Sleep problems are very common in people with traumatic brain injury and not just after severe injuries. Recent research from Monash University has looked in to mechanisms via which sleep problems may occur after head injuries and strategies that can be used to improve symptoms. In this episode Moira and David talk with Dr Natalie Grima, Clinical Neuropsychologist, about her experience working with people with traumatic brain injury and sleep problems.

Dr Moira Junge (Health Psychologist) and Dr David Cunnington (Sleep Physician) host the monthly podcast, Sleep Talk, talking all things sleep.

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Audio Timeline:

• 00:00 - 01:03 Introduction
• 01:03 - 04:19 What's news in sleep?
  • Sleep Down Under planning
  • Golden Door – Guest speaker program on sleep
• 04:19 -33:07 Theme - Sleep in Traumatic Brain Injury
  • 04:19 – 06:41 Introduction
  • 06:41 -27:43 Interview – Dr Natalie Grima
  • 27:43 – 28:02 More information in sleep in traumatic brain injury
• 28:02 – 29:19 Clinical tip: Working with people with traumatic brain injury
• 29:19 -39:20 Pick of the month:
  • 29:19 – 31:10 David – Evening types, SSRIs and light sensitivity
  • 31:10- 33:20 Moira – Sleep schedules and school performance in indigenous children
  • 33:20 – 36:16 Natalie - Beta-amyloid accumulation in the brain after sleep deprivation
• 36:16 – 37:42 What's coming up in sleep?

Next episode: Sleep 2018 meeting

Links mentioned in the podcast: 

• Sleep Down Under
• Golden Door Health Retreat - Guest speakers
• Daily Telegraph article on sleep retreats
• UpToDate article on traumatic brain injury and sleep
• Sleep disturbances in traumatic brain injury: a meta-analysis
• Circadian melatonin rhythm following traumatic brain injury
• Melatonin for sleep disturbance following traumatic brain injury
• SSRI efficacy and eveningness type
• Sleep schedules and school performance in Indigenous Australian children
• Beta amyloid and sleep deprivation
• Sleep Down Under meeting- Brisbane October 2018

See omnystudio.com/listener for privacy information.

Sleep and work patterns can impact on cancer risk as well as the response to cancer treatments. In this episode we talk to Assistant Professor Peter James from Harvard Medical School about his paper on cancer risk and night-time light exposure and discuss previous research on nurses working night shift showing an increased risk of breast cancer. We also introduce the field of chronotherapeutics, matching individual circadian rhythms to drug dosing to optimise outcomes and minimise side effects.

Dr Moira Junge (Health Psychologist) and Dr David Cunnington (Sleep Physician) host the monthly podcast, Sleep Talk, talking all things sleep.

Leave a review and subscribe via iTunes

• 00:00 - 00:37 Introduction
• 00:37 - 03:55 What's news in sleep?
  • Golden Door - Guest Speaker
  • Poor sleep and Alzheimer’s risk
• 03:55 -23:43 Theme - Sleep and Cancer
  • 03:55 - 04:18 Introduction
  • 04:18 - 07:12 Cancer risk in shift workers
  • 07:12 - 19:55 Interview - Peter James - night time light exposure and cancer risk in shift workers
  • 19:55 - 23:30 Chronotherapeutics
  • 23:30 - 23:43 More information in sleep in cancer
• 23:43 - 25:17 Clinical tip: Coping with shift work
• 25:17 - 28:54 Pick of the month:
  • 25:17 - 27:34 David - Chronotype and mortality
• • 27:34 - 28:54 Moira - Headspace and Smiling Mind apps
• 28:54 - 30:46 What's coming up in sleep?

