleep disturbances in kanker caregivers.

Abstrak :
Pendahuluan: Obesitas terjadi karena adanya ketidakseimbangan energi. Akhir-akhir ini, prevalensi obesitas semakin meningkat karena adanya perubahan gaya hidup, termasuk pada anak. Prevalensi obesitas pada anak usia sekolah dasar di Jakarta mencapai 14% pada tahun 2013. Obesitas dapat menyebabkan berbagai macam gangguan, salah satunya adalah gangguan tidur. Akan tetapi, gangguan tidur yang terjadi pada anak sering kali diabaikan oleh orang tua, padahal dapat menyebabkan gangguan pertumbuhan, gangguan kardiovaskular, gangguan fungsi kognitif dan gangguan perilaku sehari-hari. Oleh karena itu, perlu diketahui hubungan antara obesitas dengan gangguan tidur pada anak. Metode: Penelitian ini dilakukan dengan desain penelitian cross-sectional pada 107 anak di Sekolah Dasar Negeri (SDN) 01 Menteng Jakarta pada bulan September 2015. Data yang diperoleh akan dianalisis menggunakan uji chi-square. Hasil: Dari pengukuran antopometri didapatkan 20,56% subjek mengalami obesitas serta 62,63% subjek mengalami gangguan tidur. Hasil analisis statistik menunjukkan terdapat hubungan yang bermakna antara obesitas dengan gangguan tidur (p=0,037). Diskusi: Prevalensi obesitas anak sekolah dasar di SDN 01 Menteng jauh lebih tinggi bila dibandingkan di DKI Jakarta. Prevalensi gangguan tidurnya juga lebih tinggi bila dibandingkan dengan penelitian lain. Gangguan tidur paling banyak disebabkan oleh kurangnya durasi tidur malam yang dipengaruhi oleh kebiasaan tidur anak dan pendapat orangtua mengenai pola tidur anak. Terdapat hubungan yang bermakna antara obesitas dengan gangguan tidur sehingga anak yang obesitas cenderung mengalami gangguan tidur. ......Introductions: Obesity occurs because of an imbalance of energy. Lately, the prevalence of obesity has increased due to changes in lifestyle, including in children. The prevalence of obesity in primary school aged children in Jakarta reached 14% in 2013. Obesity can cause a variety of disorders, one of which is sleep disorders. However, sleep disorders in children is often overlooked by parents, even though sleep disorders can cause growth disorders, cardiovascular disorders, impaired cognitive function and behavioral disorders. Therefore, it is necessary to know the relationship between obesity and sleep disorders in children. Methods: This research was conducted with a cross-sectional study design on 107 children in Sekolah Dasar Negeri 01 Menteng Jakarta in September 2015. The data were analyzed using chi-square. Results: Antopometri of measurements obtained 20.56% of the subjects were obese and 62.63% of the subjects experienced sleep disorders. Statistical analysis showed there is a significant association between obesity and sleep disorders (p = 0.037). Disscussions: The prevalence of child obesity in SDN 01 Menteng much higher than in Jakarta. The prevalence of sleep disorders is also higher when compared to other studies. Sleep disorder most often caused by lack of sleep duration at night and influenced by the child's sleep habits and parents? opinions regarding the child's sleep patterns. There is a significant association between obesity and sleep disorders so that children who are obese tend to experience sleep disorders.

