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Although the scope of the problem is large, most insomniacs do not seek medical treatment 6 and physician training in the recognition of sleep specific symptoms continues to be minimal. 7-9 The high incidence of insomnia complaints in conjunction with the minimal recognition of the problem by healthcare professionals has led to an underestimation of the(More)
We studied the efficacy of propranolol (Inderal) compared to alprazolam (Xanax) in 29 patients with a diagnosis of agoraphobia with panic disorder or panic disorder with or without limited phobic avoidance in a 6-week double-blind controlled experiment. Alprazolam is effective in those syndromes, whereas to date only negative or ambiguous results had been(More)
To assess the use of actigraphy in evaluating insomnia, 36 patients with a serious complaint of insomnia slept 3 nights each in the laboratory, where the usual polysomnograms (PSGs) were obtained as well as actigraphic assessments of their sleep. Patients also wore actigraphs for 7 days at home, were extensively interviewed and filled out psychometric(More)
Twenty patients who had been insomniac since childhood were compared with 39 who had become insomniac during adult life. The childhood-onset insomniacs took longer to fall asleep, slept less, and showed excessive amounts of REM sleep without eye movements. Adult-onset insomniacs showed more restless sleep. No differences between childhood- and adult-onset(More)
To replicate a previous study, 16 psychophysiological insomniacs were randomly assigned to either Theta feedback or sensorimotor rhythm (SMR) feedback. Evaluations by home sleep logs and by 3 nights in the laboratory were done before biofeedback, immediately after biofeedback, and 9 months later. Results from this study replicate previous findings. Both(More)
OBJECTIVE Primary insomnia and insomnia related to mental disorders are the two most common DSM-IV insomnia diagnoses, but distinguishing between them is difficult in clinical practice. This analysis was performed to identify clinical factors used by sleep specialists to distinguish primary insomnia from insomnia related to mental disorders. METHOD(More)
OBJECTIVE The frequency and ranking of DSM-IV sleep disorder diagnoses of clinical patients with complaints of insomnia, as well as rates of diagnostic agreement and disagreement between two types of interviewers, were investigated. METHOD Interviewers at five clinical sites assessed 216 patients referred for insomnia complaints. One sleep specialist and(More)
Data from three consecutive nights in the sleep laboratory and data from psychological questionnaires and interviews were cluster-analyzed. A total of 89 physician-referred insomniacs were included, together with 10 good sleepers. The goal was to develop a purely empirical classification scheme of insomnia and to compare it with the Association of Sleep(More)