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Related Concept Videos

Management of Insomnia01:19

Management of Insomnia

328
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...
328
Insomnia01:27

Insomnia

136
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.
Multiple factors contribute...
136
Sleepwalking and Sleep Talking01:17

Sleepwalking and Sleep Talking

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Somnambulism, commonly known as sleepwalking, involves individuals engaging in activities ranging from simple walking to more complex behaviors such as driving. Sleepwalking typically occurs during the slow-wave sleep stages 3 and 4 early in the night when the person is not dreaming, contradicting the myth that sleepwalkers are acting out their dreams.
Factors that increase the likelihood of sleepwalking include sleep deprivation and alcohol consumption. Contrary to common beliefs, it is safe...
339
Sedatives and Hypnotics Drugs: Miscellaneous Agents01:17

Sedatives and Hypnotics Drugs: Miscellaneous Agents

253
Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
253
CNS Depressants: Barbiturates and Benzodiazepines01:14

CNS Depressants: Barbiturates and Benzodiazepines

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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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Sedatives and Hypnotics: Overview01:23

Sedatives and Hypnotics: Overview

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Sedatives are drugs that alleviate anxiety, while hypnotics induce sleep. Both classes of medication suppress neuronal activity, leading to a calming effect for sedatives and facilitating sleep for hypnotics.
Sedative-hypnotics are categorized into barbiturates, benzodiazepines (BZDs), and non-benzodiazepines or Z-drugs. These drugs work by suppressing central nervous system activity, and this suppression is dose-dependent. Older sedative medications, like barbiturates, follow a linear curve in...
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Meta-Analysis of the Effectiveness and Safety of Shugan Jieyu Capsules for the Treatment of Insomnia
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Insomnia, Medicalization, and Expert Knowledge.

Kenton Kroker1

  • 1Kenton Kroker - Health & Society Program, Faculty of Liberal Arts and Professional Studies, York University, Toronto, Ontario, Canada.

Canadian Bulletin of Medical History = Bulletin Canadien D'Histoire De La Medecine
|May 4, 2022
PubMed
Summary
This summary is machine-generated.

Insomnia became a medical pathology in the 1870s, but its history is unique. Sleepless individuals, not doctors, often diagnose insomnia, shaping self-care and self-experimentation.

Keywords:
auto-expérimentationbiomedicinebiomédecinecognitive behavioural therapyinsomniainsomnieliterature and medicinelittérature et médecinemedicalizationmédecine du sommeilmédicalisationpsychologiepsychologyself-experimentationsleep medicinethérapie cognitivo-comportementale

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Area of Science:

  • History of Medicine
  • Medical Sociology
  • Psychology

Background:

  • Sleeplessness is a long-standing human experience.
  • Insomnia's medicalization as a pathology emerged in the 1870s.
  • Classical medicalization theory inadequately explains insomnia's history.

Purpose of the Study:

  • To analyze the historical trajectory of insomnia as a medical and social phenomenon.
  • To examine the role of patients and medical experts in defining insomnia.
  • To explore the concept of insomnia as a boundary object.

Main Methods:

  • Historical analysis of medical and psychological literature.
  • Examination of public health records and discourse.
  • Application of boundary object theory.

Main Results:

  • Insomnia's pathological status developed in the late 19th century.
  • Patients, rather than solely medical experts, hold diagnostic authority for insomnia.
  • Insomnia functions as a boundary object integrating biomedical and psychological perspectives.

Conclusions:

  • Insomnia's history challenges traditional medicalization models.
  • The concept of insomnia as a boundary object offers a more accurate framework.
  • Contemporary understandings of insomnia involve self-medicalization and self-experimentation.