BACKGROUND Difficulty falling asleep, staying asleep or poor-quality sleep (insomnia) is common in people with chronic obstructive pulmonary disease (COPD). Insomnia is related to greater mortality and morbidity, with four times the risk of mortality for sleep times below 300 min. However, insomnia medications are used with caution in COPD due to their potential adverse effects. While cognitive...

This article states that insomnia can or should be defined in physiologic terms; insomnia is better understood from a neurobiological perspective. A review of the neurobiology of sleep and wakefulness is provided with a special emphasis on the implications for insomnia. A complete understanding of insomnia requires the neurobiological characterization of insomnia be informed by modern cognitive...

Research about sleep disorders in patients with chronic pain, particularly in FM patients, overlaps the concept of non restorative sleep. The restorative theory considers brain activity during sleep essential to restore body and mind [8,9]. As non restorative sleep is common in patients with organic sleep disorders, it has been considered a symptom of insomnia. Many studies have investigated th...

STUDY OBJECTIVES Morphometric analysis of magnetic resonance imaging brain scans was used to investigate possible neuroanatomic differences between patients with primary insomnia compared to good sleepers. DESIGN MRI images (1.5 Tesla) of the brain were obtained from insomnia patients and good sleepers. MRI scans were analyzed bilaterally by manual morphometry for different brain areas includ...

There is good evidence for cognitive and physiological arousal in chronic insomnia. Accordingly, clinical trial studies of insomnia treatments aimed at reducing arousal, including relaxation and meditation, have reported positive results. Yoga is a multicomponent practice that is also known to be effective in reducing arousal, although it has not been well evaluated as a treatment for insomnia....

OBJECTIVE To examine whether cognitive-emotional hyperarousal is a premorbid characteristic of middle-aged and young good sleepers vulnerable to stress-related insomnia. METHODS Self-reported information was collected from two samples of 305 middle-aged and 196 young adults. From those adults, 149 middle-aged (50.34 +/- 4.47 years) and 85 young (20.19 +/- 1.31 years) good sleepers were select...

PURPOSE/OBJECTIVES To examine the effect of cognitive-behavioral therapy for insomnia (CBTI) on sleep improvement, daytime symptoms, and quality of life (QOL) in breast cancer survivors (BCSs) after cancer treatment. DESIGN A prospective, longitudinal, randomized, controlled trial. SETTING Oncology clinics, breast cancer support groups, and communities in Colorado. SAMPLE 56 middle-aged B...

Objective: To evaluate the feasibility and effects of acupuncture on insomnia, anxiety, and depression in women with Chronic Liver Disease. Patients and Methods: Twenty-four women patients over the age of 18 years who had liver disease complicated by psychiatric disorders such as insomnia, anxiety, and depression were randomly assigned to either the treatment group (n=12) or the control group (...

Insomnia is rife. Acutely, almost every individual has experienced a poor night's sleep, and many short-term remedies for insomnia are tried, including over-the-counter sleep aids and alcohol. Chronic insomnia is the most common sleep disorder, affecting nearly 40 million Americans and accounting for nearly one-third of adults. The annual cost associated with this disorder in the US is estimate...

OBJECTIVE To examine if insomnia before and after childbirth predicts the development of postpartum bodily pain. METHODS This study is part of a longitudinal cohort study, the Akershus Birth Cohort Study, which targeted all women giving birth at Akershus University Hospital in Norway. The current sample is comprised of 1480 women who participated at all three time points, yielding a participa...