PURPOSE No study to date has compared the associations of pain intensity, depression, and anxiety with insomnia among outpatients with chronic low back pain (CLBP). This study aimed to investigate this issue. PATIENTS AND METHODS A total of 225 outpatients with CLBP were enrolled from a general orthopedics clinic. The Insomnia Severity Index was used to evaluate sleep quality. Major depressiv...

Effective management of insomnia begins with recognition and adequate assessment. Family doctors and other health care providers such as practice nurses and psychologists should routinely enquire about sleep habits as a component of overall health assessment. Identification and treatment of primary psychiatric disorders, medical conditions, circadian disorders, or specific physiological sleep d...

Sleep disorders can be broadly classified into: (a) insomnia, (b) parasomnia, (c) sleep disorders associated with psychiatric, neurologic and other medical disorders, and (d) proposed sleep disorders (e.g. pregnancy and menstrual related sleep disorders).1 Insomnia is a common encounter in primary care consultations2 and constitutes the commonest sleep problem3,4 that presents to the general pr...

This article includes discussion of sleep disorders, circadian rhythm sleep disorders, insomnia associated with intrinsic sleep disorders, sleep disorders presenting with altered breathing during sleep, sleep disorders presenting with altered sensation during arousals, sleep disorders presenting with complex movements during sleep, sleep disorders presenting with excessive sleepiness, sleep dis...

Many questions remain unanswered with regard to our understanding of insomnia. Although it is generally believed that 10% to 15% of the adult population suffers from chronic insomnia, and an additional 25% to 35% have transient or occasional insomnia, prevalence estimates vary because of inconsistent definitions and diagnostic criteria. The elderly in particular are affected by insomnia, and it...

1111 Insomnia Subtypes and Excessive Daytime Sleepiness—Hara et al night) is often associated with anxiety disorders,11 while middle insomnia (difficulty in maintaining sleep) and terminal insomnia (early morning awakening) are often associated with disorders causing pain, adverse general health, and depression.12,13 To date, the only study to investigate the association between insomnia subtyp...

P with sleep are commonplace in modern societies. Sleep disorders have been reported to be associated with health problems (1,2), and it is now evident that disturbance in sleep can lead to adverse changes in the functioning of a number of body systems (3). Moreover, there is epidemiologic evidence that sleep disorders may be a risk factor for total mortality (4,5). By the same token, epidemiol...

Insomnia affects 10% to 30% of the population with a total cost of $92.5 to $107.5 billion annually. Short-term, chronic, and other types of insomnia are the three major categories according to the International Classification of Sleep Disorders, 3rd ed. The criteria for diagnosis are difficulty falling asleep, difficulty staying asleep, or early awakening despite the opportunity for sleep; sym...

Sleep disorders are frequent and disturbing, mostly chronic conditions. Despite the fact practice of sleep medicine is a young field. Sleep disorders were reduced to insomnia and even insomnia was not well studied until 1960ies. This article maps amazing development of sleep disorders treatment from the beginning till current date. The text covers both scientific and clinical perspectives on mo...