Abstrak :
Latar Belakang: Gangguan tidur dan masalah psikososial sampai saat ini masih cukup tinggi pada anak. Namun, penelitian mengenai hubungan antara gangguan tidur dan masalah psikososial pada anak thalassemia belum banyak di publikasi di Indonesia. Penelitian sebelumnya menelaah hubungan antara gangguan tidur dan masalah psikososial pada anak sehat. Berdasarkan hal tersebut, peneliti ingin mengetahui apakah terdapat hubungan antara gangguan tidur dan masalah psikososial pada anak thalassemia dengan perbedaan pada dua buah aspek, yaitu aspek penegakan diagnosis masalah psikososial dan kelompok sampel yang dipilih. Tujuan: Mengetahui hubungan antara gangguan tidur dan masalah psikososial pada anak thalassemia. Metode: Penelitian observasional potong-lintang dengan sampel anak yang mengalami thalassemia major yang berobat ke Poliklinik Thalassemia/Ruang Transfusi RSCM pada Oktober 2022. Hasil: Dari 141 subjek, terdapat 87 subjek (61,7%) yang mengalami gangguan tidur dan 22 subjek (15,6%) yang mengalami masalah emosi perilaku. Hubungan antara gangguan tidur dan masalah psikososial pada anak thalassemia usia 6-15 tahun menunjukkan memiliki hubungan yang bermakna ( P<0.05). Kesimpulan: Anak thalassemia usia 6-15 tahun dengan gangguan tidur memiliki risiko 3,261 kali mengalami masalah psikososial (emosi dan perilaku). ......Background: Sleep disorders and psychosocial problems are still quite high in children. However, research on the relationship between sleep disorders and psychosocial problems in thalassemia children has not been widely published in Indonesia. Previous research has examined the relationship between sleep disorders and psychosocial problems in healthy children. Based on this, the researchers wanted to find out whether there is a relationship between sleep disorders and psychosocial problems in thalassemia children with differences in two aspects, namely the aspect of establishing a diagnosis of psychosocial problems and the selected sample group. Purpose: To determine the relationship between sleep disorders and psychosocial problems in thalassemia children Methods: This is an observational cross-sectional study on children with thalassemia major who went to the Thalassemia Polyclinic/Transfusion Room RSCM in October 2022. Result: Of 141 subjects, there were 87 subjects (61.7%) had sleep disorders and 22 subjects (15.6%) had psychosocial problems. The association between sleep disorders and psychosocial problems in thalassemic children aged 6-15 years showed a significant association (P<0.05). Conclusion: Thalassemia children aged 6-15 years with sleep disorders have a 3.261 times the risk of experiencing psychosocial problems.

Abstrak :
The special issue addresses the importance of sleep considered within a family context in relation to a broad range of behavioural, emotional, and physical health issues. The collection of articles provides several excellent examples of studies that emphasize a family context for understanding various aspects of sleep in infants, children, adolescents, and adults. Taken together, these studies raise a set of compelling questions for future research in this area.

Abstrak :
Tingkat aktivitas fisik merupakan salah satu indikator kesehatan yang penting. Berdasarkan Riskesdas 2018, Provinsi DKI Jakarta menempati posisi pertama pada proporsi tingkat aktivitas fisik kurang pada anak usia lebih dari 10 tahun. Gangguan tidur memiliki korelasi dengan penurunan performa akademik siswa pada sekolah dasar, peningkatan risiko depresi, dan juga ketidakseimbangan emosional. Berdasarakan penelitian oleh Hermoniati et al., Prevalensi gangguan tidur pada anak usia sekolah di Kota Jakarta Pusat sebesar 25,1%. Penelitian ini bertujuan untuk melihat hubungan tingkat aktivitas fisik dan gangguan tidur pada anak usia sekolah di Provinsi DKI Jakarta. Desain penelitian yang digunakan adalah studi potong lintang dengan menggunakan sub data sekunder dari penelitian SEANUTS 2.0 dengan jumlah sub-sampel sebesar 104 anak. Hasil penelitian menunjukkan bahwa tingkat aktivitas fisik paling dominan secara berurutan adalah tingkat aktivitas fisik rendah (50%), tingkat aktivitas fisik sedang (42,30%), dan tingkat aktivitas fisik tinggi (7,6%). Gangguan tidur terjadi pada 55,77% dari total sampel. Secara bivariat terdapat korelasi lemah antara tingkat aktivitas fisik dan gangguan tidur pada anak usia sekolah di Provinsi DKI Jakarta dengan nilai r = -0,05 dan tidak signifikan dengan nilai p = 0,617. Selain itu, dilakukan juga uji korelasi terhadap aktivitas fisik dan sub-gangguan tidur dengan hasil gangguan memulai dan mempertahankan tidur (r = -0,068), gangguan pernapasan saat tidur (r = 0,017), gangguan kesadaran (r = -0,023), gangguan transisi tidur-bangun (r = 0,061), gangguan somnolen berlebihan (r = -0,83), dan gangguan saat tidur (r = -0,176). Oleh karena itu, intervensi terhadap aktivitas fisik demi mencegah kejadian gangguan tidur perlu dilakukan. Tenaga kesehatan dan tenaga pendidik pada sekolah dasar diharapkan mengetahui dan memahami pentingkat tingkat aktivitas fisik terhadap pencegahan gangguan tidur pada anak usia sekolah. ......The level of physical activity is an important indicator of health. Based on Riskesdas 2018, DKI Jakarta Province occupies the first position in the proportion of the level of physical activity that is lacking in children aged more than 10 years. Sleep disturbances have been correlated with decreased academic performance in elementary school students, increased risk of depression, as well as emotional imbalance. Based on research by Hermoniati et al., the prevalence of sleep disorders in school-age children in Central Jakarta is 25.1%. This study aims to see the relationship between the level of physical activity and sleep disturbances in school-age children in DKI Jakarta Province. The research design used was a cross-sectional study using secondary data from the SEANUTS 2.0 study with a sub-sample of 104 children. The results showed that the most dominant levels of physical activity, respectively, were low levels of physical activity (50%), moderate levels of physical activity (42.30%), and high levels of physical activity (7.6%). Sleep disturbances occurred in 55.77% of the total sample. Bivariately there is a weak correlation between the level of physical activity and sleep disturbances in schoolage children in DKI Jakarta Province with a value of r = -0.05 and not significant with a value of p = 0.617. In addition, correlation tests were also conducted on physical activity and sleep sub-disorders with the results of disturbances in initiating and maintaining sleep (r = -0.068), sleep disturbances (r = 0.017), impaired consciousness (r = -0.023), transitional disorders sleep-wake (r = 0.061), excessive somnolence (r = -0.83), and sleep disturbances (r = -0.176). Therefore, intervention on physical activity to prevent sleep disturbances needs to be done. Health workers and educators in elementary schools are expected to know and understand the level of physical activity on the prevention of sleep disorders at school-age.

