Insomnia

@article{Wilson2008Insomnia,
  title={Insomnia},
  author={Jennifer Fisher Wilson},
  journal={The Hospital},
  year={2008},
  volume={26},
  pages={271 - 272}
}
  • J. Wilson
  • Published 22 July 1899
  • Medicine, Psychology
  • The Hospital
Editor's Note: This issue of In the Clinic has been updated. People with insomnia have trouble falling or staying asleep, and the result is poor-quality sleep of insufficient duration. Insomnia is common, affecting 1 in 3 adults intermittently and 1 in 10 adults chronically, and can seriously affect wellbeing. It typically causes excessive daytime sleepiness, irritability, and lack of energy. Long-term insomnia may lead to depression, inattention, learning and memory problems, and job or school… 
Objective measures are useful in subtyping chronic insomnia.
1125 Editorial—Vgontzas and Fernandez-Mendoza The diagnosis of chronic insomnia, the most prevalent sleep disorder, is based solely on subjective complaints, whereas objective measures are currently
Insomnia Really Hurts: Effect of a Bad Night's Sleep on Pain Increases With Insomnia Severity
TLDR
Results indicated that people suffering from more severe habitual insomnia showed stronger mutual acute within-day reactivity of pain and poor sleep quality, and this asymmetric mutual reactivity showed consistent asymmetry.
1 Epidemiology of Insomnia : Prevalence and Risk Factors
Insomnia is among the most prevalent health complaints, with approximately 10 to 15% of the general population suffering regularly from it and about 25 to 35% presenting transient or occasional
Experiences and Management of Incidents That Influence Sleep in Patients With Cardiovascular Disease and Insomnia
TLDR
Tailored professional support is needed to change precipitating behavioral factors to be able to treat insomnia, improve sleep, reduce symptom burden, and enhance quality of life.
A Review of Scales to Evaluate Sleep Disturbances in Movement Disorders
TLDR
A practical overview of the most relevant scales that assess these disturbances to guide the choice of themost useful instrument/s depending on the line of research or clinical focus is provided.
Diagnosis and management of geriatric insomnia: A guide for nurse practitioners
TLDR
Geriatric insomnia remains a challenge for primary care providers because of the lack of evidence-based clinical guidelines and limited treatment options available, but NPs could play a central role in reducing the negative consequences of insomnia through a systematic approach for diagnosis, evaluation, and management.
Management of insomnia in sleep disordered breathing
TLDR
Comorbidity between chronic insomnia disorder and OSA is a clinically relevant condition that may confront practitioners with serious diagnostic and therapeutic challenges and advocate an integrated and multidisciplinary approach that seems superior over the isolated treatment of each sleep disorder alone.
Insomnia symptoms and incident heart failure: a population-based cohort study.
TLDR
Insomnia symptoms, both cumulatively and individually, are associated with incident HF, and public health awareness and screening for insomnia symptoms in at-risk populations should be encouraged to reduce HF incidence.
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References

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Hypnotic medication in the treatment of chronic insomnia: non nocere! Doesn't anyone care?
  • M. Kramer
  • Psychology, Medicine
    Sleep medicine reviews
  • 2000
TLDR
The ability to mount a randomized, placebo-controlled, parallel group, double-blind trial of hypnotic medication in primary insomnia may not be possible and large systematic clinical databases may have to be developed to monitor both emergent symptoms and possible clinical effectiveness.
Place of chronic insomnia in the course of depressive and anxiety disorders.
Sleep complaints among elderly persons: an epidemiologic study of three communities.
TLDR
In multivariate analyses, sleep complaints were associated with an increasing number of respiratory symptoms, physical disabilities, nonprescription medications, depressive symptoms and poorer self-perceived health.
Evaluation of chronic insomnia. An American Academy of Sleep Medicine review.
TLDR
An adequate evaluation of persistent insomnia requires detailed historical information as well as medical, psychological and psychiatric assessment, and use of a classification system for sleep disorders and familiarity with major diagnostic groups will facilitate the clinician's evaluation and treatment.
Treatment of Insomnia in Hospitalized Patients
TLDR
Recommendations for the short-term management of insomnia in hospitalized patients and review patient assessment, nonpharmacologic treatment modalities, and selection of hypnotic medications are provided.
Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention?
As part of the National Institute of Mental Health Epidemiologic Catchment Area study, 7954 respondents were questioned at baseline and 1 year later about sleep complaints and psychiatric symptoms
Practice parameters for the evaluation of chronic insomnia. An American Academy of Sleep Medicine report. Standards of Practice Committee of the American Academy of Sleep Medicine.
TLDR
This practice parameter paper presents recommendations for the evaluation of chronic insomnia based on the evidence in the accompanying review paper and recommends use of these parameters by the sleep community, but hopes the large number of primary care physicians providing this care can benefit from their use.
Minimal rebound insomnia after treatment with 10-mg zolpidem.
TLDR
There was no significant correlation between rebound insomnia and the level of initial insomnia, the degree of response to treatment in week 4, or the amount of tolerance that developed during drug use.
Who reports insomnia? Relationships with age, sex, ethnicity, and socioeconomic deprivation.
TLDR
Socioeconomic factors and ethnicity are significant independent predictors of reported insomnia symptoms and this finding has important implications for the provision of treatment services to those most in need.
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