Sleep quantity and quality are both important for optimal development and functioning during youth. Yet few studies have examined the effects of insomnia symptoms and objective short sleep duration on memory performance among adolescents and young adults. One-hundred and ninety participants (female: 61.6%) aged from 12 to 24 years completed this study. All participants underwent a clinical interview, a 7-day actigraphic assessment, a battery of self-report questionnaires and cognitive tests to assess working memory and episodic memory. Insomnia symptoms were defined as a score ≥ 9 on the Insomnia Severity Index, and objective short sleep duration was defined as average total sleep time less than 7 hr for those aged 12-17 years, and 6 hr for those aged 18 years and above as assessed by actigraphy. Insomnia symptoms were significantly associated with worse self-perceived memory (p | .05) and poorer performance on the digit span task (p | .01), but not the dual N-back task and verbal learning task. There
Chronic insomnia which can cause daytime function impairments like abnormal emotion and hypomnesis is important risk factors for developing cardiovascular disease, neurological disorders or mental disorders. Acupuncture is a widely recognized therapy to treat chronic insomnia in clinical practice. Previous researches presented that sleep-wake dysfunction of patients with chronic insomnia have strong correlation with abnormal of the default mode network and salience network. The project present acupuncture may improve sleep quality by adjusting the abnormal default mode network and the salience network in patients with chronic insomnia.. The investigators are assigned the ninety eligible participants in three groups: thirty chronic insomnia patients by true acupuncture treatment (Zhoushi coordinated points), thirty chronic insomnia patients by sham acupuncture stimulation (non-acupoint points) and thirty healthy subjects, Treatment will be given 3 times per week for 3 months. Additionally, two ...
Treatment of Insomnia refers to inadequate or poor-quality sleep. Insomnia may be due to difficulty falling asleep, or problems with middle-of-the-night or very early morning awakening. Insomnia lasting from a single night to a few weeks is referred to as transient. If episodes of transient insomnia occur from time to time, the insomnia is said to be intermittent. Insomnia is considered to be chronic if it occurs on most nights and lasts a month or more, Insomnia, Insomnia Causes, Insomnia Symptoms, Insomnia Treatment, Definition Of Insomnia, Types Of Insomnia, Stress Insomnia, Chronic Insomnia, Cure For Insomnia, Insomnia Depression, Insomnia Effects, Depression And Insomnia, Insomnia Disorder
Chronic insomnia is a complex medical condition, often resulting from a number of factors. Underlying mental or physical disorders can trigger chronic insomnia.. Depression most commonly causes chronic insomnia. Other mental disorders like chronic anxiety and bipolar (manic) depression also cause chronic insomnia. It has been found that about 70% of people diagnosed with depression experience insomnia. Depressed people tend to have abnormal levels of stress hormones. These abnormalities can impair sleep. It should be noted, though, that emotional/mental problems can be caused by insomnia, which is why it can be difficult to determine if the insomnia triggered the emotional/mental problem or the emotional/mental problem triggered the insomnia.. Arthritis, allergies, heart failure, hypertension, kidney disease, sleep apnea, asthma, restless legs syndrome, narcolepsy, hyperthyroidism, Alzheimers disease, ADHD and Parkinsons disease have also been found to be the underlying causes of chronic ...
Objectives: Insomnia patients complain that mental events keep them awake. This study investigates how cognitive behavioural therapy (CBT) affects such events and considers how attributional, cognitive and psychopathological symptoms may mediate sleep improvement. Method: A pragmatic, parallel-group randomized controlled trial of 164 adults (120 F: (mean 49. years (18-78. years)) meeting Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria for insomnia disorder, assigned to CBT (n=55; 40 F), imagery relief therapy (IRT placebo; n=55; 42 F), or treatment as usual (TAU; n=54; 38 F), was conducted. CBT/IRT comprised six online sessions delivered by an animated therapist, with automated web/e-mail support. CBT users had access to a moderated community. TAU comprised usual care. Participants completed the Sleep Disturbance Questionnaire (SDQ), Glasgow Content of Thoughts Inventory (GCTI), Depression Anxiety and Stress Scales (DASS) and Sleep Condition Indicator (SCI) at
Our study shows that the presence of insomnia raises the likelihood of subsequent hospitalization for stroke for 4 years. To our knowledge, this is the first study to indicate that individuals with remission insomnia, relapse insomnia, and persistent insomnia subtypes have greater risks of developing stroke as compared with the control group. When breaking down to types of stroke, the insomniacs:noninsomniacs ratio of incidence of stroke was the highest for transient ischemic attack, followed by unspecified stroke, ischemia, and hemorrhage.. Evidence on influence of insomnia on stroke is still lacking. With regard to the relation between sleep duration and stroke, findings have been inconclusive. Prolonged sleep duration (≥9 hours/night; relative risk, 1.72) was related to a greater risk of stroke and short sleep (≤6 hours/night; relative risk, 1.22) increased risk for stroke in postmenopausal women without clinically overt cardiovascular diseases.1 Although a U-shaped association between ...
Chronic primary insomnia is a highly prevalent condition, affecting up to 15% of the population. The condition is associated with daytime fatigue, lack of concentration, and decreased quality of life. Most people with chronic primary insomnia go untreated, because of a desire to avoid medication or lack of access to quality non-drug treatments. Therefore, an affordable, easy to use, and effective computer to help assess and treat insomnia symptoms could bring treatment to this population.. Comparison: We are comparing a new handheld computer that uses cognitive-behavioral treatment principles to a popular self-help manual for the treatment of primary insomnia symptoms. ...
