Too often, insomnia is treated as a symptom without investigation of the cause. Insomnia may be a condition unto itself (primary insomnia), or it may be associated with a medical or psychiatric condition (comorbid insomnia), and it may be acute or chronic. Inadequate treatment often leads to significant frustration and lost productivity. We review the classification, pathophysiology, and treatm...

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...

INTRODUCTION Obstructive sleep apnea syndrome (OSAS) and insomnia often coexist, and it is estimated that nearly half of those who suffer from the former report symptoms of the latter. The fact that these patients have no other causes of insomnia indicates that it is a sign of OSAS. OBJECTIVE The aim of the study is to evaluate the effectiveness of nocturnal ventilatory support (NVS) in the t...

INSOMNIA IS COMMON AND INCLUDES SYMPTOMS SUCH AS DIFFICULTY FALLING ASLEEP OR STAYING ASLEEP, EARLY MORNING WAKENING, AND SLEEP dissatisfaction, as well as daytime consequences such as tiredness.1 Studies of general-population samples have found the prevalence of insomnia to range between 10% and 48%.2,3 Much of this variation in prevalence may be explained by the use of different definitions o...

PURPOSE To evaluate cardiovascular and psychiatric morbidity in patient visits with obstructive sleep apnea (OSA) with insomnia (OSA+Insomnia) versus OSA without insomnia (OSA-Insomnia) in a nationally representative US sample. METHODS A retrospective case-control study of epidemiologic databases (National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey) re...

OBJECTIVES Unhelpful beliefs about sleep have been linked to insomnia, and increasing one's cognitive flexibility about sleep has been linked to posttreatment sleep improvement. This study evaluated whether levels of such beliefs differ across insomnia groups and whether there are particular beliefs that differ for specific insomnia subtypes. METHODS Participants (N=1384) were people with ins...

STUDY OBJECTIVES Insomnia, particularly in later life, may raise the risk for chronic diseases of aging and mortality through its effect on cellular aging. The current study examines the effects of insomnia on telomere length, a measure of cellular aging, and tests whether insomnia interacts with chronological age to increase cellular aging. METHODS A total of 126 males and females (60-88 y) ...

STUDY OBJECTIVES To investigate the long-term effects of therapist-guided Internet-based insomnia treatment on insomnia severity and sleep medication use, compared with active control. METHODS This study was an 8 week randomized controlled trial with follow-up posttreatment and at 6, 12, and 36 months, set at the Internet Psychiatry Clinic, Stockholm, Sweden. Participants were 148 media-recru...

769 Online CBT for chronic Insomnia Disorder—Espie et al INTRODUCTION Sleep disturbance is the most common symptom of mental illness in the UK.1 Worldwide, epidemiologic studies report the prevalence of a clinical insomnia disorder at 10% to 12%,2,3 and longitudinal investigation has shown that, once established, insomnia disorder tends to persist.4 Typically, insomnia is associated with increa...

This European guideline for the diagnosis and treatment of insomnia was developed by a task force of the European Sleep Research Society, with the aim of providing clinical recommendations for the management of adult patients with insomnia. The guideline is based on a systematic review of relevant meta-analyses published till June 2016. The target audience for this guideline includes all clinic...