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Related Concept Videos

Insomnia01:27

Insomnia

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Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
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Management of Insomnia01:19

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The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
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CNS depressants include drugs from the category of barbiturates and benzodiazepines. They are valuable medications for managing anxiety disorders and insomnia. Barbiturates, once used to induce and maintain sleep, have been replaced mainly by benzodiazepines due to barbiturate's toxicity, tolerance, and overdose risks. They interact with GABAA receptors, leading to sedation at low doses and potentially coma and death at higher doses. Phenobarbital, a long-acting barbiturate, possesses...
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REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
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Cognitive Therapy01:25

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Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
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Substance Use Disorders Affecting Sleep01:24

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Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
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Comorbid insomnia and cognitive behavior therapy.

Suma P Chand1

  • 1Department of Neurology and Psychiatry, Saint Louis University School of Medicine, Grand Blvd, St. Louis, MO, USA schand3@slu.edu.

International Journal of Psychiatry in Medicine
|October 31, 2015
PubMed
Summary

Comorbid insomnia, often linked to medical and psychiatric conditions, is frequently undertreated. Cognitive behavior therapy offers an effective, non-drug approach to address this common sleep disorder.

Keywords:
Insomniaalcoholismanxiety disorderscancercognitive behavior therapycomorbiditydepressionpainposttraumatic stress disorders

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Area of Science:

  • Sleep Medicine
  • Psychiatry
  • Behavioral Science

Background:

  • Insomnia frequently co-occurs with medical and psychiatric disorders.
  • Comorbid insomnia is significantly undertreated in clinical practice.
  • Barriers to treatment include concerns about drug interactions and the belief that insomnia will resolve with primary condition management.

Purpose of the Study:

  • To highlight the importance of treating insomnia comorbid with medical and psychiatric conditions.
  • To present evidence supporting cognitive behavior therapy (CBT) for comorbid insomnia.
  • To advocate for the integration of CBT into standard care for these patients.

Main Methods:

  • Review of current research evidence on comorbid insomnia.
  • Analysis of the efficacy of non-pharmacological treatments, specifically CBT.
  • Discussion of barriers to undertreatment and the benefits of targeted intervention.

Main Results:

  • Growing evidence supports the effectiveness of CBT for comorbid insomnia.
  • Cognitive behavior therapy provides a safe and effective non-pharmacological treatment option.
  • Targeting comorbid insomnia improves overall patient outcomes.

Conclusions:

  • Cognitive behavior therapy is a crucial intervention for insomnia comorbid with medical and psychiatric disorders.
  • Addressing comorbid insomnia directly is essential for comprehensive patient care.
  • Increased utilization of CBT can improve the management of sleep disturbances in complex patient populations.