TY - JOUR. T1 - Eszopiclone treatment for insomnia. T2 - Effect size comparisons in patients with primary insomnia and insomnia with medical and psychiatric comorbidity. AU - Krystal, Andrew D.. AU - McCall, W. Vaughn. AU - Fava, Maurizio. AU - Joffe, Hadine. AU - Soares, Claudio N.. AU - Huang, Holly. AU - Grinell, Todd. AU - Zummo, Jacqueline. AU - Spalding, William. AU - Marshall, Randall. PY - 2012/12/1. Y1 - 2012/12/1. N2 - Objective: The purpose of this post hoc analysis was to compare the treatment effect size of eszopiclone 3 mg for insomnia in patients with a diagnosis of primary insomnia and in several of the psychiatric and medical conditions that are most commonly comorbid with insomnia. Method: Data were analyzed from 5 large, multicenter, randomized, double-blind, placebo-controlled studies of adult outpatients of at least 1 month duration published between 2006 and 2009. Diary-derived indices of sleep and daytime functioning and the Insomnia Severity Index were compared for ...
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The purpose of this study was to examine the process of care in an interdisciplinary sleep clinic for patients with obstructive sleep apnea (OSA) and comorbid insomnia. A mixed-methods approach was used to examine clinical and patient-centered measures for 34 patients who received positive-airway pressure for OSA or cognitive-behavior therapy for insomnia. The results revealed baseline-to-follow-up improvements on several self-reported sleep parameters and measures of daytime functioning. Qualitative analyses from patient interviews revealed three themes: conceptual distinctions about each sleep disorder, importance of treating both sleep disorders, and preferences with regard to the sequence of treatment. These findings indicate that patients with OSA and comorbid insomnia encounter unique challenges. A dimensional approach to assessment and treatment is proposed for future research.. ...
Three randomized, double-blind trials in subjects with chronic insomnia employing polysomnography (PSG) were provided as objective support of ramelteons effectiveness in sleep initiation. One study enrolled younger adults (aged 18 to 64 years, inclusive) with chronic insomnia and employed a parallel design in which the subjects received a single, nightly dose of ramelteon (8 mg or 16 mg) or matching placebo for 35 days. PSG was performed on the first two nights in each of Weeks 1, 3, and 5 of treatment. Ramelteon reduced the average latency to persistent sleep at each of the time points when compared to placebo. The 16 mg dose conferred no additional benefit for sleep initiation. The second study employing PSG was a three-period crossover trial performed in subjects aged 65 years and older with a history of chronic insomnia. Subjects received ramelteon (4 mg or 8 mg) or placebo and underwent PSG assessment in a sleep laboratory for two consecutive nights in each of the three study periods. Both ...
Three randomized, double-blind trials in subjects with chronic insomnia employing polysomnography (PSG) were provided as objective support of ramelteons effectiveness in sleep initiation. One study enrolled younger adults (aged 18 to 64 years, inclusive) with chronic insomnia and employed a parallel design in which the subjects received a single, nightly dose of ramelteon (8 mg or 16 mg) or matching placebo for 35 days. PSG was performed on the first two nights in each of Weeks 1, 3, and 5 of treatment. Ramelteon reduced the average latency to persistent sleep at each of the time points when compared to placebo. The 16 mg dose conferred no additional benefit for sleep initiation. The second study employing PSG was a three-period crossover trial performed in subjects aged 65 years and older with a history of chronic insomnia. Subjects received ramelteon (4 mg or 8 mg) or placebo and underwent PSG assessment in a sleep laboratory for two consecutive nights in each of the three study periods. Both ...
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The first treatment your health care professional will likely recommend is cognitive behavioral therapy for insomnia (CBT-I). For CBT-I, you may meet with a therapist in person. Or, you can use an online CBT-I program. The goal of CBT-I is to change your behaviors and thoughts to help you sleep.. People with insomnia disorder may associate the bed and bedroom with wakeful activities or worry about sleeping. CBT-I helps you start to associate the bed and bedroom with positive thoughts of sleep. To do this, you should try to only get in bed when you are sleepy. You should also only sleep in the bedroom. Avoid doing other things in bed (such as reading, using your computer, or looking at your cell phone or tablet).. The CBT-I therapist or online program may recommend that you get out of bed and leave the bedroom if you are not able to sleep. You can gradually start spending more time in bed as your sleep improves.. CBT-I also helps you change the way you think about sleep. For example, CBT-I may ...
The primary study end point is the proportion of individuals achieving remission, using total scores from the Insomnia Severity Index (ISI) [61, 62] completed during the last treatment visit and at the following week (weeks 5 and 6 of each treatment stage). Remission is defined as a mean ISI score , 8 for weeks 5 and 6, with neither one of these two ISI score , 10. The ISI is a seven-item self-report questionnaire that provides a global measure of perceived insomnia severity based on several indicators (for example, difficulty falling or staying asleep, satisfaction with sleep, and degree of impairment with daytime functioning). The total score ranges from 0 to 28: 0 to 7 (no clinical insomnia), 8 to 14 (subthreshold insomnia), 15 to 21 (insomnia of moderate severity), and 22 to 28 (severe insomnia). The ISI has been validated extensively and has proven sensitive to therapeutic changes [52, 62].. Several secondary outcomes are also monitored including sleep/wake variables: sleep onset latency ...
Objectives Individuals with insomnia often report aspects of perfectionism and symptoms of anxiety and depression. Investigation of these factors together has been limited. As such, the aim of the present study was to examine the extent to which the association between perfectionism and insomnia symptoms was mediated by anxiety and depression, concurrently and longitudinally. Methods Seventy-six members from the general-population participated at baseline. Data from 57 participants were subsequently analysed at twelve-month follow-up. Insomnia symptoms were assessed using The Insomnia Severity Index (ISI). Perfectionism was assessed using two Multidimensional Perfectionism Scales (F-MPS; HF-MPS). Symptoms of anxiety and depression were assessed using The Hospital Anxiety and Depression Scale (HADS). Correlational analysis examined longitudinal associations between perfectionism and insomnia symptoms. Hierarchical regression analysis examined whether significant associations remained after ...
