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Relevant bibliographies by topics / Chronic Insomnia

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Academic literature on the topic 'Chronic Insomnia'

Author: Grafiati

Published: 4 June 2021

Last updated: 30 January 2023

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Journal articles on the topic "Chronic Insomnia"

1

de Saint Hilaire, Zara, Judith Straub, and Antoine Pelissolo. "Temperament and character in primary insomnia." European Psychiatry 20, no. 2 (March 2005): 188–92. http://dx.doi.org/10.1016/j.eurpsy.2004.04.009.

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AbstractRecent studies by Cloninger suggest that the temperament dimension of harm avoidance might be related to serotonergic activity. Since serotonergic mechanisms equally play a major role in sleep regulation, we decided to use Cloninger’s psychobiological model of temperament and character to assess whether there is a link between psychophysiologic insomnia and specific personality traits. Chronic insomnia is a common complaint in modern society, and it is still controversial whether insomniacs share specific personality traits. Thirty-two chronic insomniacs (<50 years) were studied. They underwent polysomnography for two consecutive nights and filled out the 226-item self-questionnaire of Temperament and Character Inventory as well as the Hospital Anxiety and Depression scale. (1) Harm avoidance for all subscores was significantly higher in insomniac patients when compared with controls; (2) self-directedness scores were lower in insomniacs; (3) sleep latency was positively correlated to harm avoidance; (4) HA1 (anticipatory worry) was negatively correlated to REM latency. Temperament and Character Inventory is a useful tool in the investigation of chronic insomnia. Serotonergic mechanisms might explain the high incidence of harm avoidance as personality trait in psychophysiologic insomniac patients. Further studies are needed to see whether harm avoidance could be a psychological vulnerability marker for primary insomnia and be used as predictor of SSRI treatment responders.

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Okajima, Isa. "Is COVID-Somnia Fact or Fiction?" Sleep Medicine Research 13, no. 3 (December 31, 2022): 121–25. http://dx.doi.org/10.17241/smr.2022.01466.

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Over 2 years have passed since the COVID-19 outbreak, and perceptions of coronavirus and lifestyles have changed. The purpose of this study was to review how sleep problems during the COVID-19 pandemic, commonly known as ‘COVID-somnia,’ are interpreted. In a systematic review of cross-sectional studies, the prevalence rate of COVID-somnia has been reported to be 35.7% for people with insomniac symptoms. However, the prevalence of insomnia symptoms did not significantly increase in longitudinal studies. It has also been reported that 50% of individuals with COVID-somnia improved after 5 months. Thus, COVID-insomnia is probably a mixed concept, consisting of conventional chronic insomnia and temporary insomnia. It is possible that most cases are illusory and only a few people actually are going to suffer from an insomnia disorder. For the chronic insomnia, cognitive behavioral therapy is effective. Temporary insomnia is likely to decrease with accurate knowledge of the coronavirus and effective infection control strategies. In the future, it is necessary not only to examine the prevalence of insomniacs during COVID-19, but also to examine the proportion of insomniacs with high anxiety about infection and its impact on daily functioning.

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Bianchi, Matt. "Chronic Insomnia." Seminars in Neurology 37, no. 04 (August 2017): 433–38. http://dx.doi.org/10.1055/s-0037-1605344.

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AbstractInsomnia is characterized by difficulty falling asleep or staying asleep, with consequent daytime impairment of mental and/or physical function. A detailed clinical history reveals the relative impact of a variety of different contributing and perpetuating factors, which then informs prioritization among different treatment options. Nonpharmacological approaches, especially the validated approach of cognitive–behavioral therapy for insomnia, are preferred over hypnotic medications. If hypnotics are chosen, the goal is short-term interventions after a careful risk-benefit assessment and shared decision-making with the patient. Although objective testing via polysomnography is not routinely indicated, such investigations can be informative in those at risk for concurrent primary sleep disorders, and in those who are treatment refractory. Circadian rhythm disorders can present with insomnia complaints, but are managed with chronotherapy. Whatever management pathway is pursued, the response to therapy should be anchored in improvements in daytime function.

