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Typologies of sleep problems have usually relied on identifying underlying causes or symptom clusters. The purpose of this paper is to explore the value of using the patient's own reasons for sleep disturbance.

Using secondary data analysis of a nationally representative psychiatric survey the patterning of the various reasons respondents provided for self‐reported sleep problems were examined. Over two thirds (69.3 per cent) of respondents could identify a specific reason for their sleep problem with worry (37.9 per cent) and illness (20.1 per cent) representing the most commonly reported reasons. And while women reported more sleep problems for almost every reason compared with men, the patterning of reasons by age showed marked variability. Sleep problem symptoms such as difficulty getting to sleep or waking early also showed variability by different reasons, as did the association with major correlates such as worry, depression, anxiety and poor health.

While prevalence surveys of “insomnia” or “poor sleep” often assume the identification of an underlying homogeneous construct, there may be grounds for recognising the existence of different sleep problem types, particularly in the context of the patient's perceived reason for the problem.

A typology based on reasons presents a different snapshot of the landscape of insomnia. Using patient's reasons to underpin a sleep nosology is an alternative way of sub‐dividing patients' symptoms which has some face validity given the “subjective” associations between reasons and symptoms.

The purpose of this paper is to study well-being among the internationally mobile work force by exploring the relationships between international business traveling, work-family conflict (WFC), and health issues. In this study, these relationships are examined on the basis of the health impairment process of the job demands-resources model. More specifically, the study examines the role of WFC as a mediator between international business travel and sleep problems using a full panel design.

The data for this study are drawn from Finnish employees whose work involved international business travel (n=868) and who answered two surveys with a one-year time lag.

The results showed that international business travel in terms of the number of travel days per year, while not predicting sleep problems directly over time, did significantly increase WFC, which in turn increased sleep problems. Thus, WFC functioned as a mediator in the relationship between business travel and subsequent sleep problems.

The results indicate that family-friendly HR policies and practices might help international business travelers (IBTs) reduce levels of WFC, which could in turn protect them from harmful health effects, particularly sleep problems.

The study examines the understudied professional group of IBTs and contributes to the knowledge on their well-being and WFC issues.

The purpose of this paper is to explore the role of fathers in the management of sleeping problems in children with autism and their perspectives of the impact of these difficulties on family life.

Semi-structured interviews with 25 UK-based fathers of children with autism were undertaken.

Two-thirds of fathers reported that their children experienced severe sleeping problems in the areas of bed-time resistance, sleep onset and night-time waking. Fathers were significantly involved in the management of these difficulties and reported a range of associated deleterious impacts on the family, including significant negative effects on paternal and maternal health, father’s employment, couple relationship and sibling experiences.

The interview sample cannot be said to be representative of all fathers of children with autism since the backgrounds of those taking part were relatively homogeneous in respect of ethnicity, marital status and level of education.

Improvements in effective, family-centred provision are urgently needed which employ a co-parenting, gender-differentiated methodology.

Given the severity and frequency of difficulties, sleeping problems in children with autism should be viewed as a significant public health concern.

This is one of the first studies, qualitative or quantitative, to explore the role and perspectives of fathers of children with autism in the important area of sleep management.

The purpose of this paper is to discuss recent papers on trauma, sleep and psychotic experiences to highlight the lack of attention given to sleep.

A search was carried out to find recent papers on psychosis or schizophrenia, trauma and sleep.

Papers tended to focus on trauma and psychosis, or on sleep and psychosis, but not on trauma, sleep and psychosis. The two papers discussed in most detail here focussed on sleep difficulties from either a service user or professional perspective. Both concluded that sleep difficulties need more attention. The author also discussed evidence suggesting that stress and trauma cause sleep difficulties and that these, in turn, are an important cause of psychotic experiences. Severe or prolonged stress may also directly cause some psychotic experiences.

The two main papers highlight for the first time in detail service users’ own experiences of sleep difficulties, and how mental health professionals view them, suggesting more help is needed. Other papers suggest that sleep is overlooked in research into the causes of psychosis. There is growing evidence that people have sleep problems before psychotic experiences, and that many have experienced severe or prolonged stress due to life events and circumstances, often in childhood. Given that stress can interfere with sleep, it is time to investigate further the role of stress and sleep in the development and maintenance of psychosis.

The purpose of this study is to evaluate the relationship between sleep disturbances, gastrointestinal (GI) problems and eating behaviors in children who are diagnosed with autistic disorder (AD) and pervasive developmental disorder not otherwise specified (PDD-NOS).

This study was conducted with 102 children who were diagnosed with autism spectrum disorder (ASD). Sleeping and GI (abdominal pain, constipation, diarrhea, vomiting, difficulty swallowing) problems in children were obtained by asking their parents using a questionnaire. The feeding assessment survey (FAS), brief autism mealtime behavior inventory (BAMBI) and food consumption frequency were used to obtain information about the children’s eating habits.

