Talks:
The Risk -Benefit Balance of Hypnotics Use
Name:
陳錫中(Hsi-Chung Chen)
Position:
Attending Psychiatrist & Clinical Assistant Professor
Affiliation:
Department of Psychiatry & Center of Sleep Disorders, National Taiwan University Hospital, Taipei, Taiwan
Email:
hsichungchen@ntuh.gov.tw
Photo:
Research Interests:
Psychosomatic Medicine; Sleep Medicine; Cognitive Behavioral therapy; Epidemiology
Selected Publications:
◆ Chen HC, Hsu NW, Chou P: The association between sleep duration and hand grip strength in community-dwelling older adults: The Yilan study, Taiwan. SLEEP. 2017. APR 40: ZSX021.
◆ Chen HC, Hsu NW, Chou P: The association between extreme sleep duration and cardiac autonomic control in community-dwelling older adults: The Yilan study, Taiwan. JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES. 2017. JUL; 72: 929-936.
◆ Chen HC, Chou P: Predictors of change in self-reported sleep duration in community-dwelling older adults: The Shih-Pai sleep study, Taiwan. SCIENTIFIC REPORTS. 2017. JUL; 7: 4729.
◆ Chiou JH, Chen HC, Chen KH, Chou P: Correlates of self-report chronic insomnia disorders with 1-6 month and 6-month durations in home-dwelling urban older adults - the Shih-Pai sleep study in taiwan: A cross-sectional community study. BMC GERIATRICS. 2016. JUN; 16: 119.(Corresponding author)
◆ Chen YX, Hung YP, Chen HC: Mobile application-assisted cognitive behavioral therapy for insomnia in an older adult. TELEMEDICINE AND E-HEALTH. 2016. APR; 22: 332-334. (Corresponding author)
◆ Lee CY, Chen HC, Meg Tseng MC, Lee HC, Huang LH: The relationships among sleep quality and chronotype, emotional disturbance, and insomnia vulnerability in shift nurses. JOURNAL OF NURSING RESEARCH. 2015. SEP; 23: 225-235.
◆ Chien MY, Wang LY, Chen HC: The relationship of sleep duration with obesity and sarcopenia in community-dwelling older adults. GERONTOLOGY. 2015. FEB; 61: 399-406. (Corresponding author)
◆ Chien MY, Chen HC: Poor sleep quality is independently associated with physical disability in older adults. JOURNAL OF CLINICAL SLEEP MEDICINE. 2015. MAR; 11: 225-232. (Corresponding author)
◆ Chen YX, Chen HC, Chen LX, Hu JW, Shie CK, Lin YS, Borade P, Yeh CC, Lin HH, Chiang SS, Chen YC, Sun WZ, Hung YP. Enhancing adherence to cognitive behavioral therapy for insomnia through machine and social persuasion. Proceedings - 2013 IEEE International Conference on Green Computing and Communications and IEEE Internet of Things and IEEE Cyber, Physical and Social Computing, GreenCom-iThings-CPSCom 2013. 2013:750-757
◆ Chen HC, Su TP, Chou P: A nine-year follow-up study of sleep patterns and mortality in community-dwelling older adults in Taiwan. SLEEP. 2013. AUG; 36: 1187-1198.
◆ Chen SC, Chen HC, Liao SC, Tseng MCM, Lee MB: Detoxification of high-dose zolpidem using cross-titration with an adequate equivalent dose of diazepam. GENERAL HOSPITAL PSYCHIATRY. 2012. 34: (Corresponding author)
◆ Chen HC, Lin CM, Lee MB, Chou P: The relationship between pre-sleep arousal and spontaneous arousals from sleep in subjects referred for diagnostic polysomnograms. JOURNAL OF THE CHINESE MEDICAL ASSOCIATION. 2011. 74: 81-86.
◆ Hwang TJ, Ni HC, Chen HC, Lin YT, Liao SC: Risk predictors for hypnosedative-related complex sleep behaviors: A retrospective, cross-sectional pilot study. JOURNAL OF CLINICAL PSYCHIATRY. 2010. 71: 1331-1335.
Abstract:
The risk-benefit balance of hypnotic medications remains an area of great clinical uncertainty. Hypnotics use may confer risk for over-sedation, psychomotor impairment, cognitive decline, accidents, injuries, forensic and behavioral problems. On the contrary, poor sleep quality also introduces some adverse impact on health, especially in individuals with comorbid physical illnesses. Although the general rule of thumb for hypnotics use stands as usual, it has been argued its generalizability under some specific circumstance. Dr. Chen will provide a review on the safety issue of hypnotic use and will suggest a more practical approach regarding the concerns of prescribing hypnotics.