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Silber, Michael H. "Chronic Insomnia." New England Journal of Medicine 353, no. 8 (August 25, 2005): 803–10. http://dx.doi.org/10.1056/nejmcp043762.

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Buysse, Daniel J. "Chronic Insomnia." American Journal of Psychiatry 165, no. 6 (June 2008): 678–86. http://dx.doi.org/10.1176/appi.ajp.2008.08010129.

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Neubauer, David N. "Chronic Insomnia." CONTINUUM: Lifelong Learning in Neurology 19, no. 1 (February 2013): 50–66. http://dx.doi.org/10.1212/01.con.0000427213.00092.c1.

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Morin, Charles M., and Ruth Benca. "Chronic insomnia." Lancet 379, no. 9821 (March 2012): 1129–41. http://dx.doi.org/10.1016/s0140-6736(11)60750-2.

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Neubauer, David, and Kelleen Flaherty. "Chronic Insomnia." Seminars in Neurology 29, no. 04 (September 2009): 340–53. http://dx.doi.org/10.1055/s-0029-1237125.

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Avidan, Alon Y., and David N. Neubauer. "Chronic Insomnia Disorder." CONTINUUM: Lifelong Learning in Neurology 23, no. 4 (August 2017): 1064–92. http://dx.doi.org/10.1212/01.con.0000522244.13784.bf.

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Hampton, Tracy. "Treating Chronic Insomnia." JAMA 294, no. 4 (July 27, 2005): 418. http://dx.doi.org/10.1001/jama.294.4.418-a.

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Dissertations / Theses on the topic "Chronic Insomnia"

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MacLeod, Mary Annet Krista. "Attitudes and beliefs about insomnia and insomnia treatment among older adults with chronic insomnia." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0020/MQ49638.pdf.

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Rioux, Isabelle. "Time estimation in chronic insomnia sufferers." Master's thesis, Université Laval, 2003. http://proquest.umi.com/pqdweb?did=766731671&sid=9&Fmt=2&clientId=9268&RQT=309&VName=PQD.

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Bramoweth, Adam Daniel. "Chronic Insomnia and Healthcare Utilization in Young Adults." Thesis, University of North Texas, 2011. https://digital.library.unt.edu/ark:/67531/metadc84179/.

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Chronic insomnia is a highly prevalent disorder in general and young adult populations, and contributes a significant economic burden on society. Previous studies have shown healthcare utilization (HCU) is significantly higher for people with insomnia than people without insomnia. One limitation with previous research is accurate measurement of HCU in people with insomnia is difficult due to a high co-morbidity of medical and mental health problems as well as varying operational definitions of insomnia. Assessing HCU in people with insomnia can be improved by applying research diagnostic criteria (RDC) for insomnia, using a population with low rates of co-morbid medical/mental health problems, and measuring HCU with subjective, objective, and predictive methods. The current study found young adults with chronic insomnia had greater HCU than normal sleepers, specifically on number of medications, and chronic disease score (CDS) estimates of total healthcare costs, outpatient costs, and predicted number of primary care visits. The presence of a medical and/or mental health problem acted as a moderating variable between chronic insomnia and HCU. Simple effects testing found young adults with chronic insomnia and a medical/mental health problem had the greatest HCU followed by normal sleepers with a medical/mental health problem, chronic insomnia, and normal sleepers. Exploratory analyses found young adults with chronic insomnia had a greater likelihood of emergency room visits and overnight hospital admissions. More efforts for early identification and intervention of insomnia are necessary to help reduce costs associated with chronic insomnia co-morbid with medical and/or mental health problems.

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Currie, Shawn R. "Cognitive-behavioural treatment of insomnia secondary to chronic pain." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0010/NQ38779.pdf.

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Marino, Alfonso. "Treating chronic insomnia, a cognitive-behavioural group therapy approach." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/NQ63577.pdf.

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Browning, Lindsay. "An investigation of worry and rumination in chronic insomnia." Thesis, University of Oxford, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.427894.

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Espie, Colin A. "A controlled comparative investigation of psychological treatments for chronic sleep-onset insomnia." Thesis, University of Glasgow, 1987. http://theses.gla.ac.uk/822/.

