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Related Concept Videos

Insomnia01:27

Insomnia

477
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...
477
Management of Insomnia01:19

Management of Insomnia

641
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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Frustration and Conflict: Approach-Approach, Approach-Avoidance01:20

Frustration and Conflict: Approach-Approach, Approach-Avoidance

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Frustration occurs when people are obstructed or prevented from achieving a desired goal or fulfilling a perceived need. For example, when someone's input is ignored in a discussion, it can lead to feelings of frustration. Conflict, however, arises from opposing interests, goals, or actions. Conflicts can take various forms based on the nature of these opposing desires or goals.
One common type of conflict is the Approach–Approach Conflict. In this case, a person faces two desirable...
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Actuarial Approach01:20

Actuarial Approach

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The actuarial approach, a statistical method originally developed for life insurance risk assessment, is widely used to calculate survival rates in clinical and population studies. This method accounts for participants lost to follow-up or those who die from causes unrelated to the study, ensuring a more accurate representation of survival probabilities.
Consider the example of a high-risk surgical procedure with significant early-stage mortality. A two-year clinical study is conducted,...
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Information Processing Approach01:30

Information Processing Approach

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The information-processing theory of cognitive development centers on fundamental mental processes, including attention, memory, and problem-solving skills. Researchers in this field examine how cognitive abilities, such as working memory, evolve and influence children's overall development. Studies indicate that children with stronger working memory tend to excel in reading comprehension, math, and problem-solving compared to peers with less efficient memory skills. Low working memory is...
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The Nativist Approach01:21

The Nativist Approach

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The nativist approach to infant cognitive development proposes that infants are born with inherent knowledge structures that allow them to interpret the world almost immediately. This perspective contrasts with earlier developmental theories, such as those proposed by Jean Piaget, which emphasized a more gradual acquisition of cognitive abilities through interaction with the environment. One key concept in this approach is object permanence — the understanding that objects continue to...
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Approach to Insomnia.

Mithri R Junna1, Melissa C Lipford1, R Robert Auger2

  • 1Center for Sleep Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep, Mayo Clinic, Rochester, MN; Division of Sleep Neurology, Department of Neurology, Mayo Clinic, Rochester, MN.

Mayo Clinic Proceedings
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Summary
This summary is machine-generated.

Chronic insomnia disorder diagnosis typically doesn't need sleep tests, focusing instead on daytime dysfunction. Addressing comorbid conditions and using cognitive-behavioral therapy or medication are key treatment strategies.

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Area of Science:

  • Sleep Medicine
  • Clinical Psychology

Background:

  • Chronic insomnia disorder is a common clinical diagnosis.
  • Diagnosis relies on daytime dysfunction, which presents with varied symptoms.
  • Comorbid conditions frequently accompany insomnia and impact treatment success.

Purpose of the Study:

  • To outline the diagnostic approach for chronic insomnia disorder.
  • To highlight the importance of addressing comorbid conditions.
  • To describe recommended treatment strategies for chronic insomnia disorder.

Main Methods:

  • Clinical diagnosis based on established criteria.
  • Assessment of daytime dysfunction symptoms.
  • Identification and management of associated comorbid conditions.

Main Results:

  • Chronic insomnia disorder diagnosis usually does not require specific sleep testing.
  • Daytime dysfunction is a mandatory diagnostic criterion.
  • Multicomponent cognitive-behavioral therapy for insomnia (CBT-I) and pharmacotherapy are effective treatments.

Conclusions:

  • Primary care providers can manage most chronic insomnia disorder cases.
  • Referral to a sleep specialist is indicated for treatment-resistant cases or suspected comorbid sleep disorders.
  • Integrated management of comorbid conditions is crucial for successful treatment outcomes.