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Insomnia in Primary Sleep Disorders

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Clinical Handbook of Insomnia

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

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Abstract

Insomnia is defined in the International Classification of Sleep Disorders as “difficulty in initiating and/or maintaining sleep” (1). In primary insomnia, the term insomnia constitutes a diagnostic entity. In other disorders it is considered a symptom and not a primary diagnosis. Insomnia is frequently a component of the symptom complexes of other primary sleep disorders, and is listed among the diagnostic criteria for the following dyssomnias: obstructive sleep apnea (OSA) syndrome, central sleep apnea syndrome, central alveolar hypoventilation syndrome, periodic limb movement disorder (PLMD), and restless legs syndrome (RLS). Disrupted sleep is among the diagnostic criteria for narcolepsy. The complaint of insomnia can also accompany parasomnias, and is listed among the diagnostic criteria for sleep starts and nightmares (1). As in other forms of insomnia, in order to be considered a clinically significant problem, the complaint of sleep disturbance must be associated with adverse daytime consequences such as fatigue, decreased concentration, or irritability.

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Authors
  1. Stephen Duntley
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Editors and Affiliations

  1. Sleep Program in Neurology and Sleep Laboratory of the Clinical Neurophysiology Laboratories, University of Vermont College of Medicine, Burlington, VT, USA

    Hrayr P. Attarian MD

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© 2004 Springer Science+Business Media New York

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Duntley, S. (2004). Insomnia in Primary Sleep Disorders. In: Attarian, H.P. (eds) Clinical Handbook of Insomnia. Current Clinical Neurology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-662-1_12

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  • DOI: https://doi.org/10.1007/978-1-59259-662-1_12

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-61737-465-4

  • Online ISBN: 978-1-59259-662-1

  • eBook Packages: Springer Book Archive

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