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Seventy, GP-referred, sleep-onset insomniacs were randomly assigned to either progressive relaxation, stimulus control, paradoxical intention, placebo or no treatment control groups. Following baseline assessment of sleep pattern and quality subjects received 8 weeks of treatment, comprising 4 weeks under counterdemand and 4 weeks under positive demand instruction to control for demand characteristics and expectancy effects. A further 14 patients were allocated consecutively to a tailored therapy condition as a development of the main study. Measures of treatment process and outcome were obtained from self-report instruments validated against objective monitoring via the `Somtrak

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Roberts, Mary Beatrice. "Effectiveness of an integrated group based treatment for chronic pain and insomnia." Thesis, Roberts, Mary Beatrice (2020) Effectiveness of an integrated group based treatment for chronic pain and insomnia. Masters by Coursework thesis, Murdoch University, 2020. https://researchrepository.murdoch.edu.au/id/eprint/60739/.

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Prevalence rates of insomnia among those who have chronic pain are high. Previous research has shown a bidirectional association between sleep and pain with the possibility that an improvement in sleep may result in an improvement in pain and other comorbid conditions such mood, anxiety and physical functioning. Although there are established cognitive behavioral therapy (CBT) programs for both chronic pain and insomnia (CBT-I), the effectiveness of integrating them has not yet been established. This study examined the effect of an integrated CBT-I and pain management program (CBT-I/P) on sleep, pain, mood, anxiety and physical function compared to the standard pain management program (treatment as usual). Method: This study involved 101 participants, attending one of 20 group pain management programs at a hospital-based pain medicine unit, who were randomly assigned to either CBT-I/P, a comparison group program or treatment as usual. A questionnaire package was administered prior to the start of the intervention, on completion, and at three-month follow up. Results: The integrated program improved sleep as measured by the Insomnia Severity Index and the Pittsburgh Sleep Disorders Questionnaire, compared to treatment as usual. There were no significant differences between groups over time in respect to other comorbid factors. However, there were significant improvements in depression, catastrophising, fear of movement and function in the CBT-I/P group. A correlational analysis showed that an improvement in sleep (regardless of which group attended) was associated with improvements in overall physical function and the ability to walk. Discussion: This study shows that a sleep intervention can be incorporated into existing pain management programs, and that doing so results in an improvement in sleep over and above what can be obtained from treatment as usual in a pain management program. This is important given the prevalence of sleep problems in patients with chronic pain. These findings also demonstrate that an improvement in sleep is associated with an improvement in quality of life factors such as mood, anxiety and physical functioning. As such, it would be beneficial to incorporate CBT-I as part of standard pain management programs.

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McKenzie, Paul Stephen. "Chronic low back pain and insomnia : understanding the experience and attributions made by out-patients about sleeplessness, pain and their interaction." Thesis, University of Edinburgh, 2012. http://hdl.handle.net/1842/8014.

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Systematic Review: Chronic pain and insomnia are highly comorbid, and evidence suggests a reciprocal relationship between these. CBT-I has been shown to improve sleep in those with chronic pain, therefore the potential of improved sleep leading to improvements in pain symptoms is a possibility. This led to the question: Does CBT-I improve pain symptoms in those with chronic pain and insomnia? A systematic review of the literature was conducted resulting in eight papers regarding six studies. Evidence was moderate that CBT-I improved sleep and pain related disability, but did not improve self reported pain levels. This discrepancy between improvements in pain related disability and no changes in self-reported pain levels led to the research question for the empirical element of the current thesis. Empirical Element of Thesis Objective: Chronic low back pain (CLBP) is a common form of chronic pain that affects a large population each year. Chronic pain and insomnia are highly comorbid conditions, yet knowledge about how patients perceive their interaction is limited. This qualitative study aims to inform our understanding of the patient experience with particular reference to beliefs and attributions surrounding pain, poor sleep and their interaction. Methods: 11 outpatients from a chronic pain clinic were recruited who suffered CLBP as their main symptom, and who had subsequently developed insomnia as a result. Data were analysed using Interpretative Phenomenological Analysis (IPA). Results: Qualitative analysis produced five super-ordinate themes: 1) the privacy of pain and solitude of sleep; 2) sleep/pain interaction; 3) night-time thinking; 4) adjustment and acceptance; and 5) self-management. Discussion: The first three themes combine to create the individual experience of CLBP: the visceral, emotional experience; the pre-existing and shifting beliefs; and the thought content. Once this is in place, the individual can reflect on what this means to them, and through acceptance, move through to adjustment. The individual accepts elements of their current experience, but where they see the opportunity to take control, these adjustments are translated into actions relating to self-management. These themes suggest CBT-I should be adapted to include pain specific beliefs to form a CBT for Insomnia and Chronic Pain (‘CBT-CPI’).

