Behavioral insomnia definition1/2/2024 ![]() ![]() Many over-the-counter medications - such as some pain medications, allergy and cold medications, and weight-loss products - contain caffeine and other stimulants that can disrupt sleep. Many prescription drugs can interfere with sleep, such as certain antidepressants and medications for asthma or blood pressure. Insomnia often occurs with other mental health disorders as well. Awakening too early can be a sign of depression. Anxiety disorders, such as post-traumatic stress disorder, may disrupt your sleep. ![]() Treating the medical condition may help improve sleep, but the insomnia may persist after the medical condition improves.Īdditional common causes of insomnia include: Many people also experience heartburn, a backflow of acid and food from the stomach into the esophagus after eating, which may keep you awake.Ĭhronic insomnia may also be associated with medical conditions or the use of certain drugs. Having a light snack before bedtime is OK, but eating too much may cause you to feel physically uncomfortable while lying down. Computers, TVs, video games, smartphones or other screens just before bed can interfere with your sleep cycle. Poor sleep habits include an irregular bedtime schedule, naps, stimulating activities before bed, an uncomfortable sleep environment, and using your bed for work, eating or watching TV. Causes include jet lag from traveling across multiple time zones, working a late or early shift, or frequently changing shifts. Disrupting your body's circadian rhythms can lead to insomnia. Your circadian rhythms act as an internal clock, guiding such things as your sleep-wake cycle, metabolism and body temperature. Stressful life events or trauma - such as the death or illness of a loved one, divorce, or a job loss - also may lead to insomnia. Concerns about work, school, health, finances or family can keep your mind active at night, making it difficult to sleep. Treating the underlying cause can resolve the insomnia, but sometimes it can last for years.Ĭommon causes of chronic insomnia include: All rights reserved.Insomnia may be the primary problem, or it may be associated with other conditions.Ĭhronic insomnia is usually a result of stress, life events or habits that disrupt sleep. The observation of increased DBAS scores in other sleep disorders besides primary insomnia underscores the usefulness of a broadened diagnostic procedure and suggests that CBT-I modules may be a complementary treatment tool for these disorders.ĭBAS Dysfunctional thinking Insomnia Polysomnography Restless legs syndrome Sleep apnea.Ĭopyright © 2014 Elsevier B.V. There was a low correlation between DBAS scores and PSG variables, moderate correlations between DBAS and subjective sleep parameters and BDI scores (r = 0.528), and a high correlation between DBAS and the RIS score (r = 0.603). The DBAS scores were compared across the different sleep disorders and correlated with polysomnographic (PSG) variables, subjective sleep parameters, scores of the Beck Depression Inventory (BDI), and the Regensburg Insomnia Scale (RIS measuring psychological symptoms of insomnia).Ĭompared to healthy controls, DBAS scores were increased in PI, RLS and RLS + SAS. Eighty-four healthy subjects served as a control group. The following groups were included: 34 patients with primary insomnia (PI), 30 patients with sleep apnea syndrome (SAS), 31 patients with restless legs syndrome (RLS), 26 patients with SAS comorbid with RLS (SAS + RLS), and 24 patients with idiopathic hypersomnia or narcolepsy. The Dysfunctional Beliefs and Attitudes about Sleep Scale (DBAS) was administered to inpatients at a sleep center. Insomnia symptoms also occur in other sleep disorders, but it is not known to what extent it is related to dysfunctional thinking about sleep. Dysfunctional thinking about sleep is a central aspect in the perpetuation of primary insomnia and a target symptom of cognitive behavioral therapy for insomnia (CBT-I). ![]()
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