Next episode: Traumatic Brain Injury 

• Golden Door guest speaker program
• One night of bad sleep will give you Alzheimer's
• NHS response regarding Alzheimer’s and poor sleep
• Original article on beta-amyloid accumulation in the brain after one night of sleep deprivation
• Nurse’s Health Study - breast cancer risk 2001
• Nurse’s Health Study 2 - breast cancer risk 2006
• Assistant Prof Peter James profile
• Cancer risk and night-time light exposure in shift workers
• Review of chronotherapuetics
• Chronotype and mortality
• Headspace app
• Smiling Mind
• Sleep 2018 meeting - Baltimore June 2018
• SEAASM 4th International meeting - Lucknow October 2018
• Sleep Down Under meeting - Brisbane October 2018

See omnystudio.com/listener for privacy information.

Sleep problems are very common in people with cancer, both during and after treatment. In addition to insomnia and sleep disturbance, other symptoms such as fatigue and sleep disorders such as restless legs symptoms and obstructive sleep apnea also occur. In this episode Moira and David talk with Justine Diggens, Clinical Psychologist from Peter MacCallum Cancer Centre, about her experience working with people with cancer and the Can-Sleep program to address sleep-difficulties in people with cancer.

Dr Moira Junge (Health Psychologist) and Dr David Cunnington (Sleep Physician) host the monthly podcast, Sleep Talk, talking all things sleep.

Leave a review and subscribe via iTunes

• 00:00 -01:16 Introduction
• 01:16 - 04:43 What's news in sleep?
  • World Sleep Day
  • Qantas flights Perth to London on Dreamliner
  • VicHealth research on sleep and mental health in adolescents
• 04:43 -33:07 Theme - Sleep and Cancer
  • 04:43 - 05:34 Introduction
  • 05:34 - 15:22 Sleep difficulties in cancer
  • 15:22 -25:42 Interview - Justine Diggens - Can-Sleep program
  • 25:42 - 30:10 Fatigue in cancer
  • 30:10 - 32:27 Other sleep problems in cancer
  • 32:27 - 33:07 More information in sleep in cancer
• 33:07 - 34:53 Clinical tip: Help people live well with cancer
• 34:53 -39:20 Pick of the month:
• • 34:53 - 36:18 Moira - Talk Before Sleep - Book by Elizabeth Berg
  • 36:18 - 39:20 David - On Speed - Book by Nicolas Rasmussen
• 39:20 - 41:46 What's coming up in sleep?

Next episode: April - Sleep and Cancer (Part 2) 

• World Sleep Day
• Qantas Dreamliner
• VicHealth funded research on youth mental health and sleep
• Cognitive behavioural therapy for insomnia
• Mindfulness- Podcast episode
• [email protected]- Email to refer to Can-Sleep program
• Cancer Council Australia
• Cancer Australia
• Dealing with cancer-related fatigue- fact sheet from Peter Mac
• Talk Before Sleep - Book by Elizabeth Berg
• On Speed- Book by Nicolas Rasmussen
• Sleep 2018 meeting- Baltimore June 2018
• SEAASM 4th International meeting- Lucknow October 2018
• Sleep Down Under meeting- Brisbane October 2018

See omnystudio.com/listener for privacy information.

Having trouble with sleep is not just about what you do at night. How you think and behave during the day impacts on sleep and can result in the brain being over stimulated or hyperaroused at night. In this episode Moira and David discuss how the brain works in insomnia, and talk with Professor Dieter Riemann from University of Freiburg about hyperarousal. What is it? How does it impact on sleep, and what can be done about it?

Dr Moira Junge (Health Psychologist) and Dr David Cunnington (Sleep Physician) host the monthly podcast, Sleep Talk, talking all things sleep.

Leave a review and subscribe via iTunes

• 00:00 -  00:49 Introduction
• 00:49 - 02:18 What's news in sleep?
  • Getting back up to 'work speed'
• 02:18 - 41:23 Theme - Hyperarousal
  • 02:18 - 03:40 What is hyperarousal?
  • 03:40 - 13:01 Prof Dieter Riemann - Recognising and treating hyperarousal
  • 13:01 - 19:09 Hyperarousal, regional sleep and the Ebb Sleep device 
  • 19:09 - 22:40 Ebb Sleep device for insomnia
  • 22:40 - 23:30 Take home messages around hyperarousal
• 23:30 - 25:40 Clinical tip: Pay attention to arousal levels across the day
• 25:40 - 41:29 Pick of the month:
  • 25:40 - 27:00 David - Thrive
  • 27:00 - 28:02 Moira - Smiling Mind app
• 28:02 - 29:26 What's coming up in sleep?