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Yung, Kam-ping, and 翁錦屏. "Cognitive and behavioral characteristics of chronic primary insomnia in Hong Kong : a qualitative and quantitative study." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/197536.

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Introduction: Sleep-related cognitive and behavioral characteristics play an important role in the maintenance of insomnia. Culture affects individuals’ belief system and behaviors, but few studies have examined how Chinese subjects describe their experiences of insomnia and how they deal with it. This study explored the topic using qualitative and quantitative approaches. Methods: Participants were recruited from the community via advertisements. Their DSMIV diagnosis of primary insomnia for at least 6 months was confirmed by a sleep specialist with the help of the Structured Clinical Interview for DSM-IV and sleep-wake questionnaires. A focus group approach was used to elicit participants’ insomnia experiences. They were also asked to keep a 1-week insomnia experience diary prior to attending the focus group and to complete a set of sleepwake questionnaires, including the 30-item Dysfunctional Beliefs and Attitudes about Sleep Scale after the group meeting. Each focus group comprised 6 to 8 participants. Discussion was led by a facilitator with a pre-determined question route and it was audiotaped, transcribed verbatim, and managed with NVivo software to facilitate coding and analysis. Focus group data collection ceased when data saturation was achieved. All data were fragmented into meaningful units, compared iteratively, and assigned with descriptive codes to condense the emerging meanings. Codes pertaining to the same phenomena were grouped together and a coding framework was built. The findings from the qualitative study were then validated in a quantitative questionnaire survey of a separate group of participants with chronic primary insomnia and good sleepers. Results: A total of 6 focus groups were arranged, involving 31 women and 12 men, with an average age of 51 years. Participants had a mean duration of insomnia of 11.81 years, and an average sleep-diary derived sleep efficiency of 70.57%. There were 16 sub-categories and 4 categories of characteristics. The 16 sub-categories could be grouped under: 1) beliefs regarding the nature and treatment of insomnia, 2) behavioral responses to insomnia, 3) cognitive-emotional and physiological arousal, and 4) emotional experiences associated with insomnia. Significant difference between primary insomniacs and good sleepers was found on 9 out of 14 items of the quantitative scale we developed based on the qualitative study results. Seven items remained significant after Bonferroni correction (p < .003), including 1) puzzlement about cause, 2) realistic sleep expectation, 3) constant search for treatment, 4) nighttime negative emotions and physiological symptoms, 5) heightened vigilance, 6) association of sleep with suffering, and 7) sleep problem not understood by others. Conclusion: The present study serves as the first to use both qualitative and quantitative approaches to identify the subjective experience of Hong Kong Chinese insomnia patients. Questionnaire study confirmed that the identified experience was also found in a separate chronic insomnia sample. It sheds light on tailoring CBT-I for the local population with chronic insomnia. Further research on the efficacy and acceptance of a tailor-made local CBT-I program is needed.
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Psychiatry
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Master of Philosophy

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Books on the topic "Chronic Insomnia"

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Rachel, Manber, ed. Quiet your mind & get to sleep: Solutions to insomnia for those with depression, anxiety, or chronic pain. Oakland, CA: New Harbinger, 2009.

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Carney, Colleen. Quiet your mind and get to sleep: Solutions to insomnia for those with depression, anxiety, or chronic pain. Oakland, CA: New Harbinger, 2009.

