Confronting Drowsy Driving: The American Academy of Sleep Medicine Perspective: An American Academy of Sleep Medicine Position Statement
Open accessAbstract
Abstract Drowsy driving is a serious public health concern which is often difficult for individual drivers to identify. While it is important for drivers to understand the causes of drowsy driving, there is still insufficient scientific knowledge and public education to prevent drowsy driving. As a result, the AASM is calling upon institutions and policy makers to increase public awareness and improve education on the issue, so our society can better recognize and prevent drowsy driving. The AASM has adopted a position statement to educate both healthcare providers and the general public about drowsy driving risks and countermeasures.
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An accurate clinical interview is theoretically sufficient to confirm a diagnosis of DoA according to standard international criteria.
“An accurate clinical interview is theoretically sufficient to confirm a diagnosis of DoA according to standard international criteria [1,10]”
From Diagnosis and Management of NREM Sleep Parasomnias in Children and Adults (2023) · cites this paper as [1]
The Abstract and 'The American Academy of Sleep Medicine' section address drowsy driving and recommend physician evaluation for drivers who struggle to stay awake. Searches for DoA, disorders of arousal, clinical interviews, and diagnostic criteria found no passage addressing whether an interview can confirm a DoA diagnosis. Page numbers were not available in our copy. (LLM, conf=0.78)
Experimental — accuracy not yet measuredThe diagnosis of NREM sleep parasomnias is currently performed on the basis of ICSD-3 and DSM-5.
“The diagnosis of NREM sleep parasomnias is currently performed on the basis of internationally recognized clinical criteria [1,10], meaning the International Classification of Sleep Disorders, Third Edition (ICSD-3) and the Diagnostic and Statistical Manual for Mental Disorders, Fifth Edition (DSM-5)”
From Diagnosis and Management of NREM Sleep Parasomnias in Children and Adults (2023) · cites this paper as [1]
The Abstract and the section headed “The American Academy of Sleep Medicine” discuss drowsy driving and sleep-disorder evaluation, not diagnostic criteria for NREM sleep parasomnias. Searches for NREM parasomnias, ICSD-3, DSM-5, and the International Classification of Sleep Disorders found no passage addressing the claim. Page numbers were not available in our copy. (LLM, conf=0.78)
Experimental — accuracy not yet measuredSexsomnia is considered a special sub-type of confusional arousals by ICSD-3 and a sleepwalking sub-type by DSM-5.
“Sexsomnia or sleep sex, characterized by abnormal sleep-related sexual hetero or auto directed behaviors, is currently considered a special sub-type of CA by the ICSD-3 [1] and as a SW sub-type by the DSM-5 [10].”
From Diagnosis and Management of NREM Sleep Parasomnias in Children and Adults (2023) · cites this paper as [1]
The citation [10] is attached to the claim that DSM-5 classifies sexsomnia as a sleepwalking subtype. The cited paper’s Abstract and AASM position-statement section discuss drowsy driving, not sexsomnia classification; searches for sexsomnia, sleepwalking, and DSM-5 found no relevant passage. No page numbers were supplied for these passages. (LLM, conf=0.76)
Experimental — accuracy not yet measuredICSD-3 recognizes limited or absent cognition or dream imagery during episodes and partial-to-complete amnesia for episodes as common features of DoA.
“The ICSD-3 recognizes some other common features in DoA, meaning a limited or absent cognition or dream imagery during the episodes (criteria C in ICSD-3 and criteria B in DSM-5) and partial-to-complete amnesia for the episodes (criteria D in ICSD-3 and C in DSM-5) [1].”
From Diagnosis and Management of NREM Sleep Parasomnias in Children and Adults (2023) · cites this paper as [1]
The Abstract and “The American Academy of Sleep Medicine” section discuss drowsy driving, including difficulty remembering recent driving, but do not address disorders of arousal (DoA) or their diagnostic criteria. Searches for limited or absent dream imagery, ICSD-3, DSM-5, and episode amnesia found no passage supporting the attributed claim. (LLM, conf=0.78)
Experimental — accuracy not yet measuredThe presence of recurrent incomplete awakenings associated with inappropriate or absent responsiveness to the external environment represents the core of the definition of DoA.