Next episode: March - Sleep and Cancer (Part 1) 

• Review article on hyperarousal by Dieter Riemann
• Neuroimaging of Sleep and Sleep Disorders - Book edited by Eric Nofzinger
• Ebb Sleep device - Product website
• Ebb Sleep device - Randomized controlled trial
• Stress Performance Curve - Video on Sleephub
• Thrive - Book by Arianna Huffington
• Smiling Mind App

See omnystudio.com/listener for privacy information.

Understanding sleep beliefs and behaviours in different cultures can help better understand your own beliefs about sleep, and in turn change your expectations around sleep. In this episode we talk to Dr Andrew Beale on sleep in two communities in Mozambique, and Dr Himanshu Garg on sleep in India including common sleep problems, sleep behaviours and traditional beliefs around sleep.

Dr Moira Junge (Health Psychologist) and Dr David Cunnington (Sleep Physician) host the monthly podcast, Sleep Talk, talking all things sleep.

Leave a review and subscribe via iTunes

• 00:00 -  00:32 Introduction
• 00:32 - 05:00 What's news in sleep?
  • Catch up on sleep over the holiday period
  • Qantas' Dreamliner - designed to reduce jet-lag
  • Socio-economic aspects of sleep
• 03:22 - 41:23 Theme - Sleep in other cultures
  • 03:22 - 05:00 Why do cultural aspects of sleep matter?
  • 05:00 - 19:50 Dr Andrew Beale - Sleep in 2 communities in Mozambique
  • 19:50 - 22:23 How do people in Australia think about sleep?
  • 22:23 - 35:30 Dr Himanshu Garg - Sleep in India
  • 35:30 - 37:46 The cultural context of sleep
• 37:46 - 39:00 Clinical tip: What's your perspective?
• 39:00 - 41:29 Pick of the month:
  • 39:00 - 40:04 Moira - Sleep in Jellyfish
  • 40:04 - 41:29 David - Dreaming in the World's Religions - Kelly Bulkeley
• 41:29 - 42:50 What's coming up in sleep?

Next episode: Hyperarousal 

• Qantas Dreamliner
• Jet Lag podcast 
• Socio-economic aspects of sleep in India
• Freakonomics - The Economics of Sleep - podcast
• Sleep in 2 communities in Mozambique - Research paper
• Sleep in jellyfish - Nature paper
• Dreaming in the World's Religions - Book by Kelly Bulkeley
• Sleep 2018
• Fourth International Conference on Sleep Disorders, October 12-14 2018 - Lucknow

See omnystudio.com/listener for privacy information.

Why do people get jet lag, and what can be done to reduce the effects of jet lag? In this episode, hear what Qantas is doing to help their passengers arrive fresh at their destination. With the introduction of new 787-9 Dreamliner planes and their ultra-long-haul route non-stop from Perth to London starting in March 2018, Qantas has invested heavily in strategies to reduce the effects of jet lag. You'll also hear from the developer of the Entrain app on using the app to manage light exposure before, during and after travel to help your body acclimatise to your destination time zone.

Dr Moira Junge (Health Psychologist) and Dr David Cunnington (Sleep Physician) host the monthly podcast, Sleep Talk, talking all things sleep.

