Sleep deprivation short-term effects

III. Short-Term Effects of Neonatal REM Sleep Deprivation... 

Another factor that may hinder compliance is the sleep loss experienced early in treatment. SRT initially produces a mild sleep deprivation, with associated daytime fatigue and drowsiness experienced in midaftemoon and evening hours. Sometimes, patients worry that they will not be able to tolerate these effects (5,30). Education, reassurance, and support are important to alleviate fears, increase treatment compliance, and help reduce dropouts. Warning patients about this potential short-term effect is important, especially when full alertness at work or for other tasks is a concern (30). 

Originally, Rohypnol was developed as a sleeping pill. It has been used successfully for that purpose in many countries outside the United States (It is the most frequently prescribed sleeping pill in Europe.) When used as prescribed, it is an effective short-term therapy for severe sleep disorders. Studies show that Rohypnol increases the total amount of time spent sleeping and lessens the difference between the amount of time spent in bed and the amount of time asleep. Both factors are significant to people who suffer from severe sleep problems that leave them sleep-deprived and anxious. Therapeutic doses of Rohypnol vary from 0.5 mg to 1 mg. 

Finally, there is what can be best termed a folk belief, held by a number of military personnel, that high motivation as well as the excitement and adrenaline produced by a high-operational tempo can keep soldiers performing even in the face of severe sleep restriction/deprivation. However, motivation has been shown to be ineffective in sustaining performance (44 see also Chap. 21). Anecdotal accounts of combat indicate that the effects of adrenaline release are short-lived and are followed by extreme fatigue and sleepiness (45). 

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