Abstrak :
This book, provides a comprehensive reference volume to the latest advancements in the area of sleep technology. It offers an excellent range of insights and opinions from leading researchers and experts in multiple disciplines spanning academia, clinical practice and industry. Up-to-date insights into the current research topics in this field are featured in addition to the latest technological advances with reference to appropriate working examples. The current book combines the five dimensions of knowledge, i.e., sleep medicine, clinical psychology engineering, industrial design and technology management to ensure the content is applicable to people's daily lives.

Abstrak :
ABSTRAK
Latar belakang. Gangguan tidur merupakan gangguan penyerta pada anak gangguan spektrum autisme (GSA), yang memiliki prevalens tinggi serta dapat mengakibatkan perilaku negatif terhadap lingkungannya atau perilaku maladaptif eksternalisasi. Gangguan tidur pada anak GSA perlu dideteksi secara dini, karena bila tidak akan menyebabkan keterlambatan terapi dan menyebabkan anak makin berperilaku negatif serta menyebabkan stres pada keluarga. Tujuan. Mengetahui pola gangguan tidur dan gambaran perilaku maladaptif eksternalisasi pada anak GSA, serta mengetahui perbedaan rerata nilai indeks perilaku maladaptif eksternalisasi (v-scale), pada anak GSA dengan gangguan tidur dan tanpa gangguan tidur. Metode. Penelitian potong lintang analitik di klinik dan tempat terapi anak berkebutuhan khusus di Jakarta pada bulan Juni-Agustus 2014. Skrining gangguan tidur dengan kuesioner Sleep Disturbance Scale for Children (SDSC) dan penilaian perilaku maladaptif eksternallisasi dengan kuesioner Vineland-II dilakukan terhadap 40 anak GSA yang dipilih secara konsekutif. Subjek penelitian dibagi menjadi dua kelompok yaitu kelompok gangguan tidur (20 anak) dan kelompok tanpa gangguan tidur (20 anak). Hasil. Rentang usia dalam penelitian ini adalah 3-18 tahun dengan median usia 3,5 tahun. Proporsi terbanyak gangguan tidur pada anak GSA terdapat pada kelompok usia 3-5 tahun (15 dari 20 subjek). Pola gangguan tidur terbanyak pada anak GSA adalah gangguan memulai dan mempertahankan tidur (17 dari 20 subjek) diikuti oleh gangguan somnolen berlebihan (8 dari 20 subjek). Nilai median v-scale perilaku maladaptif eksternalisasi pada anak GSA adalah 18 (rentang 12-22), dan terdapat kecenderungan peningkatan nilai median v-scale perilaku maladaptif eksternalisasi seiring dengan peningkatan usia pada kedua kelompok. Nilai rerata v-scale perilaku maladaptif eksternalisasi pada kelompok GSA dengan gangguan tidur lebih tinggi dibandingkan kelompok tanpa gangguan tidur (18,8 dan 17,6 secara berurutan, mean difference 1,2; p 0,35 (p ≥ 0,05)). Simpulan. Proporsi terbanyak gangguan tidur pada anak GSA terdapat pada kelompok usia 3-5 tahun. Pola gangguan tidur terbanyak pada anak GSA adalah gangguan memulai dan mempertahankan tidur diikuti oleh gangguan somnolen berlebihan. Anak GSA dengan gangguan tidur memiliki nilai rerata indeks perilaku maladaptif eksternalisasi yang lebih tinggi dibandingkan tanpa gangguan tidur, namun tidak bermakna secara klinis dan statistik.

