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Insomnia

From Wikipedia
insomnia
disease, symptom type
Subclass ofsleep disorder, sleep disturbance Edit
Health specialtyneurology, psychiatry, neuroscience, psychology Edit
Genetic associationCRY1 Edit
Handled, mitigated, or managed bysleep induction Edit
WordLift URLhttp://data.medicalrecords.com/medicalrecords/healthwise/insomnia Edit
ICD-9-CM780.52 Edit
ICPC 2 IDP06 Edit
NCI Thesaurus IDC28286 Edit

Insomnia, dem sanso know as sleeplessness, be a sleep disorder wey dey cause difficulty falling asleep anaa staying asleep for as long as desired.[1][2][3] Insomnia typically be followed by daytime sleepiness, low energy, irritability, den a depressed mood.[1] E fi result in an increased risk of accidents as well as problems focusing den learning.[2] Insomnia fi be short-term, lasting for days anaa weeks, anaa long-term, wey dey last more dan a month.[1] De concept of de word insomnia get two distinct possibilities: insomnia disorder anaa insomnia symptoms.[4]

Insomnia fi occur independently anaa as a result of anoda problem.[5] Conditions wey fi result in insomnia dey include psychological stress, chronic pain, heart failure, hyperthyroidism, heartburn, restless leg syndrome, menopause, certain medications, den drugs such as caffeine, nicotine, den alcohol.[5][6] Risk factors dey include working night shifts den sleep apnea.[2] Diagnosis dey base on sleep habits den an examination to look for underlying causes.[7] Dem fi do a sleep study to look for underlying sleep disorders.[7] Dem fi do screening plus questions like "You dey experience difficulty sleeping anaa?" anaa "You get difficulty falling anaa staying asleep?"[2]

Dem dey consider cognitive behavioral therapy de first-line treatment.[8][9][10] Sleep hygiene den lifestyle changes sanso be recommended for insomnia, though dema efficacy no be definitely established.[10][11][12] Sleep hygiene dey include a consistent bedtime, a quiet den dark room, exposure to sunlight during de day den regular exercise.[12] Sleeping pills fi improve sleep, though sam be associated plus falls, cognitive impairment, den dependence.[8][11] Dese medications no be recommended for more dan four anaa five weeks buh fi be used longer insyd certain instances.[8][13] Among dese, lemborexant den eszopiclone get de most favorable efficacy den safety profiles.[14] De efficacy den safety of alternative medicine treatments be unclear.[8][13]

Between 10% den 30% of adults get insomnia at any given point in time, den up to half of people get insomnia insyd a given year.[2][6][15] About 6% of people get insomnia wey no be secof anoda problem den dey last for more dan a month.[2] People over de age of 65 be affected more often dan younger people.[12] Women be more often affected dan men.[6] Descriptions of insomnia dey occur at least as far back as ancient Greece.[16]

