We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Sleeplessness and Smoking

Joseph R. Thurn, MD
JAMA. 1988;260(11):1551-1552. doi:10.1001/jama.1988.03410110059013.
Text Size: A A A
Published online


To the Editor.—  The May 27,1988, issue of JAMA contains two articles concerning the findings of sleep researchers dealing with chronobiology, circadian rhythms, and work shifts.1,2 The photographs are of interest. The first depicts a person who finds herself "staring at the clock" instead of sleeping. The nightstand is otherwise uncluttered. The second photograph, which asks if short-acting drugs are sometimes an appropriate choice to induce sleep for shift workers, contains some changes. The clock is no longer visible. Am open book and a prescription bottle are visible. Unfortunately, another addition is depicted that is hardly appropriate. Perhaps the pack of cigarettes, the matches, and the ashtray were included to indicate anxiety over the inability to sleep. The addition suggests that smoking is a normal response to stress and the inability to sleep. That smoking is a major health hazard and cause of fires and results in significant morbidity,


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.