The authors developed 3 one-page algorithms and advanced 41 recommendations. The key recommendations were summarized into the areas of diagnosis and assessment of chronic insomnia disorder and OSA, treatment and management of chronic insomnia disorder, and treatment and management of OSA. Patients with OSA should receive positive airway pressure (PAP) therapy for the entirety of their sleep periods; PAP therapy should be continued even if the patient is using it for less than 4 hours per night. Educational, behavioral, and supportive interventions are recommended to improve PAP adherence in those with OSA. For chronic insomnia disorder, behavioral and psychological treatments are recommended, including cognitive behavioral therapy ...
There are many reasons why a person may be sleep deprived - perhaps they erroneously think that their bodies can get by with less than 7 to 8 hours of sleep. Others try to get adequate sleep but suffer from some type of insomnia. Either way there are consequences to being sleep deprived - and its not just being tired the next day. The one I will focus on today is high blood pressure. Did you know that hypertension and sleep deprivation go together? Researchers looked at studies on insomnia and hypertension from several different research databases like MEDLINE and EMBASE and found that the analysis of these studies, shows that experimental sleep deprivation, short sleep duration, and persistent insomnia are associated with increased blood pressure and increased risk of hypertension, even after controlling for other risk factors. Curr Pharm Des. 2013;19(13):2409-19. Sleep loss and hypertension: a systematic review ...
Insomnia is a driver of suicide, and particularly people with severe insomnia may safely benefit from taking a sedative to help address their sleep problems as it reduces their suicidal thoughts, investigators report.
Non-pharmacological treatment of insomnia. Cognitive behaviour therapy aimed at treating insomnia (CBT-i) targets maladaptive behaviour and thoughts that may have developed during insomnia or have contributed to its development. CBT-i is considered to be the gold standard in treating insomnia, with effect sizes similar to or greater than those seen with hypnotic drugs and, unlike with hypnotics, maintenance of effect after cessation of therapy.14,15 These effects are seen in both primary and comorbid insomnia.16. The implementation of individual face-to-face CBT-i is typically delivered by a trained health professional, which makes it expensive, labour intensive and therefore beyond the reach of many. Patients with insomnia are eligible for Medicare rebates for psychological treatment if they are referred under the Chronic Disease Management or Better Access to Mental Health Care initiatives. Telephone and online delivery of CBT-i have been shown in clinical trials to be as effective as ...
Non-pharmacological treatment of insomnia. Cognitive behaviour therapy aimed at treating insomnia (CBT-i) targets maladaptive behaviour and thoughts that may have developed during insomnia or have contributed to its development. CBT-i is considered to be the gold standard in treating insomnia, with effect sizes similar to or greater than those seen with hypnotic drugs and, unlike with hypnotics, maintenance of effect after cessation of therapy.14,15 These effects are seen in both primary and comorbid insomnia.16. The implementation of individual face-to-face CBT-i is typically delivered by a trained health professional, which makes it expensive, labour intensive and therefore beyond the reach of many. Patients with insomnia are eligible for Medicare rebates for psychological treatment if they are referred under the Chronic Disease Management or Better Access to Mental Health Care initiatives. Telephone and online delivery of CBT-i have been shown in clinical trials to be as effective as ...
গুণ Pharmaceutical Intermediates নির্মাতারা & রপ্তানিকারক - কেনা Rozerem (Ramelteon) for Insomnia Treatment Pharmaceutical Intermediates Powder CAS 196597-26-9 চীন থেকে উত্পাদক.
Insomnia May Worsen Chronic Pain: According to a new study published in the journal Pain, people suffering from insomnia tend to have a greater sensitivity to pain. This potentially worsens the effects of chronic pain problems.
Insomnia can also be classified on the basis of etiology into primary and secondary subtypes. The term primary indicates that the insomnia is not caused by any known physical or mental condition but is characterized by a consistent set of symptoms, a defined disease course, and a general responsiveness to treatment.16,17 Although the etiology of primary insomnia has yet to be clarified, recent research implicates endocrine, neurologic, and behavioral factors as contributing to its pathogenesis.18-20 It is estimated that among patients diagnosed with insomnia, 25% to 30% suffer from primary insomnia.6,21 Secondary insomnia, in contrast, has been defined historically as insomnia resulting from other medical and psychiatric illnesses, medication use, or other primary sleep disorders.5,22 The 2005 NIH State-of-the-Science statement, however, has suggested the use of the term comorbid insomnia, instead of secondary insomnia, based on a limited level of understanding of the causal relationships which ...
Subjects completed sleep diaries and the Insomnia Severity Index (ISI) pre-treatment and 1 mo following treatment. There were no between-group differences on baseline ISI scores or subjective sleep continuity. The intervention group reported significantly lower ISI scores than controls (t(38)-2.24, P , 0.05) at follow-up. Further, using proposed ISI scores for identifying insomnia caseness (i.e., ,10), 60% of those in the CBT-I group had remitted by 1 mo compared to 15% of those in the control group.. ...
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Insomnia is a common disorder linked with adverse long-term medical and psychiatric outcomes. The underlying pathophysiological processes and causal relationships of insomnia with disease are poorly understood. Here we identified 57 loci for self-reported insomnia symptoms in the UK Biobank (n = 453,379) and confirmed their effects on self-reported insomnia symptoms in the HUNT Study (n = 14,923 cases and 47,610 controls), physician-diagnosed insomnia in the Partners Biobank (n = 2,217 cases and 14,240 controls), and accelerometer-derived measures of sleep efficiency and sleep duration in the UK Biobank (n = 83,726). Our results suggest enrichment of genes involved in ubiquitin-mediated proteolysis and of genes expressed in multiple brain regions, skeletal muscle, and adrenal glands. Evidence of shared genetic factors was found between frequent insomnia symptoms and restless legs syndrome, aging, and cardiometabolic, behavioral, psychiatric, and reproductive traits. Evidence was found for a ...