References

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  1. 1 2 3 "What Is Insomnia?". Health Topics. NHLBI. 24 March 2022. Archived from the original on 28 July 2016. Retrieved 26 November 2023.
  2. 1 2 3 4 5 6 Roth T (August 2007). "Insomnia: definition, prevalence, etiology, and consequences". Journal of Clinical Sleep Medicine (Supplement). 3 (5 Suppl): S7–10. doi:10.5664/jcsm.26929. PMC 1978319. PMID 17824495.
  3. ↑ Punnoose AR, Golub RM, Burke AE (June 2012). "Insomnia". JAMA (JAMA patient page). 307 (24): 2653. doi:10.1001/jama.2012.6219. PMID 22735439.
  4. ↑ Banno M, Tsujimoto Y, Kohmura K, Dohi E, Taito S, Someko H, Kataoka Y (September 2022). "Unclear Insomnia Concept in Randomized Controlled Trials and Systematic Reviews: A Meta-Epidemiological Study". International Journal of Environmental Research and Public Health. 19 (19) 12261. doi:10.3390/ijerph191912261. PMC 9566752. PMID 36231555.
  5. 1 2 "What Causes Insomnia?". NHLBI. 13 December 2011. Archived from the original on 28 July 2016. Retrieved 9 August 2016.
  6. 1 2 3 "Dyssomnias" (PDF). WHO. pp. 7–11. Archived from the original (PDF) on 18 March 2009. Retrieved 25 January 2009.
  7. 1 2 "How Is Insomnia Diagnosed?". NHLBI. 13 December 2011. Archived from the original on 11 August 2016. Retrieved 9 August 2016.
  8. 1 2 3 4 Qaseem A, Kansagara D, Forciea MA, Cooke M, Denberg TD (July 2016). "Management of Chronic Insomnia Disorder in Adults: A Clinical Practice Guideline From the American College of Physicians". Annals of Internal Medicine. 165 (2): 125–133. doi:10.7326/M15-2175. PMID 27136449.
  9. ↑ Trauer JM, Qian MY, Doyle JS, Rajaratnam SM, Cunnington D (August 2015). "Cognitive Behavioral Therapy for Chronic Insomnia: A Systematic Review and Meta-analysis". Annals of Internal Medicine. 163 (3): 191–204. doi:10.7326/M14-2841. PMID 26054060. S2CID 21617330.
  10. 1 2 Edinger JD, Arnedt JT, Bertisch SM, Carney CE, Harrington JJ, Lichstein KL, Sateia MJ, Troxel WM, Zhou ES, Kazmi U, Heald JL, Martin JL (February 2021). "Behavioral and psychological treatments for chronic insomnia disorder in adults: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment". Journal of Clinical Sleep Medicine. 17 (2): 263–298. doi:10.5664/jcsm.8988. PMC 7853211. PMID 33164741.
  11. 1 2 "How Is Insomnia Treated?". NHLBI. 13 December 2011. Archived from the original on 28 July 2016. Retrieved 9 August 2016.
  12. 1 2 3 Wilson JF (January 2008). "In the clinic. Insomnia". Annals of Internal Medicine. 148 (1): ITC13–1–ITC13–16. doi:10.7326/0003-4819-148-1-200801010-01001. PMID 18166757. S2CID 42686046.
  13. 1 2 Riemann, Dieter; Espie, Colin A.; Altena, Ellemarije; Arnardottir, Erna Sif; Baglioni, Chiara; Bassetti, Claudio L. A.; Bastien, Celyne; Berzina, Natalija; Bjorvatn, Bjørn; Dikeos, Dimitris; Dolenc Groselj, Leja; Ellis, Jason G.; Garcia-Borreguero, Diego; Geoffroy, Pierre A; Gjerstad, Michaela (2023). "The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023". Journal of Sleep Research (in English). 32 (6) e14035. doi:10.1111/jsr.14035. ISSN 1365-2869. PMID 38016484.
  14. ↑ De Crescenzo F, D'Alò GL, Ostinelli EG, Ciabattini M, Di Franco V, Watanabe N, Kurtulmus A, Tomlinson A, Mitrova Z, Foti F, Del Giovane C, Quested DJ, Cowen PJ, Barbui C, Amato L, Efthimiou O, Cipriani A (July 2022). "Comparative effects of pharmacological interventions for the acute and long-term management of insomnia disorder in adults: a systematic review and network meta-analysis". Lancet. 400 (10347): 170–184. doi:10.1016/S0140-6736(22)00878-9. hdl:11380/1288245. PMID 35843245. S2CID 250536370.
  15. ↑ Tasman A, Kay J, Lieberman JA, First MB, Riba M (2015). Psychiatry, 2 Volume Set (4 ed.). John Wiley & Sons. p. 4253. ISBN 978-1-118-75336-1. Archived from the original on 2023-01-12. Retrieved 2017-09-01.
  16. ↑ Attarian HP (2003). "chapter 1". Clinical Handbook of Insomnia (in English). Springer Science & Business Media. ISBN 978-1-59259-662-1.
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