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ABSTRACT
Background. Sleep disorders is a comorbidity in Autism Spectrum Disorders (ASD), which has high prevalence and can cause negative behavior toward his surrounding or externalizing maladaptive behavior. Sleep disorders in ASD needs to be early detected, otherwise it will delay the treatment and children will behave more negative and cause the stress in family. Objectives. To identify sleep patterns and externalizing maladaptive behavior in children with ASD, and to identify the mean difference of index score of externalizing maladaptive behavior of (v-scale) in ASD children with or without sleep disorders. Methods. This study was analytical cross-sectional performed in the clinic and a therapy for children with special needs in Jakarta, in Juni-August 2014. Sleep disorders were screened using Sleep Disturbance Scale for Children (SDSC) questionnaire and externalizing maladaptive behavior was assessed using Vineland-II questioinnaire in 40 ASD children consecutively. They were divided into two groups, one group of sleep disorders (20 children) and other without sleep disorders (20 children). Results. Age range in this study was 3-18 years old, with median age of 3.5 years old. The majority of sleep disorders in ASD was in age range 3-5 years (15 of 20 subjetcs). The most frequent sleep disorders in ASD were difficulty in initiating and maintaning sleep (17 of 20 subjetcs), followed by disorder of excessive somnolence (8 of 20 subjetcs). The v-scale median score in ASD was 18 (range 12-22), and there was tendency of increased v-scale median score along with increased age. The mean of v-scale in externalizing maladaptive behavior in ASD with sleep disorders group was higher than without sleep disorders group (18.8 and 17.6 respectively, mean difference 1,2; p 0.35 ((p ≥ 0,05)). Conclusion. The majority of sleep disorders in ASD was in age range 3-5 years. The most frequent sleep disorders in ASD were difficulty in initiating and maintaning sleep, followed by disorder of excessive somnolence. Autism spectrum disorders children with sleep disorders has higher index externalizing maladaptive behavior mean than without sleep disorders, but was not meaningful clinically and statistically.

Abstrak :
Sleep loss and obesity : intersecting epidemics represents a major contribution to the field of sleep medicine. It is a comprehensive review of the neurobiology of sleep, circadian timing and obesity, the deleterious effects of sleep loss and obesity on health, and the worrisome associated social and medical costs in a range of patient populations and overall to society. The number of individuals who are obese has reached alarming levels. As a result, the incidence of Type 2 diabetes, cardiovascular disorders, heart disease, and kidney failure have also increased. The surgeon general estimates that the total annual cost of obesity in the US is about $117 billion. This cost is expected to escalate significantly because the number of overweight and obese children is increasing rapidly. Indeed, the new generation is expected to have a shorter life-span then their parents. In addition, sleep loss is emerging as an important contributing factor to obesity. People who sleep less or are sleep deprived tend to eat more, especially carbohydrates, and have a higher body mass index. Increased weight restricts the upper airway, causing obstructive sleep apnea and further sleep loss. In the end there is a vicious cycle of weight gain and sleep loss. In the past few years there has been a tremendous growth in our understanding of brain mechanisms controlling energy metabolism. Interestingly the neurons regulating waking also regulate feeding. There is also a mechanism that regulates the timing of feeding and sleep. In shift-workers this system is likely to be disturbed, and this has an adverse impact on both feeding and sleep. Sleep loss and obesity : intersecting epidemics is the first title to clearly examine how obesity and sleep loss are interacting epidemics. This fascinating title makes the link between energy metabolism, sleep and circadian timing, identifies poor sleep as a risk-factor for obesity in children and adults and offers treatment strategies for obstructive sleep apnea and obesity.