“The presence of recurrent incomplete awakenings (criteria A, ICSD-3) associated with an inappropriate or absent responsiveness to the external environment (criteria B in ICSD-3) represents the very core of the definition of DoA [1].”
From Diagnosis and Management of NREM Sleep Parasomnias in Children and Adults (2023) · cites this paper as [1]
The Abstract defines drowsy driving, and the AASM position-statement section discusses its risks and symptoms. Searches for recurrent incomplete awakenings, responsiveness to the environment, DoA, and ICSD-3 criteria found no passage addressing the claimed definition. (LLM, conf=0.78)
Experimental — accuracy not yet measured
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Cites
Watson, N. F., Badr, M. S., Belenky, G., Bliwise, D. L., Buxton, O. M., Buysse, D., Dinges, D. F., Gangwisch, J., Grandner, M. A., Kushida, C., et al. (2015) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.4758 · Cited by 1,320 · see citing works
Self-citation
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Research works printed but not linked: 2
- Wheaton AG, Shults RA, Chapman DP, Ford ES, Croft JB. Drowsy driving and risk behaviors-10 States and Puerto Rico, 2011-2012. MMWR Rep 2014;63:557-62.
- Dawson A, Reid K. Fatigue, alcohol, and performance impairment. Nature 1997;388:235.
Cited by
Sorted by citations
Short sleep duration and cardiometabolic risk: from pathophysiology to clinical evidence
Tobaldini, E., Fiorelli, E. M., Solbiati, M., Costantino, G., Nobili, L., & Montano, N. (2019) · Nature Reviews Cardiology · doi:10.1038/s41569-018-0109-6 · Cited by 357 · see citing works
Sleep: important considerations for the prevention of cardiovascular disease
Grandner, M. A., Alfonso-Miller, P., Fernandez-Mendoza, J., Shetty, S., Shenoy, S., & Combs, D. (2016) · Current Opinion in Cardiology · doi:10.1097/hco.0000000000000324 · Cited by 166 · see citing works
The impact of sleep deprivation in military surgical teams: a systematic review
Parker, R. S., & Parker, P. (2017) · Journal of the Royal Army Medical Corps · doi:10.1136/jramc-2016-000640 · Cited by 47 · see citing works
- Authors
- American Academy of Sleep Medicine Board of Directors, Watson, N. F., Morgenthaler, T., Chervin, R., Carden, K., Kirsch, D., Kristo, D., Malhotra, R., Martin, J., Ramar, K., Rosen, I., Weaver, T., & Wise, M.
- Affiliations
- University of Washington (US)
- Mayo Clinic (US)
- University of Michigan (US)
- Saint Thomas Sleep Specialists, Nashville, TN
- Carolinas Healthcare System (US)
- University of Pittsburgh (US)
- Saint Louis University (US)
- VA Greater Los Angeles Healthcare System (US)
- Penn Sleep Center, Philadelphia, PA
- University of Illinois Chicago (US)
- Methodist University Hospital (US)
- ORCID
- Venue
- Journal of Clinical Sleep Medicine
- Published
- 2015-11-15
- Volume
- 11
- Issue
- 11
- Pages
- 1335-1336
- ISSN
- 1550-9389 (ISSN-L)
- 1550-9397
- PMC
- PMC4623133
- OpenAlex
- W2437227303
- Cited by
- 58
- References
- 1
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 6 · 2023: 6 · 2022: 3 · 2021: 3 · 2020: 3 · 2019: 8 · 2018: 10 · 2017: 5 · 2016: 6 · 2015: 1
- FWCI
- 11.08
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Sleep Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Physical Sciences › Engineering › Safety, Risk, Reliability and Quality › Traffic and Road Safety
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- drowsy driving, sleep deprivation, position statement, public awareness, public education, health professions education, countermeasures, road safety
- MeSH terms
- Academies and Institutes, Accidents, Traffic, Automobile Driving, Dangerous Behavior, Humans, Risk Factors, Sleep Deprivation, United States
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