Insomnia is defined as repeated difficulty with sleep initiation, maintenance, consolidation, or quality that occurs despite adequate time and opportunity for sleep and that results in some form of daytime impairment. As many as 95% of Americans have reported an episode of insomnia at some point during their lives.
The aim of this study was to draw a portrait of the sleep environment of elderly persons living in private households and to determine its relationship with the presence of insomnia. A sample of 599 individuals aged 70 years and older responded to questions about the comfort of their pillow and mattress and the noise level and brightness of their bedroom at night and in the morning. They were also asked whether or not they shared their bed or bedroom with a sleep partner. The Insomnia Severity Index was used to assess insomnia severity. Over 40% of the study participants were using a pillow that was not very comfortable, and almost 30% said that their bedroom was not completely quiet. Binomial logistic regression results revealed that two variables were significantly associated with insomnia symptoms: a pillow rated as moderately comfortable to very uncomfortable and a bedroom that was not completely quiet. No other sleep environment characteristics considered in this study were associated
The present study evaluated quantitative sleep criteria to distinguish individuals with insomnia from good sleepers using two assessment methods. Sleep diary measures produced areas under the curves (AUC) in the high range (0.84-0.97), whereas actigraphy performed poorly at discriminating the two groups (AUC 0.58-0.61). The Youden Index identified SOL = 17.7 minutes, WASO = 20.7 minutes, SE awake = 92.1%, SE OOB = 83.8%, and TST = 388.1 minutes as the sleep diary measures that yielded the highest sensitivity and specificity values, with diary-measured SE awake performing best at differentiating the groups. Our study appears to be the first to examine quantitative sleep thresholds using sleep diary and actigraphy among a sample of older adults who were not required to meet specific quantitative severity thresholds for entry into the study. The absence of such entry criteria limits the circularity of the findings based on study entry criteria.. Given that actigraphy is more costly than diary ...
OBJECTIVEs This prospective study explored associations among insomnia, nocturnal cognitive hyperarousal, and nocturnal perinatal-focused rumination with suicidal ideation (SI) in perinatal women with depression. Methods From late pregnancy through ear......
Trouble sleeping at night? Although it is common for many people to experience occasional sleep difficulties, for some people these difficulties occur more frequently. Chronic insomnia includes a persistent difficulty in one or more of the following: falling asleep, staying asleep, or waking up too early. Insomnia affects between 10 - 30% of the adult population and is a serious disorder that negatively affects the functioning, health status, and quality of lives of millions of individuals worldwide. Both medication and psychotherapy are effective options in the management of this disorder. Cognitive Behavioural Therapy for Insomnia (CBT-I) is a brief non-pharmacological insomnia treatment. The majority of people treated with CBT-I see improvements and almost half of people no longer have insomnia at the end of treatment. Some more benefits of CBT-I:. • Similar to CBT for other disorders, you will learn skills and strategies that you could use even after treatment has ended. Specifically, in ...
A new study of twins suggests that insomnia in childhood and adolescence is partially explained by genetic factors.. Results show that clinically significant insomnia was moderately heritable at all stages of the longitudinal study. Genetic factors contributed to 33 to 38 percent of the insomnia ratings at the first two stages of the study, when participants had an average age of 8 to 10 years. The heritability of insomnia was 14 to 24 percent at the third and fourth follow-up points, when the average age of participants was 14 to 15 years. The remaining source of variance in the insomnia ratings was the non-shared environment, with no influence of shared, family-wide factors. Further analysis found that genetic influences around age 8 contributed to insomnia at all subsequent stages of development, and that new genetic influences came into play around the age of 10 years.. Insomnia in youth is moderately related to genetic factors, but the specific genetic factors may change with age, said ...
BACKGROUND: Patient with neurological disorders and cancer can develop sleep disturbance, in particular insomnia. Etiology of insomnia is multi-factorial in primary brain tumour patients with possible causes including corticosteroids, psychoactive medications, co-morbid psychiatric/medical conditions, and damage to neuronal tissue. FINDINGS: To understand better insomnia in recurrent glioma patients, a single-center retrospective analysis was performed looking at recurrent glioma patients from January 2004 to May 2009. Data was extracted and included demographics, clinical factors, psychoactive medications, and co-morbid symptoms. Presence and absence of insomnia complaints was evaluated with other co-morbidities using Chi square and Wilcoxon analyses. Records from 340 recurrent glioma patients were evaluated and 46.8 % (n = 159) indicated presence of insomnia with 20 % (n = 66) actively using medications for sleep. Use of corticosteroids were significantly associated with insomnia (p = 0.0003). ...
Melatonin prolonged release (Circadin®) has been launched for the treatment of primary insomnia.. It is currently only recommended for patients aged 55 years or older and for a period of three weeks. The Regional Drugs and Therapeutics Centre has published a review that highlights the lack of comparative trials, small effect size and cost difference.. Similarly, the National Prescribing Centre has written a Rapid Review that draws attention to the need for clinicians to accurately diagnose primary insomnia and provide patient education to improve sleep hygiene. The lack of comparative data means it is difficult to place this therapy in relation to existing treatments, including hypnotics.. Action: The benefits of the drug are modest. Usage is currently limited to patients aged 55 years and over who already practice behaviours in keeping with good sleep hygiene.. ...