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Carney, Colleen. Quiet your mind & get to sleep: Solutions to insomnia for those with depression, anxiety, or chronic pain. Oakland, CA: New Harbinger, 2009.

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Glock, Martha. Integration of behavioral and relaxation approaches into the treatment of chronic pain and insomnia: January 1985 through July 1995 : 1147 citations. Bethesda, Md: U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health, National Library of Medicine, Reference Section, 1995.

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National, Institutes of Health Technology Assessment Conference on the Integration of Behavioral and Relaxation Approaches Into the Treatment of Chronic Pain and Insomnia (1995 Bethesda Md ). NIH Technology Assessment Conference on Integration of Behavioral and Relaxation Approaches Into the Treatment of Chronic Pain and Insomnia: NIH Technology Assessment Conference, October 16-18, 1995 ... National Institutes of Health, Bethesda, Maryland. Bethesda, MD: National Institutes of Health, 1995.

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Reynolds, Melissa, and Luke T. Parkes. Fibromyalgia Framework: Helping You Fight Chronic Pain, Chronic Fatigue and Insomnia. Independently published, 2018.

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Manifestations and management of chronic insomnia in adults. Rockville, MD: Agency for Healthcare Research and Quality, U.S. Dept. of Health and Human Services, 2005.

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Parkes, Luke, and Melissa Reynolds. Melissa vs Fibromyalgia: My Journey Fighting Chronic Pain, Chronic Fatigue and Insomnia. Independently Published, 2018.

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Kurin, Kayla. Yoga for Chronic Illness: Yoga for Chronic Pain, Yoga for Chronic Fatigue, and Yoga for Insomnia. Collections Canada, 2019.

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Marino, Alfonso. Treating chronic insomnia: A cognitive-behavioural group therapy approach. 2001.

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Book chapters on the topic "Chronic Insomnia"

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Mendelson, Wallace B. "Chronic Insomnia." In Human Sleep, 323–42. Boston, MA: Springer US, 1987. http://dx.doi.org/10.1007/978-1-4613-1921-4_12.

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Borson, Andrew J. "Short-Term Psychotherapy for Chronic Insomnia." In Case Studies in Insomnia, 103–14. Boston, MA: Springer US, 1991. http://dx.doi.org/10.1007/978-1-4757-9586-8_7.

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Findley, James C., and Michael L. Perlis. "Cognitive Behavioral Treatment of Chronic Insomnia." In Primary Care Sleep Medicine, 67–82. New York, NY: Springer New York, 2014. http://dx.doi.org/10.1007/978-1-4939-1185-1_7.

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Kamardeen, Imriyas. "Work stress induced chronic insomnia in construction." In Work Stress Induced Chronic Diseases in Construction, 78–109. 1. | Boca Raton : CRC Press, 2021. | Series: Spon research: Routledge, 2021. http://dx.doi.org/10.1201/9781003118725-3.

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Kramer, Milton. "Long-Term Use of Sleeping Pills in Chronic Insomnia." In Sleep and Sleep Disorders, 135–40. Boston, MA: Springer US, 2006. http://dx.doi.org/10.1007/0-387-27682-3_14.

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Najib, Jadwiga S. "Eszopiclone: Review and Clinical Applications in Chronic and Comorbid Insomnia." In Drug Treatment of Sleep Disorders, 159–89. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-11514-6_8.

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Tuck, Andrew, and Paul A. Riordan. "Cognitive Behavioral Therapy Versus Zopiclone for the Treatment of Chronic Primary Insomnia in Older Adults: A Randomized Controlled Trial." In Essential Reviews in Geriatric Psychiatry, 381–86. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-94960-0_66.

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Wickwire, Emerson M., and Michael T. Smith. "Insomnia in Chronic Pain." In Insomnia, 139–52. Informa Healthcare, 2010. http://dx.doi.org/10.3109/9781420080803.014.

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"Chronic insomnia." In Ernsting's Aviation Medicine, 4E, 283–84. CRC Press, 2006. http://dx.doi.org/10.1201/b13238-64.

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Larson, Olivia, Michael Perlis, and Philip Gehrman. "Chronic insomnia." In Reference Module in Neuroscience and Biobehavioral Psychology. Elsevier, 2021. http://dx.doi.org/10.1016/b978-0-12-822963-7.00012-8.

