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==[[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 have 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]]==

Revision as of 20:08, 30 December 2020


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Insomnia Microchapters

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Overview

Historical Perspective

Classification

Pathophysiology

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

Insomnia On the Web

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Directions to Hospitals Treating Insomnia

Risk calculators and risk factors for Insomnia

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Amber Ehsan Faquih, MD[2] Kiran Singh, M.D. [3], Jyostna Chouturi, M.B.B.S [4]

Synonyms and keywords: Insomnia disorder

Overview

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)[1], although the first records of the word insomnia existed since 1600s[2]. 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 [3].

Pathophysiology

A gene is reported to be responsible for insomnia, called human circadian clock gene CRY1 [4].

Classification

Causes

Differentiating Insomnia from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Other Diagnostic Studies

Treatment

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

Management is guided by available clinical practice guidelines[5].

Case Studies

Case #1

See also

References

  1. Reynolds CF 3rd, Kupfer DJ, Buysse DJ, Coble PA, Yeager A. Subtyping DSM-III-R primary insomnia: a literature review by the DSM-IV Work Group on Sleep Disorders. Am J Psychiatry. 1991 Apr;148(4):432-8. doi: 10.1176/ajp.148.4.432. PMID: 2006686.
  2. https://www.dictionary.com/browse/insomnia#:~:text=Where%20does%20insomnia%20come%20from,in%20the%20names%20of%20diseases.
  3. https://link.springer.com/chapter/10.1007/978-1-59259-662-1_1
  4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5479574/
  5. 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).


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