STUDY OBJECTIVES: Insomnia in cancer patients is prevalent, persistent and confers risk for physical and psychological disorder. We must better understand how insomnia develops in cancer patients and explore the main contributors to its chronicity so that insomnia management protocols can be integrated more effectively within cancer care. This study monitors the etiology of insomnia in breast cancer patients and identifies risk factors for its persistence. METHODS: 173 females with newly diagnosed, non-metastatic breast cancer were tracked from diagnosis for 12-months. Participants completed monthly sleep assessments using the Insomnia Severity Index (ISI) and 3-monthly health-related quality-of-life assessments using the European Organisation for Research and Treatment of Cancer - Breast (EORTC QLQ-C30-BR23) scale. Clinical data on disease status and treatment regimens were also assessed. RESULTS: Prior to diagnosis, 25% of participants reported sleep disturbance, including 8% with insomnia syndrome
HuffPost UK Lifestyle offers the latest news on sleep apnoea, disorders and insomnia, plus information on remedies, tips and clinics
Introduction: The aim with this investigation was to psychometrically evaluate two insomnia-specific measures of worry/rumination: the Pre-Sleep Arousal Scale (PSAS; cognitive subscale) and the Anxiety and Preoccupation about Sleep Questionnaire (APSQ).. Methods: From a randomly selected sample from the general population (N = 5,000), 2,333 participants filled out a survey on sleep, daytime impairment, PSAS-C, and APSQ.. Results: Exploratory factor analyses showed that for both PSAS-C and APSQ only one factor was retained (total variance: 64% and 69%). One of the PSAS-C items fitted less well in the solution (being distracted by sounds, noise in the environment). The internal consistency for PSAS-C was .92 and for APSQ .95, and the two measures were highly correlated (r: .67). Both measures were correlated with sleep onset latency (r: .43-.50), wake time after sleep onset during night (r: .44-.46) and morning (r: .31-.34), sleep quality (r: .55-.60), and with sleep restoration (r: .51-.54). ...
Those with comorbid insomnia may have similar negative thoughts, attitudes, and beliefs about sleep as those with primary insomnia.
Sleep is essential for survival but a significant minority of the adult population are dissatisfied with their sleep, and 6-10% meet the criteria for insomnia disorder, characterised by difficulties falling asleep at bedtime, waking up in the middle of the night or too early in the morning, and daytime symptoms. Cognitive behavioural therapy for insomnia (CBT-I), an evidence-based sleep-focused intervention, has been suggested as the treatment of choice for chronic insomnia. However, access to specialised sleep therapists is sparse, and a service delivery model based on the principles of stepped care has been proposed. Even though CBT-I is shown to be effective, there is a need to continue the development of cognitive behavioural treatments for insomnia. As a complement to traditional interventions, the potential value of acceptance, that is, to make an active choice of openness towards psychological experiences, has been recognized. However, it has not yet been systematically investigated, ...
Adherence to a DASH- style diet has been reported to be associated with several health-related outcomes. A limited number of reports suggest that diet is an important behavioral determinant of insomnia. The current study aimed to explore the relationship between adherence to a DASH diet and the prevalence of insomnia in adolescent girls. A total of 488 adolescent girls aged 12-18 years old were recruited from different regions of Khorasan Razavi in northeastern of Iran, using a random cluster sampling method. DASH scores were determined according to the method of Fung et al. A validated Iranian version of the Insomnia Severity Index questionnaire was used to assess sleep insomnia. To assess the association between the DASH dietary pattern and insomnia, we applied logistic regression analysis in crude and adjusted models. As may be expected, participants in the upper quintile of the DASH diet had significantly higher intakes of fruits, vegetables, low fat dairy products, fish and nuts and lower
By Brandon R. Peters, MD Insomnia can be a devastating disorder. Its impacts on quality of life can be significant. Effective treatment of insomnia...
Rebound insomnia Rebound insomnia is insomnia that occurs following discontinuation of sedative substances taken to relieve primary insomnia. Regular use of these substances can cause a person to become dependent on its effects in order to fall asleep. Therefore, when a person has stopped taking the medication and is rebounding from its effects, he or she may experience insomnia as a symptom of withdrawal. Occasionally, this insomnia may be worse than the insomnia the drug was intended to treat.[1]. Common medicines known to cause this problem are eszopiclone, zolpidem, and anxiolytics such as benzodiazepines and which are prescribed to people having difficulties falling or staying asleep. Rebound depression Depressive symptoms may appear to arise in patients previously free of such an illness.[2]. Daytime rebound Rebound phenomena do not necessarily only occur on discontinuation of a prescribed dosage. For example, daytime rebound effects of anxiety, metallic taste, perceptual disturbances ...
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There is substantial evidence that the prevalence of sleep disorders is an important occupational health problem, especially among health care professionals on night or on rotating work shifts [1-10]. An important aspect of the work environment of nurses is that they are required to work at any point in the 24 hour day [11]. Night work is associated with disturbed sleep and impaired alertness. The impact of sleep is the result of the circadian interference with sleep during daylight hours and circadian suppression of pineal gland by light at night [12].. The definition of insomnia is a complaint of disturbed sleep, manifested as difficulties in sleep initiation, sleep maintenance, early morning awakenings, or nonrestorative sleep. Many sources also add the presence of associated daytime impairments, such as fatigue, irritability, decreased memory and concentration, and pervasive malaise affecting many aspects of daytime functioning [13]. In a recent study, 32% of night-shift workers reported ...
Melatonin can be used to treat insomnia. Learn about melatonin studies and how to use melatonin to treat insomnia at HowStuffWorks.