The BAMBI total score, food refusal and features of autism subscale scores of those with AD were higher than those in the PDD-NOS group (p < 0.05). Sleeping, GI and eating problems are seen in those with AD more commonly than in those diagnosed with PDD-NOS.

To the knowledge, this is the first study that compares GI, sleeping and eating problems in children with AD and PDD-NOS. Sleeping, GI and eating problems may be more frequent in children with AD than in those with PDD-NOS. The GI problem rate is higher in children with autism with sleeping problems than without sleeping problems.

This paper aims to outline the literature that situates sleep as a public health concern. In particular, it discusses the bi‐directional relationship between insomnia and mental health.

This paper reviews and presents the findings of other relevant research, relating the discussion to policy and practice.

Getting good quality sleep is essential, but insomnia is a huge problem and may be the most commonly reported mental health complaint in the UK. Mental health influences insomnia, and insomnia can lead to mental health problems. Sleep medication is a commonly prescribed treatment for insomnia, but evidence from robust research suggests that cognitive behavioural therapy for insomnia (CBTI) is the most successful treatment for chronic insomnia.

GPs need evidence‐based information on the importance and benefits of sleep and to be able to recognise sleep problems in primary care. CBTI needs to be represented in NICE guidance for insomnia. CBT‐influenced methods could be implemented as low level interventions as part of a stepped care framework.

Reviewing the academic literature on sleep problems related to mental health reinforces the importance of sleep as a health issue, which can be assessed in primary care as appropriate.

Employees have gained increased flexibility in organizing their work in time and space, that is boundaryless work. Managing the boundaries between work and personal life would seem to be crucial if one is to psychologically detach from work during leisure in order to unwind and get sufficient sleep. Drawing from a sample of Swedish professional workers (N = 3,846), a theoretical model was proposed testing the inter-relationships between boundaryless work in time and space, weekly work hours, psychological detachment, sleeping problems and sleep duration using a structural equation modelling (SEM) analysis. Findings showed that working boundlessly in time, that is spread out during the working day and week, was directly associated with both long weekly work hours and lack of psychological detachment. In contrast, working boundlessly in space, that is at several different places, was inversely associated with weekly work hours and had no association with psychological detachment. Psychological detachment, in turn, was directly associated with sleeping problems and inversely associated with sleep duration. Sleeping problems were inversely associated with sleep duration. Employees with long weekly work hours had a low degree of sleeping problems. There was also no association between long weekly work hours and sleep duration. These findings contradict earlier research, however, we interpret these findings as that if one works a great deal but is able to mentally detach from work-related feelings and thoughts during free time, then sleep will not be hampered because perseverative cognitions associated with prolonged biological activation will have been interrupted. As such, psychological detachment can be regarded as the mechanism that mediates the relationships between working ‘anytime’ and long weekly work hours, and sleep. It was concluded working boundlessly in time increases the likelihood for long weekly work hours and lack of psychological detachment. Hence, employees working ‘anytime – all the time’ run the risk of ‘always being on’ resulting in disturbed sleep.

Working on the night shift is a potential source of occupational stress and has been associated with sleep disorders. The purpose of this paper is to investigate the association between shift work and sleep problems among police officers from Buffalo, New York.

Randomly selected officers (n=111) responded to questions on sleep quality and quantity. Shift work data were obtained from daily payroll records from 1994 to the exam date (1999‐2000). Prevalence ratios (PR) were obtained using Poisson regression models that examined associations of shift work with sleep quality and quantity.

Among police officers, night shift work was significantly and independently associated with snoring and decreased sleep duration.

Although the sleep questions were similar to those used in validated sleep questionnaires, a major strength of this study was the availability of daily work history data on all officers for up to five years prior to the current examination.

Sleep disorders are extremely common in children and young people, and even more so in those with developmental disabilities. This client subgroup may prove refractory to standard behavioural and other psychosocial interventions that usually help and it is frequent for clinicians to resort to medication approaches given the high levels of personal and family distress that result. There is a need not only for further well structured research in this field but also for efforts to tackle the frequent relative neglect by clinicians of more researched and considered approaches. This review examines these issues selectively, focusing on important clinical issues and predicaments, and attempts a start at an evidence‐based background for practical and rational prescribing in this area of common childhood psychopathology.

Insomnia is a problem commonly identified by remand prisoners who also have a concurrent dual diagnosis of substance misuse and mental health problems. Historically, sleep problems in prison have been treated with either hypnotics or benzodiazepines but these cause adverse side effects and are often misused. Valerian teabags were introduced in 2004 but their efficacy was untested within the prison setting. The aim of this study was to establish whether Valerian teabags improve subjective sleep quality for men with sleep disturbance and dual diagnosis in a remand prison setting within a 14‐day period. The findings show that herbal alternatives appear to improve sleep quality for prisoners with complex needs.