Objective: To assess the interaction of chronotype with anxiety in patients with chronic primary insomnia. Methods: Sixty-four patients (50 women) with mean age 43.9±8.1 years were investigated with the Horne and Östberg Morningness-Eveningness Questionnaire (MEQ) and State-Trait Anxiety Inventory (STAI). Results: Significant negative correlations of chronotype-MEQ score with STAI state-anx...

STUDY OBJECTIVES To assess the efficacy of cognitive-behavioral therapy for insomnia (CBT-I) in patients with non-malignant chronic pain. METHODS Twenty-eight subjects with chronic neck and back pain were stratified according to gender, age, and ethnicity, then assigned to one of the two treatment groups: CBT-I or a contact control condition. INTERVENTION Eight weeks of CBT-I including slee...

OBJECTIVE Lack of physical activity (PA) is common in patients with chronic insomnia. Studies to increase PA and decrease sedentary behavior in those patients are limited. Therefore, we investigated the efficacy of "PA counseling combined with sleep restriction (SR) therapy (PASR)" vs only SR in the patients with chronic insomnia. METHODS Seventy-one outpatients were assigned to either PASR (...

Many patients suffering of chronic insomnia are prescribed, particularly if treated by nonpsychiatrists, various types of hypnotics. Among these drugs, 3 rd generation hypnotics became increasingly popular. In contrast to benzodiazepines, it is believed that zolpidem may restore physiological sleep 1 .According to Voderholzer et al 2 , zolpidem has only slight and non significant rebound effect...

Insomnia is a common, often chronic medical disorder with significant medical and socioeconomic repercussions. However, unlike other medical conditions, there is intense debate as to whether the long-term treatment of insomnia is clinically appropriate. The perceived deleterious side effect of sedative-hypnotic medications may result in patients remaining untreated or undertreated. This review ...

PRIMARY INSOMNIA IS DEFINED AS THE SUBJECTIVE DIFFICULTY INITIATING OR MAINTAINING SLEEP OR OF NONRESTORATIVE SLEEP, that lasts for at least one month, causes clinically significant distress or impairment in social, occupational or other important areas of function, and is not associated with another disorder.1 It can affect health, daytime performance, relationships, mood, and psychological we...

insomnia has a major impact on health, performance, economic productivity and quality of life. it is important to assess patients with sleep disturbance comprehensively and distinguish insomnia from other conditions, such as excessive daytime sleepiness and parasomnias. once a diagnosis of insomnia is established, behavioural treatments should be tried initially. prescription of short-term medi...

BACKGROUND We examined the association between salivary mitochondrial DNA (mtDNA) copy number and chronic fatigue combined with depression and insomnia. METHODS This cross-sectional study included 58 healthy adults with moderate to severe fatigue (Brief Fatigue Inventory [BFI] ≥4) for longer than 6 months. Subjects were classified as those without combined symptoms, with either depression (Be...

INSOMNIA IS A PREVALENT HEALTH COMPLAINT, AND THE INCIDENCE INCREASES WITH AGING. Normal age-related changes in sleep patterns, combined with the increased prevalence of health problems and medication use, place older adults at greater risk for developing sleep disturbances. Survey data indicate that between 12% and 25 % of healthy seniors—compared to 9% to 12% in the general population—experie...

Introduction: Insomnia and depressive symptoms are common among patients with chronic heart failure (HF). Aim: The aim was to describe the prevalence of insomnia and depressive symptoms, as well as to examine the association between insomnia and depressive symptoms in patients with HF. Method: A crosssectional descriptive study including 212 patients with HF. All patients responded to questionn...