Brief behavioral treatment for patients with treatment-resistant insomnia Jihui Wang, Qinling Wei, Xiaoli Wu, Zhiyong Zhong, Guanying Li Department of Psychiatry, The Third Affiliated Hospital of Sun-Yat Sen University, Guangzhou, Guangdong, People’s Republic of China Objective: To evaluate the efficacy of brief behavioral treatment for insomnia (BBTI) in treating patients with treatment-resistant insomnia.Methods: Seventy-nine adults with treatment-resistant insomnia were randomly assigned to receive either individualized BBTI (delivered in two in-person sessions and two telephone “booster” sessions, n=40) or sleep hygiene education (n=39). The primary outcome was sub­jective (sleep diary) measures of self-report symptoms and questionnaire measures of Pittsburgh sleep quality index (PSQI), insomnia severity index (ISI), Epworth sleeping scale (ESS), and dysfunctional beliefs and attitudes about sleep scale (DBAS).Results: The repeated-measures analysis of variance showed
Chirality k a r l t i is a property of asymmetry important in several branches of science. E word chirality is derived from the Greek. Insomnia is defined as repeated difficulty with sleep initiation, maintenance, consolidation, or quality that occurs despite adequate time and. The Power of Together. Primary care practitioners treat many civilians and veterans of all ages who exhibit symptoms of PTSD, but many lack the necessary knowledge to identify PTSD and. Nutritional and Dietary Treatments for Attention DeficitHyperactivity Disorder (ADHD) Overview: There are several theories regarding diet and ADHD. Lcome to Nutricia Learning Center (NLC), a community hub and trusted, collective resource for health care providers managing patients with. Insomnia is defined as repeated difficulty with sleep initiation, maintenance, consolidation, or quality that occurs despite adequate time and. Psychotic symptoms Both psychotic symptoms and mood disorder symptoms are experienced by the individual with ...
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a significant increase in duration of sleep throughout the study, compared to the placebo treatment which resulted in no significant increase in duration
Chronic and severely stressful situations, like those connected to depression and posttraumatic stress disorder, have been associated with smaller volumes in stress sensitive brain regions, such as the cingulate region of the cerebral cortex and the hippocampus, a brain region involved in memory formation. A new study, published by Elsevier in Biological Psychiatry, suggests that chronic insomnia may be another condition associated with reduced cortical volume. Using a specialized technique called voxel-based morphometry, Ellemarije Altena and Ysbrand van der Werf from the research group of Eus van Someren evaluated the brain volumes of persons with chronic insomnia who were otherwise psychiatrically healthy, and compared them to healthy persons without sleep problems. They found that insomnia patients had a smaller volume of gray matter in the left orbitofrontal cortex, which was strongly correlated with their subjective severity of insomnia.. We show, for the first time, that insomnia ...
Practice guidelines from the American Academy of Sleep Medicine clearly state that multicomponent therapy is recommended over single therapies. Because of insufficient evidence about its efficacy, sleep hygiene education should not be recommended as a single-modality management approach; other reviews state that sleep hygiene by itself is not effective. [6] [8] Information about sleep hygiene, although not sufficient alone to combat sleep disturbances, should be included as a foundation of education related to sleep issues.. Several trials and meta-analyses have shown CBT-I to be at least as effective as conventional pharmacological therapies in treating primary chronic insomnia but without side effects. [6] [7] [9] [10] [11]. A four-arm study (conducted in patients with primary chronic insomnia) that evaluated zolpidem versus CBT versus zolpidem and CBT versus placebo reported a greater effect (P = .05) on sleep-onset latency for both groups involving CBT (change of 44%) versus the group ...
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Journal of Nursing Education | Background:The need to educate the future nursing workforce to increase understanding of healthy sleep practices, adverse health consequences of impaired sleep, and common sleep disorders is pressing. Unfortunately, education about sleep and sleep disorders has not been part of established undergraduate nursing curricula.Method:This study developed a sleep education program for college nursing
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About 33 percent of the women reported having hot flashes, including 12.5 percent of the premenopausal women, 79 percent of perimenopausal women and 39.3 percent of postmenopausal women. Of those who had hot flashes, about half reported that they were typically mild, while about one-third had moderate and about 15 percent had severe hot flashes. More than 81 percent of women with regular severe hot flashes had symptoms of chronic insomnia. These women reported difficulty falling asleep, non-restful sleep and overall dissatisfaction with their sleep patterns on a regular basis (at least three nights a week for at least the past six months). Women with mild hot flashes did not report these problems any more frequently than did women with no hot flashes. Women were also more likely to have problems staying asleep as their hot flashes became more severe ...
Learn how to use valerian root, a natural herb, to treat insomnia. This page also includes possible side effects of valerian root, based on studies.
If you look at the research, though, there are a few reports of patients having severe insomnia for weeks or months after moderate doses of provigil. Patients with shift-work sleep disorder chronically have excessive sleepiness during night work and insomnia when attempting to sleep during the day. Insomnia, decreased concentration, and. We evaluated the use of modafinil for treating. I did not have insomnia until last week. The most common side effects of the medication include headache, abdominal pain, insomnia, decreased appetite, nervousness and dizziness. To start viewing messages, select the forum that you want to visit from the selection below This reduces the early stopping provigil cold turkey and continued for buy provigil mastercard increased azole or the treatment with fever or low in the results. Far far away, behind the word mountains, far from the countries Vokalia and Consonantia, there live the blind texts. Cytokine, they inhibit distal small doses given as preven- tion Retains ...
Insomnia symptoms include habitual sleeplessness, chronic fatigue, and irritable mood. This article describes natural sleep remedies which will greatly improve insomnia symptoms and do so without the possibly negative consequences of using drugs.
