Defining Insomnia

Chapter
First Online:
Part of the Current Clinical Neurology book series (CCNEU)

Abstract

Insomnia is one of the most common sleep complaints with a prevalence of 3–22 % depending on the classification system.

The classification of insomnia has an ever-changing definition, currently based on the recent International Classification of Sleep Disorders: Diagnostic and Coding Manual-3rd Edition (ICSD-3), International Classification of Diseases (ICD-10), and DSM-V. As of now, it is described as difficulty initiating or maintaining sleep for a specified period of time with adequate time given for sleep but ultimately resulting in daytime disruption. Insomnia is commonly associated with comorbid medical and psychiatric conditions and with exposure to drugs or other substances but should be appropriately treated regardless of whether it is associated with a comorbid condition.

Keywords

Insomnia International Classification of Sleep Disorders: Diagnostic and Coding Manual-3rd Edition (ICSD-3) Diagnostic and Statistical Manual on Mental Disorders-5th Edition (DSM-V) Nomenclature Classification Nosology 
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References

  1. 1.
    American Academy of Sleep Medicine. The international classification of sleep disorders: diagnostic and coding manual. 3rd ed. Darien, IL: American Academy of Sleep Medicine; 2014.Google Scholar
  2. 2.
    Roth T, Coulouvrat C, Hajak G, et al. Prevalence and perceived health associated with insomnia based on DSM-IV-TR; International Statistical Classification of Diseases and Related Health Problems, Tenth Revision; and Research Diagnostic Criteria/International Classification of Sleep Disorders, Second Edition criteria, results from the America Insomnia Survey. Biol Psychiatry. 2011;69(6):592–600.CrossRefPubMedGoogle Scholar
  3. 3.
    Masters PA. In the Clinic. Insomnia. Ann Intern Med. 2014;161(7):ITC1–15.Google Scholar
  4. 4.
    NIH. National Institutes of Health State of the Science Conference statement on manifestations and management of chronic insomnia in adults, June 13–15, 2005. Sleep. 2005;28(9):1049–57.Google Scholar
  5. 5.
    Fullerton DS. The economic impact of insomnia in managed care: a clearer picture emerges. Am J Manag Care. 2006;12(8 Suppl):S246–52.PubMedGoogle Scholar
  6. 6.
    Sateia MJ. International classification of sleep disorders-third edition: highlights and modifications. Chest. 2014;146:1387–94.CrossRefPubMedGoogle Scholar
  7. 7.
    World Health Organization. The ICD-10 classification of mental and behavioural disorders: clinical descriptions and diagnostic guidelines. Geneva: World Health Organization; 2007.Google Scholar
  8. 8.
    APA. DSM-V. Washington, DC: American Psychiatric Association; 2013.Google Scholar
  9. 9.
    Shekleton JA, Flynn-Evans EE, Miller B, et al. Neurobehavioral performance impairment in insomnia: relationships with self-reported sleep and daytime functioning. Sleep. 2014;37(1):107–16.PubMedPubMedCentralGoogle Scholar
  10. 10.
    Bastien CH, Ceklic T, St-Hilaire P, Desmarais F, Pérusse AD, Lefrançois J, Pedneault-Drolet M. Insomnia and sleep misperception. Pathol Biol (Paris). 2014;62(5):241–51.CrossRefGoogle Scholar
  11. 11.
    Gross CR, Kreitzer MJ, Reilly-Spong M, et al. Mindfulness-based stress reduction vs. pharmacotherapy for primary chronic insomnia: a pilot randomized controlled clinical trial. Explore (New York, NY). 2011;7(2):76–87.CrossRefGoogle Scholar
  12. 12.
    Wu YM, Pietrone R, Cashmere JD, et al. EEG power during waking and NREM sleep in primary insomnia. J Clin Sleep Med. 2013;9(10):1031–7.PubMedPubMedCentralGoogle Scholar
  13. 13.
    Covassin N, De ZM, Sarlo M, De Min TG, Sarasso S, Stegagno L. Cognitive performance and cardiovascular markers of hyperarousal in primary insomnia. Int J Psychophysiol. 2011;80:79–86.CrossRefPubMedGoogle Scholar
  14. 14.
    Riemann D, Spiegelhalder K, Feige B, et al. The hyperarousal model of insomnia: a review of the concept and its evidence. Sleep Med Rev. 2010;14:19–31.CrossRefPubMedGoogle Scholar
  15. 15.
    Riemann D, Nissen C, Palagini L, Otte A, Perlis ML, Spiegelhalder K. The neurobiology, investigation, and treatment of chronic insomnia. Lancet Neurol. 2015;14(5):547–58.CrossRefPubMedGoogle Scholar
  16. 16.
    Cunnington D, Junge MF, Fernando AT. Insomnia: prevalence, consequences and effective treatment. Med J Aust. 2013;199(8):36–40.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Sleep Disorders Center, Department of NeurologyNorthwestern University Feinberg School of MedicineChicagoUSA

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