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Conference papers on the topic "Chronic Insomnia"

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Skarpsno, Eivind. "SP0207 PHYSICAL ACTIVITY, CHRONIC MUSCULOSKELETAL PAIN AND INSOMNIA." In Annual European Congress of Rheumatology, EULAR 2019, Madrid, 12–15 June 2019. BMJ Publishing Group Ltd and European League Against Rheumatism, 2019. http://dx.doi.org/10.1136/annrheumdis-2019-eular.8588.

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Islam, Md Muhaiminul, Abu Kaisar Mohammad Masum, Sheikh Abujar, and Syed Akhter Hossain. "Prediction of chronic Insomnia using Machine Learning Techniques." In 2020 11th International Conference on Computing, Communication and Networking Technologies (ICCCNT). IEEE, 2020. http://dx.doi.org/10.1109/icccnt49239.2020.9225570.

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Wasiewicz, P., M. Skalski, and Malgorzata Fornal-Pawlowska. "Chronic insomnia cases detection with the help of Athens Insomnia Scale and SF-36 health survey." In Photonics Applications in Astronomy, Communications, Industry, and High-Energy Physics Experiments 2011, edited by Ryszard S. Romaniuk. SPIE, 2011. http://dx.doi.org/10.1117/12.905587.

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Pires, Gabriel Natan, Ksdy Maiara Moura Sousa, Thábita Maganete, Paula Villena Redondo, and Renata Redondo Bonaldi. "SleepUp, a Digital Therapeutics Platform for Insomnia." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.296.

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Background: Cognitive-Behavioral Therapy for Insomnia (CBTi) is the gold-standard treatment for chronic insomnia. Although effective, CBTi is not easily accessible due to a shortage of specialized professionals and high treatment costs. Online CBTi (CBTi-O) has been proposed as a more accessible and affordable treatment option. CBTi and CBTi-O are equally effective, and some apps have already been approved by regulatory agencies in USA (Somryst™) and UK (Sleepio™). Objetives: SleepUp is a digital therapeutics solution for insomnia, intended to provide evidence-based treatment in an easily accessible format. Methods: The treatment program is based on CBTi-O, composed by seven therapeutic modules (sleep hygiene, relaxation and meditation, psychoeducation, stimulus control, cognitive restructuring, sleep restriction and paradoxical intention). Users are monitored with a sleep log and validated questionnaires assessing insomnia symptoms, sleepiness, sleep quality and sleep hygiene. Additional therapy modules are included, encompassing mindfulness and other meditation techniques. For refractory cases or for those with comorbidities, remote appointments with medical doctors and psychologists specialized in sleep medicine are available. Results: SleepUp is an early-stage startup and its solutions for sleep and insomnia are being constantly developed and improved. The app is already available in Brazil and USA, both for Android™ and IOS™ devices. Preliminary results demonstrate that the treatment is effective, reducing insomnia symptoms in 28%, (n=1700), improving sleep hygiene scores in 32% (n=100) and increasing sleep efficiency in 16% (n=2500). Conclusion: SleepUp aims at providing a more accessible alternative to the treatment of insomnia, based on CBTI-O, an effective and safe therapeutic approach.

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Luyster, F. S., M. Boudreaux-Kelly, and J. Bon. "Impact of Insomnia on Healthcare Utilization and Costs Among Veterans with Chronic Obstructive Pulmonary Disease." In American Thoracic Society 2021 International Conference, May 14-19, 2021 - San Diego, CA. American Thoracic Society, 2021. http://dx.doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a4712.

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Zavrel, Erik A., and Matthew R. Ebben. "An Active Distal Limb Warming Device for Insomnia Treatment." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3469.

