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'''For patient information click [[Insomnia (patient information)|here]]'''
'''For patient information click [[Insomnia (patient information)|here]]'''
{{Insomnia}}
{{Insomnia}}
{{CMG}}; {{AF}} {{KS}}, {{JC}}
{{CMG}}; {{AE}} {{Adnan Ezici}} , {{AF}} , {{KS}} , {{JC}} , {{NS}}


{{SK}} Insomnia disorder
{{SK}} Insomnia disorder


==[[Insomnia overview|Overview]]==
==[[Insomnia overview|Overview]]==
Insomnia is a medical term for a sleep disorder, in which a person have difficulty with falling asleep, staying asleep or feeling unfresh in the morning because of poor sleep<ref>Mysliwiec V, Martin JL, Ulmer CS, Chowdhuri S, Brock MS, Spevak C; et al. (2020). "The Management of Chronic Insomnia Disorder and Obstructive Sleep Apnea: Synopsis of the 2019 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guidelines". Ann Intern Med. doi:10.7326/M19-3575. PMID 32066145 Check |pmid= value (help).<templatestyles </ref>. Insomnia is one of the frequently reported complaints in adult population, it is reported that 30-40% of the adult population is the US report insomnia<ref>https://www.cdc.gov/sleep/data_statistics.html</ref>. The [[DSM-V Diagnostic Criteria for Insomnia Disorder]] is, difficulty with sleep for at least three days per week for consecutive three months.
 


==[[Insomnia historical perspective|Historical Perspective]]==
==[[Insomnia historical perspective|Historical Perspective]]==
The science which deal with issues in human [[sleep cycle]] is called [[sleep medicine]]. The history of sleep medicine is divided in to five phases, according to the era of development in understanding of human sleep, the related issues and the treatments. The first clinic for sleep medicine was first founded in 1970 and was named Stanford University Sleep Disorders Clinic. Insomnia was classified as a separate entity since 1979/1980 (ASDC/DSM III-R),<ref>https://pubmed.ncbi.nlm.nih.gov/22800714/</ref>, although the first records of the word insomnia existed since 1600s<ref>https://www.dictionary.com/browse/insomnia#:~:text=Where%20does%20insomnia%20come%20from,in%20the%20names%20of%20diseases.</ref>. In western culture the mention of insomnia date back in ancient Greeks and also found in the pre-Hippocratic Epidaurian list of 70 cases, one was a patient with insomnia. The first scientific explanation of insomnia was found in the work of Aristotle back in 350 BC and the first treatment records from a Greek Physician in the first century recommended [[opium]] as the treatment of choice for insomnia <ref>https://link.springer.com/chapter/10.1007/978-1-59259-662-1_1</ref>.
 


==[[Insomnia pathophysiology|Pathophysiology]]==
==[[Insomnia pathophysiology|Pathophysiology]]==


==[[Insomnia classification|Classification]]==
==[[Insomnia classification|Classification]]==
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==[[Insomnia risk factors|Risk Factors]]==
==[[Insomnia risk factors|Risk Factors]]==
==[[Insomnia screening|Screening]]==


==[[Insomnia natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
==[[Insomnia natural history, complications and prognosis|Natural History, Complications and Prognosis]]==


==Diagnosis==
==Diagnosis==
[[Insomnia history and symptoms|History and Symptoms]] | [[Insomnia physical examination|Physical Examination]] | [[Insomnia laboratory findings|Laboratory Findings]] | [[Insomnia other diagnostic studies|Other Diagnostic Studies]]
[[Insomnia diagnostic criteria|Diagnostic Study of Choice]] | [[Insomnia history and symptoms|History and Symptoms]] | [[Insomnia physical examination|Physical Examination]] | [[Insomnia laboratory findings|Laboratory Findings]] | [[Insomnia electrocardiogram|Electrocardiogram]] | [[Insomnia x ray|X-ray]] | [[Insomnia echocardiography and ultrasound|Echocardiography and Ultrasound]] | [[Insomnia CT scan|CT scan]] | [[Insomnia  MRI|MRI]] | [[Insomnia other imaging findings|Other Imaging Findings]] | [[Insomnia other diagnostic studies|Other Diagnostic Studies]]


==Treatment==
==Treatment==
[[Insomnia medical therapy|Medical Therapy]] | [[Insomnia non-pharmacological therapy|Non-pharmacological therapy]] | [[Insomnia primary prevention|Primary Prevention]] | [[Insomnia secondary prevention|Secondary Prevention]] | [[Insomnia cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Insomnia future or investigational therapies|Future or Investigational Therapies]]
[[Insomnia medical therapy|Medical Therapy]] | [[Insomnia non-pharmacological therapy|Non-pharmacological therapy]] | [[Insomnia surgery|Surgery]] | [[Insomnia primary prevention|Primary Prevention]] | [[Insomnia secondary prevention|Secondary Prevention]] | [[Insomnia cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Insomnia future or investigational therapies|Future or Investigational Therapies]]
 
Management is guided by available [[clinical practice guideline]]s<ref name="pmid32066145">{{cite journal| author=Mysliwiec V, Martin JL, Ulmer CS, Chowdhuri S, Brock MS, Spevak C | display-authors=etal| title=The Management of Chronic Insomnia Disorder and Obstructive Sleep Apnea: Synopsis of the 2019 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guidelines. | journal=Ann Intern Med | year= 2020 | volume=  | issue=  | pages=  | pmid=32066145 | doi=10.7326/M19-3575 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=32066145  }} </ref>.


==Case Studies==
==Case Studies==

Latest revision as of 04:03, 5 August 2021


For patient information click here

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Adnan Ezici, M.D[2] , Amber Ehsan Faquih, MD[3] , Kiran Singh, M.D. [4] , Jyostna Chouturi, M.B.B.S [5] , Sanjana Nethagani, M.B.B.S.[6]

Synonyms and keywords: Insomnia disorder

Overview

Historical Perspective

Pathophysiology

Classification

Causes

Differentiating Insomnia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice | History and Symptoms | Physical Examination | Laboratory Findings | Electrocardiogram | X-ray | Echocardiography and Ultrasound | CT scan | MRI | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Non-pharmacological therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

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