Leave a review and subscribe via iTunes

• 00:00 -  00:43 Introduction
• 00:43 - 05:00 What's news in sleep?
  • Don't drink and drive when sleep deprived
  • A New Start - Making New Year's resolutions that stick
• 05:00 - 41:23 Theme - Jet Lag
  • 05:00 - 08:35 Why does jet lag happen?
  • 08:35 - 21:33 Dr Olivia Walch - Entrain app: managing light to adjust to new time zones
  • 21:33 - 35:29 Phil Capps - What is Qantas doing to reduce jet lag for passengers?
  • 35:29 - 41:23 Managing jet lag
• 41:23 - 42:36 Clinical tip: Have a plan
• 42:36 - 45:41 Pick of the month:
  • 42:36 - 43:40 Moira - Prof Steve Kay
  • 43:40 - 45:41 David - Treating Sleep Problems: A Transdiagnostic Approach - Allison Harvey and Daniel Buysse
• 45:41 - 47:12 What's coming up in sleep?

Next episode: January - Sleep in other cultures 

• Sleep deprivation effects on driving - Article in Nature 1997
• A New Start - Making New Year's resolutions that stick - podcast episode
• Entrain app - Home page
• Entrain app - iOS app store
• A global quantification of “normal” sleep schedules using smartphone data - paper by Olivia Walch
• Collaboration between Qantas and Charles Perkins Centre
• Qantas Dreamliner
• Jet Lag - SleepHub post
• Prof Steve Kay
• Treating Sleep Problems: A Transdiagnostic Approach - Book by Allison Harvey and Daniel Buysse
• Sleep 2018
• Fourth International Conference on Sleep Disorders, October 12-14 2018 - Lucknow

See omnystudio.com/listener for privacy information.

What does economics have to do with sleep? A lot it turns out. Inadequate sleep is a major cause of ill health and loss of productivity in modern economies. A recent Australian report estimated that cost at 4% of gross domestic product. Economic principles can also be used to help with getting people to take up effective sleep treatments. The relatively new discipline of behavioural economics can teach us a lot about designing systems to promote healthy choices including around sleep.

Dr Moira Junge (Health Psychologist) and Dr David Cunnington (Sleep Physician) host the monthly podcast, Sleep Talk, talking all things sleep.

Leave a review and subscribe via iTunes

Audio Timeline:

• 00:00 -  01:15 Introduction
• 01:15 - 05:53 What's news in sleep?
  • Sleep Down Under 2017 - Auckland
  • SEAASM - 3rd International Conference on Sleep Disorders
• 05:53 - 38:55 Theme - Sleep Economics
  • 05:53 - 06:45 Background - Sleep Economics
  • 06:45 - 21:07 Prof David Hillman - Asleep on the Job -  The Cost of Inadequate Sleep in Australia
  • 16:07 - 32:40 Assoc Prof Jack Stevens - Behavioural Economics
  • 32:40 - 32:55 More information on Sleep Economics
• 32:55 - 34:12 Clinical tip: Consult outside your own field
• 34:12 - 43:10 Pick of the month:
  • 34:12 - 34:44 David - Nudge - Book on behavioural economics 
  • 34:44 - 35:55 Moira - The Conversation Hour - Discussion on sleep
• 35:55 - 37:11 What's coming up in sleep?

Next episode: December - Jet Lag 

Links mentioned in the podcast: 

• Sleep Down Under - Auckland 25-28th October 2017
• International Conference on Sleep Disorders - Jalandhar, India 27-29th October 2017
• Asleep on the Job
• Sleep Medicine Reviews article by Jack Stevens
• Nudge - Book by Richard Thaler and Cass Sunstein
• The Conversation Hour - discussion on sleep - November 1st 2017 (between 02:15 - 10:40)

See omnystudio.com/listener for privacy information.

Children with severe developmental disabilities or autism often have difficulty with sleep which can not only impact on their sleep, but affect the whole family. These disorders are common, with autism affecting around 2% of the population. To understand why this occurs and what can be done we talk to Assoc Prof Margot Davey from Monash Childrens' sleep Centre and Assoc Prof Amanda Richdale from La Trobe University.

Dr Moira Junge (Health Psychologist) and Dr David Cunnington (Sleep Physician) host the monthly podcast, Sleep Talk, talking all things sleep.

