Encyclopedia of Behavioral Medicine

2013 Edition
| Editors: Marc D. Gellman, J. Rick Turner

Insomnia

  • Wendy Troxel
Reference work entry
DOI: https://doi.org/10.1007/978-1-4419-1005-9_806

Definition

The term “insomnia” is commonly used in the vernacular to refer to symptoms of insomnia including complaints of difficulty falling asleep, frequent or prolonged awakenings, inadequate sleep quality, or short overall sleep duration in an individual who has adequate time available for sleep. In contrast, an insomnia disorder is a syndrome consisting of the insomnia complaint combined with significant daytime impairment or distress, and the exclusion of other causes. Commonly reported daytime impairments associated with insomnia include complaints of mood disturbances (e.g., irritability, mild dysphoria, or difficulty tolerating stress), impaired cognitive function, and daytime fatigue (Moul et al., 2002). Importantly, insomnia patients commonly report feeling fatigued or exhausted during the day, but rarely report daytime sleepiness, per se (i.e., the propensity to fall asleep). Another important feature that distinguishes the insomnia disorder from sleep deprivation is that...

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References and Readings

  1. Althuis, M. D., Fredman, L., Langenberg, P. W., & Magaziner, J. (1998). The relationship between insomnia and mortality among community-dwelling older women. Journal of the American Geriatrics Society, 46, 1270–1273.PubMedGoogle Scholar
  2. Bastien, C. H., Vallieres, A., & Morin, C. M. (2004). Precipitating factors of insomnia. Behavioral Sleep Medicine, 2, 50–62.PubMedCrossRefGoogle Scholar
  3. Brassington, G. S., King, A. C., & Bliwise, D. L. (2000). Sleep problems as a risk factor for falls in a sample of community-dwelling adults aged 64-99 years. Journal of the American Geriatrics Society, 48, 1234–1240.PubMedGoogle Scholar
  4. Brostrom, A., Stromberg, A., Dahlstrom, U., & Fridlund, B. (2004). Sleep difficulties, daytime sleepiness, and health-related quality of life in patients with chronic heart failure. The Journal of Cardiovascular Nursing, 19, 234–242.PubMedGoogle Scholar
  5. Caap-Ahlgren, M., & Dehlin, O. (2001). Insomnia and depressive symptoms in patients with Parkinson’s disease. Relationship to health-related quality of life. An interview study of patients living at home. Archives of Gerontology and Geriatrics, 32, 23–33.PubMedCrossRefGoogle Scholar
  6. Daley, M., Morin, C. M., LeBlanc, M., Gregoire, J. P., & Savard, J. (2009). The economic burden of insomnia: Direct and indirect costs for individuals with insomnia syndrome, insomnia symptoms, and good sleepers. Sleep, 32, 55–64.PubMedGoogle Scholar
  7. Drake, C. L., Scofield, H., & Roth, T. (2008). Vulnerability to insomnia: The role of familial aggregation. Sleep Medicine, 9, 297–302.PubMedCrossRefGoogle Scholar
  8. Foley, D., Ancoli-Israel, S., Britz, P., & Walsh, J. (2004). Sleep disturbances and chronic disease in older adults: Results of the 2003 national sleep foundation sleep in America survey. Journal of Psychosomatic Research, 56, 497–502.PubMedCrossRefGoogle Scholar
  9. Ford, D. E., & Kamerow, D. B. (1989). Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention? Journal of the American Medical Association, 262, 1479–1484.PubMedCrossRefGoogle Scholar
  10. Hamet, P., & Tremblay, J. (2006). Genetics of the sleep-wake cycle and its disorders. Metabolism, Clinical and Experimental, 55, S7–S12.CrossRefGoogle Scholar
  11. Kappler, C., & Hohagen, F. (2003). Psychosocial aspects of insomnia. Results of a study in general practice. European Archives of Psychiatry and Clinical Neuroscience, 253, 49–52.PubMedCrossRefGoogle Scholar
  12. Lichstein, K. L., Taylor, D. J., McCrae, C. S., & Ruiter, M. E. (2011). Insomnia: Epidemiology and risk factors. In M. H. Kryger, T. Roth, & W. C. Dement (Eds.), Principles and practices of sleep medicine (5th ed., pp. 827–837). St. Louis: Elsevier.CrossRefGoogle Scholar
  13. Morgan, K., & Clarke, D. (1997). Risk factors for late-life insomnia in a representative general practice sample. British Journal of General Practice, 47, 166–169.PubMedGoogle Scholar
  14. Morin, C. M. (2004). Cognitive-behavioral approaches to the treatment of insomnia. The Journal of Clinical Psychiatry, 65(Suppl 16), 33–40.PubMedGoogle Scholar
  15. Moul, D. E., Buysse, D. J., Nofzinger, E. A., Pilkonis, P. A., Houck, P. R., & Miewald, J. M. (2002). Symptoms reports in severe chronic insomnia. Sleep, 25, 553–563.PubMedGoogle Scholar
  16. Ohayon, M. M. (1996). Epidemiological study on insomnia in a general population. Sleep, 19, S7–S15.PubMedGoogle Scholar
  17. Ohayon, M. M. (2002). Epidemiology of insomnia: What we know and what we still need to learn. Sleep Medicine Reviews, 6, 97–111.PubMedCrossRefGoogle Scholar
  18. Ohayon, M. M., & Guilleminault, C. (1999). Epidemiology of sleep disorders. In S. Chokroverty (Ed.), Sleep disorders medicine: Basic science, technical considerations and clinical aspects (2nd ed., pp. 301–316). Boston: Butterworth-Heinemann.Google Scholar
  19. Shochat, T., Umphress, J., Israel, A. G., & Ancoli-Israel, S. (1999). Insomnia in primary care patients. Sleep, 22(Suppl 2), S359–S365.PubMedGoogle Scholar
  20. Simon, G. E., & Von Korff, M. (1997). Prevalence, burden, and treatment of insomnia in primary care. The American Journal of Psychiatry, 154, 1417–1423.PubMedGoogle Scholar
  21. Spielman, A. J., Caruso, L. S., & Glovinsky, P. B. (1987). A behavioral perspective on insomnia treatment [Review]. Psychiatric Clinics of North America, 10, 541–553 [60 refs].PubMedGoogle Scholar
  22. Su, T. P., Huang, S. R., & Chou, P. (2004). Prevalence and risk factors of insomnia in community-dwelling Chinese elderly: A Taiwanese urban area survey. The Australian and New Zealand Journal of Psychiatry, 38, 706–713.PubMedCrossRefGoogle Scholar
  23. Watson, N. F., Goldberg, J., Arguelles, L., & Buchwald, D. (2006). Genetic and environmental influences on insomnia, daytime sleepiness, and obesity in twins. Sleep, 29, 645–649.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, New York 2013

Authors and Affiliations

  1. 1.Psychiatry and PsychologyUniversity of PittsburghPittsburghUSA