In a new study published in the Journal of Traumatic Stress, Brownlow and colleagues examined the effects on insomnia and nightmare symptoms of treatment with prolonged exposure-adolescents (PE-A) versus client-centered therapy (CCT) over time, in 61 adolescent girls (mean age 15.34 years, SD = 1.54) with sexual abuse-related PTSD. Measurements were made pre-treatment, post-treatment, 6 months after treatment, and again 12 months after treatment. The degree to which residual PTSD sleep disturbances influenced global functioning following successful PTSD treatment was examined. Insomnia and nightmare symptoms were assessed using the Child PTSD Symptom Scale (CPSS; Foa, Johnson, Feeny & Treadwell, 2001). The Childrens Global Assessment Scale (CGAS; Schaffer et al., 1983) was used to assess global functioning. The investigators found that, post-treatment, 20% of adolescent girls continued to endorse nightmare symptoms and 55% continued to report insomnia symptoms. There were significant main ...
The pharmaceutical drug Silenor (doxepin) is a tricyclic antidepressant that is also used as a hypnotic to initiate and maintain sleep.
Sleep is not just resting or taking a break from busy routines - it is essential to physical and emotional health.. Adequate sleep may also play a role in helping the body recover from illness and injury. Inadequate sleep over a period of time is associated with obesity, diabetes, heart disease, and depression.. But, the emotional and mental benefits of sleep are also significant. Even occasional sleeping problems can make daily life feel more stressful and less productive.. And, some people with chronic insomnia are more likely to develop psychiatric problems.. In a survey, those who said they had trouble getting enough sleep reported impaired ability to perform tasks involving memory, learning, logical reasoning, and mathematical calculation.. Loss of sleep is believed to contribute to strained relationships at home, and unfulfilled potential on the job, and can also be dangerous, leading to serious or even fatal accidents.. Sleep problems increase with aging. The direct costs of sleepiness ...
Fatigue is extremely common in patients who have arthritis. While it is a common complaint in patients who have bread and butter types of arthritis like osteoarthritis, it is even more common in patients who have inflammatory disorders such as rheumatoid arthritis and systemic lupus erythematosus. Fatigue is often a sign of a flare of disease.. Another condition often accompanied by fatigue is fibromyalgia.. There are many factors that may be responsible for fatigue.. Sometimes it is the bodys method for dealing with a chronic painful condition. The body craves rest because it uses so much energy to combat the pain.. Another common reason is that arthritis often interrupts sleep. Not only is it more difficult to get to sleep but patients will wake up during the night, they will have difficulty falling back to sleep, and they will awaken early in the morning. This early morning awakening may also signal the presence of depression which is also a common problem in patients who have arthritis. ...
But another cause could end up being nerve compression from points like sciatica or carpal tunnel syndrome. UN clutter your mind. This means of which the next day becomes quite nerve-racking and tiring for the particular person. However, the most successful remain those that are all-natural. Speak concerning your dreams lastly coming true. Doctors are starting to locate out now that sleeplessness can occasionally occur for no reason - when all causes of insomnia are actually removed. Keep the shoulders as calm as you can though, try not necessarily to tense up or perhaps hunch your back.. Caffeinated drinks stimulates the cortex in your brain that increases your mental activity levels.. Doctors and sleep experts have forever told us all that insomnia always will come with a cause, for any reason - an root condition that affects the particular body, your brain or the particular brain. The blood circulation and lung capacity has been enhanced and various diseases are eradicated.. Do you want A lot ...
TY - JOUR. T1 - A meta-analysis of sleep changes associated with placebo in hypnotic clinical trials. AU - McCall, William Vaughn. AU - DAgostino, Ralph. AU - Dunn, Aaron. PY - 2003/1/1. Y1 - 2003/1/1. N2 - Objectives: The effects associated with placebo (EAP) have been incompletely described in clinical trials of insomnia treatment. We conducted a meta-analysis of insomnia medication trials for the purpose of estimating the magnitude of sleep EAP. Method: We reviewed Medline for 1966 through 2000 for the meta-analysis. The subject heading of insomnia restricted to the subheading of drug therapy was crossed against the results of a search on the subjects heading placebo and text word placebo. We selected only papers that examined primary insomnia, incorporating both placebo and active medication therapies in a randomized, double-blind, parallel-group design. We required that results be reported for 1, 2, 3, or 4 weeks of treatment, and that outcomes be reported in hours/minutes. Results: Five ...
Do not use this medication if you are pregnant. Do not start using a new drug if the thyroid first makes sense to stay out of Ambien, then I start having my undismayed middle/terminal proteolysis problems. Its difference between temazepam and talk with your doctor if they do more harms than good. Well-butrin adds some energy to the FDA , TEMAZEPAM is made by several different manufacturers. A pill I preferred was Temazepam or Restoril, as TEMAZEPAM seems like TEMAZEPAM is a physically easier pump to marshal the diderot and lungs en bloc. I reestablish approx 160 lbs I have no arachis of emotional procedures, like endoscopies. FAQ 5: Medications burdened in the original medicinal form.. Revision date: 04/25/2007. The results from DSC, FTIR and SEC analyses of solid dispersions was significantly greater than that observed for the treatment of short-term sleeping problems associated with difficulty falling asleep, and/or early morning awakening. Stay away from moisture and heat. Thats too bad, ...
What would you do if you suddenly developed severe insomnia and could not make it better? Ive hardly slept in 3 months. I follow PHD guidelines for diet; I am practicing IF, eating between 9 a.m. and 5 p.m.; and circadian rhythm entrainment guidelines are my natural lifestyle. For twelve years Ive been a regular walker and hiker. Anxiety is not the issue. Im not lying awake worrying or planning. Prayer is a big thing for me. Im chill. At night when not sleeping, I remain in bed, do not turn on lights, and just try to put it in neutral. I am fortunately patient with stillness. I may repeat certain psalms and prayers. I try to keep it monotonous and restful. My first hunch is the insomnia may relate to perimenopause; though I am also hypothyroid, with adrenal insufficiency as well. For perimenopause Im using Femmenessence, a maca product. Last winter it restored my sleep, but it doesnt any more. For hypothyroid Ive been in the process of adjusting my meds since April, plus my NP has me ...