Leave a review and subscribe via iTunes

Audio Timeline:

• 00:00 -  01:35 Introduction
• 01:35 - 05:35 What's news in sleep?
  • Dr Michel Jouvet
  • Daylight Saving Time
  • World Sleep Congress 2017
  • Upcoming conferences
• 05:35 - 38:55 Theme - Sleep in Special Needs Children
  • 05:35 - 07:41 Background - Sleep in Special Needs Children
  • 07:41 - 21:07 Assoc Prof Margot Davey - Sleep in Children With Severe Developmental Disabilities
  • 21:07 - 33:45 Assoc Prof Amanda Richdale - Sleep in Autism
  • 33:45 - 37:52 Strategies for parents of special needs children to manage their sleep
  • 37:52 - 38:55 More information on Sleep in Special Needs Children
• 38:55 - 40:00 Clinical tip: The key to children sleeping well is parents sleeping well
• 40:00 - 43:10 Pick of the month:
  • 40:00 - 41:37 Moira - Nobel Prize for circadian rhythm research
  • 41:37 - 43:10 David - The Paradox of Sleep - Book by Dr Michel Jouvet
• 43:10 - 45:37 What's coming up in sleep?

Next episode: November - Sleep Economics 

Links mentioned in the podcast: 

• Dr Michel Jouvet - obituary in New York Times
• Adjusting for daylight saving time
• World Sleep Congress
• Sleep Down Under - Auckland 25-28th October 2017
• International Conference on Sleep Disorders - Jalandhar, India 27-29th October 2017
• Sleep in children with special health care needs - Research article
• Monash Childrens' Sleep Centre
• Sleep in children with autism spectrum disorders - Review article by Amanda Richdale
• Sleep wake rhythms in adults with autism spectrum disorders - Research by Amanda Richdale
• Video of talk by Margot Davey on managing sleep in genetic epilepsies -from 2hr41min to 3hr 16min
• Raising Children - Website
• Solving Sleep Problems in Children With Autism Spectrum Disorders - Book
• Article in The Conversation - Nobel Prize for circadian rhythm research
• The Paradox of Sleep - Book by Dr Michel Jouvet
• Dr David Cunnington - Instagram
• Dr David Cunnington - Facebook

See omnystudio.com/listener for privacy information.

Sleep apnea is common and can cause significant symptoms. But how can it be treated and how do you decide what treatment to use?  Historically treatment choices have been made based on the severity of sleep apnea. However, treatment can be more personalised by assessing airway anatomy and physiology. With the help of Prof Stuart Mackay and Dr Brad Edwards, we discuss the latest research and talk through how to treat sleep apnea.

Dr Moira Junge (Health Psychologist) and Dr David Cunnington (Sleep Physician) host the monthly podcast, Sleep Talk, talking all things sleep.

Leave a review and subscribe via iTunes

Audio Timeline:

• 00:00 - 00:56  Introduction
• 00:56 - 08:48 What's news in sleep?
  • 00:56 - 07:15 Asleep on the Job report
  • 07:15 - 08:48 Sleep and Golden Door Health Retreat
• 08:48 - 43:50 Theme - How to treat sleep apnea?
  • 08:48 - 09:52 Background - Why treat obstructive sleep apnea?
  • 09:52 - 13:11 Background - What are the options?
    • 09:52 - 10:40 What doesn't work?
    • 10:40 - 14:22 Lifestyle factors
    • 14:22 - 17:15 Continuous positive airway pressure (CPAP)
    • 17:15 - 19:30 Oral appliances
    • 19:30 - 22:53 Surgery - Prof Stuart Mackay
  • 22:53 - 24:07 Choosing sleep apnea treatment based on severity
  • 24:07 - 28:40 Assessing the anatomy to determine treatment - Prof Stuart Mackay
  • 28:40 - 41:03 - Using physiology to determine treatment - Dr Brad Edwards
  • 41:03 - 43:15 Incorporating personal preference in to treatment choices
  • 43:15 -  43:50 More information on how to treat sleep apnea
• 43:50 - 45:56 Pick of the month:
  • 43:50 - 45:56 David - Using architecture, design and materials to make a bedroom sanctuary
  • 45:56 - 47:48 Moira - Blue light and effect on sleep in athletes
• 47:48 - 49:49 What's coming up in sleep?

