Zusammenfassung
Insomnie ist ein Mangel an Schlafqualität oder Schlafquantität. Der Begriff Insomnie suggeriert komplette Schlaflosigkeit. Er beschreibt jedoch zumeist eine graduelle Störung und damit eine Hyposomnie. Eine Insomnie entsteht aus einem defizitären Mißverhältnis zwischen Schlafbedürfnis und Schlafvermögen. Sie ist auch ein subjektives Phänomen und damit die individuelle Wahrnehmung eines gestörten Schlafes (APA 1987; ASDA 1990; ASDC 1979; Buysse u. Reynolds 1990; Kales u. Kales 1984; Parkes 1985; Soldatos et al. 1979). Eine Insomnie bekommt die Wertigkeit einer Diagnose, wenn die Beeinträchtigung des Schlafes die Hauptbeschwerde darstellt, die Insomnie in andere physische oder psychische Störungen überleitet oder diese verschlimmert. Sie wird als manifeste Erkrankung angesehen, wenn sich die Beschwerden innerhalb eines Monats mindestens dreimal pro Woche wiederholen und beim Patienten Einbußen im Wohlbefinden und in der Leistungsfähigkeit am Tage auftreten (APA 1987).
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Hajak, G., Rüther, E., Hauri, P.J. (1992). Insomnie. In: Berger, M. (eds) Handbuch des normalen und gestörten Schlafs. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75733-4_3
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