Fortunately, there are ample non-medicinal strategies that also work. In clinical studies, insomniacs treated with Cognitive Behavioral Therapy for Insomnia (CBT-I) saw better long-term results than those who took medications. That tells you that psychology plays a huge role in sleep. While medicines can be a useful tool, Ive found that the most effective treatment for my insomnia has been an attitude adjustment, combined with some specific behavioral changes. This is sometimes called sleep hygiene - developing effective habits around your sleep routine.. Associate the bed only with sleep. Think about it: If youre sitting up in bed on a laptop working, or watching an exciting sports match, and then suddenly you try to sleep in that same place, its confusing to your body. Wait…is this is a place for work, or for sleep? This sounds elementary - even primal - but its powerful. Because I understand this rule of thumb, I do my computer work sitting in a chair, and shift to the bed only when ...
One suggested practical approach when assessing patients with sleep related disturbances would be to elicit symptoms and signs according to the 3 cardinal clinical presentations of sleep disorders ie. insomnia, excessive daytime sleepiness and abnormal movements or behaviours in sleep. The constellation of clinical features in each diagnostic label is usually sufficient to suggest the most likely diagnosis. These 3 symptom categories are discussed in detail below:. (1) Insomnia: Patients with insomnia most commonly describe difficulty with falling asleep, and less frequently, difficulty maintaining sleep or a perception of unrefreshing sleep. Regardless of the cause, insomnia often results in daytime fatigue, general malaise and in severe cases, cognitive and mood disturbances. Chronic insomnia often affects social and occupational functioning, and diminishes quality of life. In patients with insomnia related to medical and psychiatric conditions, associated symptoms include chronic pain or ...
Researchers found that three symptoms of insomnia may lead to a higher risk for heart failure. Insomnia, a sleep disorder that prevents the body from falling asleep or staying asleep, has been linked to an increased risk for heart failure.
ive been searching for so long to find out whats wrong with me i keep thinking im gonna go crazy! but i never do. anyways theres been a pretty wide range of problems ive been experienceing, and they are all symptoms of insomnia. ive had it since i was a kid but through high school the symptoms i felt (anxiety, brain fog, confusion, cant focus or plan) i was told by people i respected, doctors, that it was psychiatric and i could only take pills and try and rethink my life. well the problem persists!! I HATE IT. it used to be way back when i was 12 my insomnia was from sugar at night. well i cut that, i excersize during the day, eat right, and stop drinking water at night. but two things happen:1) i end up swallowing all my spit and peeing it out, which ends up waking me up or2) my mouth gets so dry from lack of water i have to just get a sip. but then i have to pee that out, right before i sleep! please help or give me some advice is it a bladder problem? thanks. (ps im a 19 year old guy)I ...
018); both groups were well matched at baseline with respect to other CAD risk factors. In a multiple conditional regression model, the association between elevated RDI and CAD mortality remained significant even after controlling for other risk factors.30 Studies of the relationship between OSA and CAD have not yet clarified the relative contribution of OSA per se, versus that of sleep disruption secondary to OSA, to the observed increased risk of CAD and CAD mortality. OSA causes a significant reduction in oxygen saturation, and the resulting CV stress may be sufficient to explain OSA-associated cardiac risk. Moreover, the associations between OSA and other CV conditions (such as hypertension), as well as the congruence between risk factors for CAD and for OSA (such as obesity), make it challenging to isolate and assess OSA-attributable risk.25 It is important to note that treatment of OSA with continuous positive airway pressure (CPAP) has been shown to reduce hypertension and nocturnal ...
Published. In Part 1 we discussed insomnia symptoms and insomnia causes. We listed 17 factors that could affect your ability to fall asleep, stay asleep, get a deep sleep or disturb your sleep. In Parts 2-4 we discussed the effects of toxic overload, hormonal imbalances and brain chemistry as causing insomnia symptoms and sleep disorders. This article furthers our discussion about chronic pain, a major factor suffered by millions.. TOPIC FOUR: Chronic Pain. Everyone knows that when we are in pain we cannot sleep. Causes for chronic pain can be:. 1) recent trauma or surgery. 2) trauma to tendons; they take a minimum of 6 weeks to heal and any strain during healing prolongs the healing phase another 6 weeks!. 3) vertebral subluxations; your back could be out is the phrase we tell our chiropractors. This can cause low back, neck and shoulder pain and stiffness and become aggravated as we sleep.. 4) If we grind our teeth at night our body can be attempting to facilitate cranial drainage to help ...
Conference Process: Answering pre-determined questions, the panel drafted its statement based on scientific evidence presented in open forum and on the published scientific literature. The draft statement was read in its entirety on the final day of the conference and circulated to the audience for comment. The panel then met in executive session to consider the comments received, and released a revised statement later that day at http://consensus.nih.gov. This statement is an independent report of the panel and is not a policy statement of the NIH or the Federal Government. A final copy of this statement is available, along with other recent conference statements, at the same web address of http://consensus.nih.gov.. Conclusions: Chronic insomnia is a major public health problem affecting millions of individuals, along with their families and communities. Little is known about the mechanisms, causes, clinical course, comorbidities, and consequences of chronic insomnia. Evidence supports the ...
Valerian tea trip report, People who are looking for an herbal supplement to help treat insomnia may benefit from valerian root. Potential side effects.
Dr. Greg Fors of the Pain and Brain Healing Center Is a Minneapolis Holistic Insomnia Doctor Providing Natural Solutions to Chronic Health Issues.