Next episode: Oct 2nd - Sleep in special needs children 

Links mentioned in the podcast:

• Asleep on the Job report
• REM sleep and dementia risk
• Golden Door Health Retreat
• Why treat sleep apnea? - podcast episode
• Mute snoring device
• Weight loss and sleep apnea
• Didgeridoo playing to treat sleep apnea
• Upper airway exercises for sleep apnea
• Positional therapy
• Night Shift device
• Oral appliances to treat sleep apnea
• Pathophysiology of obstructive sleep apnea - review article
• Using CPAP settings to measure airway collapsibility
• Using physiology to predict response to oral appliances
• Review of impacts of sedatives in sleep apnea by Amy Jordan
• Surgery for sleep apnea - an Australian trial
• Treatment options for obstructive sleep apnea
• Architecture and design to make a bedroom sanctuary
• Research on light exposure in athletes
• Sleep Down Under - Auckland 25-28th October 2017
• International Conference on Sleep Disorders - Jalandhar, India 27-29th October 2017

See omnystudio.com/listener for privacy information.

Many people are seen to have snoring and periods of stopping breathing during sleep. This is sleep apnea and it's very common. But does everyone who has sleep apnea need treatment? Recent research suggests that treating sleep apnea doesn't reduce future cardiovascular risk, but does reduce symptoms of sleepiness and depression. With the help of Prof Doug McEvoy, we discuss the latest research and talk through why to treat sleep apnea.

Dr Moira Junge (Health Psychologist) and Dr David Cunnington (Sleep Physician) host the monthly podcast, Sleep Talk, talking all things sleep.

Leave a review and subscribe via iTunes

Audio Timeline:

• 00:00 - 02:59  Introduction
• 02:59 - 07:43 What's news in sleep?
  • 02:59 - 03:35 Workalert website
  • 03:35 - 04:45 Upcoming release of report on economic impact of sleep disorders
  • 04:45 - 08:36 Sleep in pre-industrial societies
• 08:36 - 29:50 Theme - Why treat sleep apnea?
  • 08:36 - 11:25 Background - What is obstructive sleep apnea?
  • 11:25 - 13:11 Background - Sleep apnea and cardiovascular risk
  • 13:11 - 22:00 Interview: Prof Doug McEvoy
    • Why was the SAVE study needed?
    • What did the SAVE study show?
    • Where to from here?
  • 22:00 - 29:23 Treating sleep apnea to reduce symptoms and accident risk
  • 29:23 -  29:50 More information on why to treat sleep apnea
• 29:50 - 30:43 Clinical tip of the month - Ask why treat? What are we hoping to achieve? How will this be measured?
• 30:43 - 34:00 Pick of the month:
  • 30:43 - 31:46 Moira - Podcast - Shrink Wrap radio - episode on sleep
  • 31:46 - 34:00 David - Book - Blitzed - Drug use in German soldiers in WWII
• 34:00 - 35:49 What's coming up in sleep?

Next episode: September 4th - Personalising sleep apnea treatment 

Links mentioned in the podcast:

• Workalert website
• Sleep Awareness Week
• Research on sleep in urban and rural communities in Mozambique
• What is sleep apnea?
• SAVE study
• Meta-Analysis on treating sleep apnea
• SAVE study post on SleepHub
• Why treat sleep apnea? - Respiratory Medicine Today
• Shrink Wrap Radio - podcast episode on sleep
• Blitzed - Book
• Blitzed - Interview on ABC radio
• World Sleep Congress - Prague 7-11th October 2017
• Sleep Down Under - Auckland 25-28th October 2017
• International Conference on Sleep Disorders - Jalandhar, India 27-29th October 2017

See omnystudio.com/listener for privacy information.