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

Frustration and Conflict: Approach-Approach, Approach-Avoidance

533
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...
533
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,...
310
Information Processing Approach01:30

Information Processing Approach

579
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

449
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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Video Experimental Relacionado

Updated: Feb 4, 2026

Meta-Analysis of the Effectiveness and Safety of Shugan Jieyu Capsules for the Treatment of Insomnia
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Abordaje del insomnio

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
|February 2, 2026
PubMed
Resumen
Este resumen es generado por máquina.

El diagnóstico del trastorno de insomnio crónico generalmente no requiere pruebas de sueño, centrándose en su lugar en la disfunción diurna. Abordar las comorbilidades y utilizar la terapia cognitivo-conductual o la medicación son estrategias clave de tratamiento.

Palabras clave:
insomnio crónicotrastorno de insomnio crónicodisfunción diurnaterapia cognitivo-conductual para el insomniofarmacoterapiamedicina del sueñopsicología clínica

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Área de la Ciencia:

  • Medicina del Sueño
  • Psicología Clínica

Sus antecedentes:

  • El trastorno de insomnio crónico es un diagnóstico clínico común.
  • El diagnóstico se basa en la disfunción diurna, que se presenta con síntomas variados.
  • Las condiciones comórbidas acompañan frecuentemente al insomnio e impactan el éxito del tratamiento.

Objetivo del estudio:

  • Esbozar el enfoque diagnóstico para el trastorno de insomnio crónico.
  • Destacar la importancia de abordar las condiciones comórbidas.
  • Describir las estrategias de tratamiento recomendadas para el trastorno de insomnio crónico.

Principales métodos:

  • Diagnóstico clínico basado en criterios establecidos.
  • Evaluación de los síntomas de disfunción diurna.
  • Identificación y manejo de las condiciones comórbidas asociadas.

Principales resultados:

  • El diagnóstico del trastorno de insomnio crónico generalmente no requiere pruebas específicas de sueño.
  • La disfunción diurna es un criterio diagnóstico obligatorio.
  • La terapia cognitivo-conductual multicomponente para el insomnio (TCC-I) y la farmacoterapia son tratamientos eficaces.

Conclusiones:

  • Los proveedores de atención primaria pueden manejar la mayoría de los casos de trastorno de insomnio crónico.
  • La derivación a un especialista del sueño está indicada para casos resistentes al tratamiento o sospecha de trastornos del sueño comórbidos.
  • El manejo integrado de las condiciones comórbidas es crucial para el éxito del tratamiento.