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Conditions InDepth: Insomnia

En Español (Spanish Version)

Main Page | Risk Factors | Symptoms | Diagnosis | Treatment | Screening | Reducing Your Risk | Talking to Your Doctor | Living With Insomnia | Resource Guide

Insomnia is defined as inadequate or poor-quality sleep. Insomnia may take the form of difficulty falling asleep, or middle-of-the-night or early-morning awakening. It may be a short-term problem or occur more often over a long period of time (chronic).

Over the course of a year, about one third of adults experience some level of insomnia. About 10%-15% have more severe or chronic insomnia. It may cause problems during the day, such as tiredness, a lack of energy, difficulty concentrating, and irritability.

Insomnia is not a disease. Instead, it is a result of a behavior or a symptom of an underlying mental or physical problem. There are many causes of insomnia.

Short-term insomnia is often due to temporary situations. It generally occurs in people who are experiencing one or more of the following:

  • A life crisis or stress
  • A change in the sleep environment, including factors such as noise, light, or temperature
  • Sleep/wake schedule problems, such as those due to jet lag or temporary shift work
  • Side effects of medication

Chronic insomnia often results from a medical condition. They may include:

Chronic insomnia may also be due to behavioral factors. These include:

  • Misuse of nicotine, caffeine, alcohol, or other substances
  • Disrupted sleep/wake cycles from shift work or other nighttime activity schedules
  • Chronic stress

For some people, insomnia is aggravated by:

  • Changes in time zone after a long flight (‘jet lag’)
  • Expecting to have difficulty sleeping and worrying about it
  • Excessive napping in the afternoon or evening

What are the risk factors for insomnia? | What are the symptoms of insomnia? | How is insomnia diagnosed? | What are the treatments for insomnia? | Are there screening tests for insomnia? | How can I reduce my risk of insomnia? | What questions should I ask my doctor? | What is it like to live with insomnia? | Where can I get more information about insomnia?

 

References:

  • Insomnia. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us. Updated July 9, 2012. Accessed August 13, 2012.
  • Insomnia. Quick Answers to Medical Diagnosis and Therapy. Access Medicine website. Available at: http://accessmedicine.com/content.aspx?aid=3267380.
  • McCarty DE, Chession AL. Insomnia. In: Gilman S, ed. MedLink Neurology. San Diego, CA: MedLink Corporation. Available at: http://www.medlink.com/medlinkcontent.asp. Accessed Sept 25, 2010
  • Morgenthaler T, Kramer M, Alessi C, et al. Practice parameters for the psychological and behavioral treatment of insomnia: an update. An American Academy of Sleep Medicine report. Sleep. 2006;29:1415-1419.
  • Morin CM, Vallieres A, Guay B, et al. Cognitive behavioral therapy, singly and combined with medication for persistent insomnia: a randomized controlled trial. JAMA . 2009;301(19):2005-2015.
  • National Center on Sleep Disorders Research website. Available at: http://www.nhlbi.nih.gov/about/ncsdr/index.htm.
  • National Heart, Lung, and Blood Institute website. Available at: http://www.nhlbi.nih.gov/.
  • National Sleep Foundation website. Available at: http://www.sleepfoundation.org/.
  • Parmet S, Burke A, Glass RM. Insomnia. JAMA Patient Page. 2006 June 28.295(24).
  • Sivertsen B, Omvik S, Pallesen S, et al. Cognitive behavioral therapy versus zopiclone for treatment of chronic primary insomnia in older adults: a randomized, controlled trial. JAMA. 2006;295(24):2851-2858.
  • Your guide to healthy sleep. National Center on Sleep Disorders Research. National Heart, Lung, and Blood Institute website. November 2005. NIH Publication No. 06-5271. National Heart Lung and Blood Institute website. Available at: http://www.nhlbi.nih.gov/health/public/sleep/healthy_sleep.pdf. Accessed February 11, 2009.

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