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Caffeine-induced sleep disorder

Inability to sleep due to overconsumption of caffeine

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  • 5 chapters

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Through Mental disorder, Diagnostic and Statistical Manual of Mental Disorders and Half-life

Caffeine is one of the most widely consumed psychoactive drugs: almost 90% of Americans in a survey consume some type of caffeine each day. "When caffeine is consumed immediately before bedtime or .... throughout the day, sleep onset may be delayed, total sleep time reduced, normal stages of sleep altered, and the quality of sleep decreased." Caffeine reduces slow-wave sleep in the early part of the sleep cycle and can reduce rapid eye movement sleep later in the cycle. Caffeine increases episodes of wakefulness, and high doses in the late evening can increase sleep onset latency. In elderly people, there is an association between use of medication containing caffeine and difficulty in falling asleep.

Official recognition and past criteria

The latest Diagnostic and Statistical Manual of Mental Disorders, DSM-5, does not include caffeine-induced sleep disorder. It does have "Other Caffeine-Induced Disorders" and "Unspecified Caffeine-Related Disorder" which may have linkage with caffeine use.

Previously DSM-IV included criteria for the disorder that there must be a significant inability to sleep which is caused entirely by the physiological effects of caffeine as proven by an examination; if sleeping issues can be accounted for due to a breathing-related sleep disorder, narcolepsy, a circadian rhythm sleep disorder or a mental disorder, then caffeine-induced sleep disorder was not the cause. This condition was seen as causing a notable impairment in functioning.

Similarly the latest International Classification of Diseases, ICD-11, does not include a specific sleep-related caffeine disorder, but does include "sleep-wake disorders" under "Disorders due to use of caffeine, unspecified".

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