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Insomnia Etiology and Comorbidity

Published online by Cambridge University Press:  07 November 2014

Milton K. Erman
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Extract

Insomnia is an extremely prevalent condition, affecting large segments of the population. There is a broad spectrum of risk factors for this disorder, most of which are various types of social, economic, or interpersonal stressors. Risk factors include age, female gender (especially post- and perimenopausal women), divorce/separation/widowhood, psychiatric illness (mood and anxiety disorders), medical conditions, cigarette smoking, alcohol consumption, coffee consumption, and certain prescription drugs. It is important to recognize that the symptom of insomnia (ie, disturbed or poor quality sleep) may be due to the presence of another primary sleep disorder, such as restless legs syndrome, periodic limb movements in sleep, or sleep apnea.

Type
Expert Panel Supplement
Information
CNS Spectrums , Volume 13 , Issue S17: New Perspectives in the Diagnosis and Management of Insomnia , December 2008 , pp. 4 - 6
Copyright
Copyright © Cambridge University Press 2008

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References

1. National Institutes of Health State-of-the-Science Conference Statement on manifestations and management of chronic insomnia in adults. NIH Consens State Sci Statements. 2005;22(2):1–30. Review.Google Scholar
2.Young, T, Rabago, D, Zgierska, A, Austin, D, Laurel, F. Objective and subjective sleep quality in premenopausal, perimenopausal, and postmenopausal women in the Wisconsin Sleep Cohort Study. Sleep. 2003;26(6):667–672.CrossRefGoogle ScholarPubMed
3.Neubauer, DN. Insomnia. Prim Care. 2005;32(2):375–388.CrossRefGoogle ScholarPubMed
4.Spielman, AJ, Caruso, LS, Glovinsky, PB. A behavioral perspective on insomnia treatment. Psychiatr Clin North Am. 1987;10(4):541–53. Review.CrossRefGoogle ScholarPubMed
5.Hauri, PJ. Insomnia. Clin Chest Med. 1998;19(1):157–168.CrossRefGoogle ScholarPubMed
6.1983 National Institutes of Health Consensus and State-of-the-Science Statement. http://con-sensus.nih.gov/1983/1983InsomniaDrugs039html.htm. Accessed February 12, 2007.Google Scholar
7.2005 National Institutes of Health Consensus and State-of-the-Science Statement. http://con-sensus.nih.gov/2005/2005InsomniaSOS026PDF.pdf. Accessed February 12, 2007.Google Scholar
8.Diagnostic and Statistical Manual of Mental Disorders. 4th ed, text revision. Washington, DC: American Psychiatric Association Press; 2000: 597–661.Google Scholar
9. NIH State-of-the-Science Conference Statement. J Clin Sleep Med. 2005;1:412–421.CrossRefGoogle Scholar
10.Williams, RL, Karacan, I, Hursch, CJ. Electroencephalography (EEG) of Human Sleep: Clinical Applications. New York, NY: Wiley and Sons; 1974.Google Scholar
11.Katz, and McHorney, . Clinical correlates of insomnia in patients with chronic illness. Arch Intern Med. 1998;158(10):1099–1107.CrossRefGoogle ScholarPubMed
12.Ford, DE, Kamerow, DB. Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention? JAMA. 1989;262(11):1479–1484.CrossRefGoogle ScholarPubMed
13.Breslau, N, Roth, T, Rosenthal, L, Andreski, P. Sleep disturbance and psychiatric disorders: a longitudinal epidemiological study of young adults. Biol Psychiatry. 1996;39(6):411–418.CrossRefGoogle ScholarPubMed
14.Chang, PP, Ford, DE, Mead, LA, Cooper-Patrick, L, Klag, MJ. Insomnia in young men and subsequent depression. The Johns Hopkins Precursors Study. Am J Epidemiol. 1997;146(2):105–114.CrossRefGoogle Scholar