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The defining characteristics of insomnia are widely recognized as difficulty falling asleep, difficulty staying asleep, and sleep that is non-restorative [1]. Insomnia is among the most common health complaints: about 10% of the adult population complains of a chronic insomnia problem [2]. With aging, increasingly disturbed sleep and less satisfaction with sleep quality are reported [3]. This common problem has wide ranging physiological, cognitive, and behavioral consequences including higher healthcare utilization [4–6]. Current major treatment options for insomnia (hypnotic medications and non-pharmacological behavioral interventions) suffer side effects and shortcomings. Thermoregulation plays a key role in promoting and maintaining sleep. At night, core body temperature (CBT) drops while distal skin temperature (DST) increases. It was previously believed that the nighttime drop in CBT was the most important promoter of sleep. However, recent research has shown that it is in fact the increase in DST (with net body heat loss owing to the large distal skin surface area) which is associated with an increase in sleepiness, whereas a decrease in DST (with resulting net body heat retention) is associated with a decrease in sleepiness [7]. The amount of distal vasodilation, as measured by the distal-proximal skin temperature gradient (DPG), is more predictive of sleep onset than subjective sleepiness ratings, CBT, or dim light melatonin onset. In fact, “the degree of dilation of blood vessels in the skin of the hands and feet, which increases heat loss at these extremities, is the best physiological predictor for the rapid onset of sleep” [8]. The link between distal skin warming and sleep propensity is further strengthened by the fact that warm water immersion of hands and feet has been found to decrease sleep onset latency (SOL) and pre-sleep warm baths have long been prescribed as an insomnia treatment. In a recent study, we used a multiple sleep latency test (MSLT) to perform multiple nap trials throughout the day, with the participants’ hands and feet immersed in warm water prior to each nap. We found that both mild and moderate warming of the hands and feet prior to a nap significantly reduced SOL compared to a baseline MSLT without warming [9]. We also previously conducted a trial of temperature biofeedback for insomnia treatment in which we demonstrated SOL reduction using muscle relaxation techniques to induce distal vasodilation, increase blood flow to the extremities, and modulate temperature of hands and feet [10]. Additionally, it has been shown that regardless of circadian variation throughout the day, finger temperature shows a rapid increase immediately before sleep onset [11]. Lastly, people with primary vascular dysregulation (a condition caused by abnormal vasoconstriction that results in cold hands and feet) exhibit significantly increased SOL and greater difficulty falling asleep following nocturnal arousal [12]. Thus, some presentations of insomnia may be secondary to distal vasodilation failure. The motivation for an active distal limb warming device as a treatment for insomnia is based on the established functional link between distal vasodilation and sleep induction [13]. Somewhat counterintuitively then, heating of hands and feet can induce distal vasodilation, promote net body heat loss, and facilitate sleep onset [14, 15].

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Neborak, J. M., J. C. Rojas, N. Kappel, J. Gupta, M. Huisingh-Scheetz, S. R. White, V. Arora, and V. G. Press. "Insomnia Among Patients Admitted with an Acute Exacerbation of Chronic Obstructive Pulmonary Disease and Association with Readmission." In American Thoracic Society 2022 International Conference, May 13-18, 2022 - San Francisco, CA. American Thoracic Society, 2022. http://dx.doi.org/10.1164/ajrccm-conference.2022.205.1_meetingabstracts.a3802.

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Shafazand, Shirin, Silvia Vargas, Patricia Burns-Drecq, Kimberly Anderson, and Mark Nash. "Sleep Quality, Duration, Insomnia Symptoms, And Risk For Sleep Disordered Breathing In Individuals With Chronic Spinal Cord Injury." In American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a5015.

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Vieira, Marcella Beghini Mendes, and Jaime Lin. "Evaluation of syndrome symptons of restless legs in patients with renal dialytic failure in a southern city of Santa Catarina." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.348.

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Introduction: Renal failure is characterized by functional loss of the kidney and hemodialysis is the therapeutic option. The renal patient may have sleep disorders, including restless legs syndrome (RLS), which occurs in 30% of renal patients and in 10% of the general population. It is a motor neurological disorder, whose etiopathogenesis is not understood. Clinical diagnosis is the gold standard. RLS has been associated with cardiovascular morbities and increased mortality, however, it is underdiagnosed. The present study aimed to assess the prevalence and factors associated with RLS symptoms in patients with dialysis renal failure in a private clinic for chronic renal patients. Methods: Cross-sectional study, including 140 patients seen at the Tubarão Renal Diseases Clinic, from August to November 2016. Results: The average age of the interviewed population was 60.82 years, the majority being men (63.6%). Most respondents reported having restful sleep (78.6%). Despite this, snoring / sleep apnea prevalence was found in more than half of the patients (57.1%) and SPI in 19.3% (the most severe form being found in 8.6% of the patients). Other comorbidities found were: SAH, insomnia, diabetes mellitus and cardiac disorders. Statistically, dialysis time was longer among patients with RLS (P = 0.03). The female gender was shown to be a risk factor (P = 0.006) and cardiac alterations also had a significant association (P = 0.044-Fisher), as well as insomnia (p = 0.00011). Conclusions: Sleep disorders are prevalent and should be part of the assessment of all dialysis patients.

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Korostovtseva, Lyudmila, Irina Filchenko, Mikhail Bochkarev, Elena Medvedeva, Eugeniya Kazakova, Elena Vasilieva, Yurii Sviryaev, Mikhail Zykov, and Darya Ryzhkova. "P066 The association between the levels of brain-derived neurotrophic factor and structural and functional parameters of the brain in chronic insomnia vs healthy subjects." In BSS Scientific Conference Abstract Book, Birmingham, England. British Thoracic Society, 2019. http://dx.doi.org/10.1136/bmjresp-2019-bssconf.66.

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Reports on the topic "Chronic Insomnia"

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Chen, Yen-Chin, Tsung-Hua Lu, En-Ni Ku, Chia-Te Chen, Ching-Ju Fang, Pei-Chun Lai, and Chieh-Hsiu Liu. Efficacy of brief behavioral therapy for insomnia in older adults with chronic insomnia: A systematic review and meta-regression from randomized trials. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, September 2022. http://dx.doi.org/10.37766/inplasy2022.9.0086.

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Yang, Weiwan, Ting Pan, Xiaole Guo, Qi LU, Haili Wang, and Hongfeng Wang. Acupuncture plus tuina for Chronic insomnia: a protocol of a systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, October 2021. http://dx.doi.org/10.37766/inplasy2021.10.0115.

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Wang, Chun, Qi Han, dongliang Zhu, Zhenmei Li, and Jia Li. Abnormalities of intrinsic brain activity in chronic primary insomnia: a protocol for systematic review and meta-analysis of resting-state functional imaging. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2021. http://dx.doi.org/10.37766/inplasy2021.5.0103.

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Czerwaty, Katarzyna, Karolina Dżaman, Krystyna Maria Sobczyk, and Katarzyna Irmina Sikrorska. The Overlap Syndrome of Obstructive Sleep Apnea and Chronic Obstructive Pulmonary Disease: A Systematic Review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, November 2022. http://dx.doi.org/10.37766/inplasy2022.11.0077.

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Review question / Objective: To provide the essential findings in the field of overlap syndrome of chronic obstructive pulmonary disease and obstructive sleep apnea, including prevalence, possible predictors, association with clinical outcomes, and severity compared to both chronic obstructive pulmonary disease and obstructive sleep apnea patients. Condition being studied: OSA is characterized by complete cessation (apnea) or significant decrease (hy-popnea) in airflow during sleep and recurrent episodes of upper airway collapse cause it during sleep leading to nocturnal oxyhemoglobin desaturations and arousals from rest. The recurrent arousals which occur in OSA lead to neurocognitive consequences, daytime sleepiness, and reduced quality of life. Because of apneas and hypopneas, patients are experiencing hypoxemia and hypercapnia, which result in increasing levels of catecholamine, oxidative stress, and low-grade inflammation that lead to the appearance of cardio-metabolic consequences of OSA. COPD is a chronic inflammatory lung disease defined by persistent, usually pro-gressive AFL (airflow limitation). Changes in lung mechanics lead to the main clini-cal manifestations of dyspnea, cough, and chronic expectoration. Furthermore, patients with COPD often suffer from anxiety and depression also, the risk of OSA and insomnia is higher than those hospitalized for other reasons. Although COPD is twice as rare as asthma but is the cause of death eight times more often.

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