Cause Of Insomnia Research Articles

Analysis of the Causes of Insomnia in Young and Middle-aged People and Nursing Intervention Strategies of Traditional Chinese and Western Medicine

Objective: To examine insomnia in the modern young and middle-aged population and explore nursing intervention strategies using traditional Chinese and Western medicine. Methods: A total of 255 inpatients and outpatients were sampled from Shenzhen Hospital of Traditional Chinese Medicine. The Sleep Questionnaire for Young and Middle-aged People was used to assess insomnia, and a linear regression model was applied for data analysis. Results: A total of 251 valid questionnaires were collected. Correlation analysis revealed a high incidence of insomnia among respondents. Linear correlation analysis indicated that mental illness or other underlying diseases leading to pain had a significantly positive effect on symptom improvement through Chinese and Western medicine treatments (B = 0.763, P < 0.01). Conversely, work or life pressures (emotional or financial issues) had a significantly negative impact on treatment effectiveness (B = -0.503, P < 0.01). Cross-analysis identified high life or work pressure as the primary cause of insomnia (70.1%). Conclusion: Insomnia is prevalent among the young and middle-aged in modern times, with high work or life pressure being the leading factor.

Hubungan Kecanduan Gawai dengan Kejadian Insomnia pada Mahasiswa Fakultas Kedokteran Universitas Muhammadiyah Surabaya

Insomnia is a condition characterized by difficulty falling asleep, staying asleep, or waking up early despite having the opportunity to sleep. Insomnia can reduce the quality and quantity of sleep, leading to various negative effects on an individual's health and well-being. One of the potential causes of insomnia is excessive smartphone use, which can lead to addiction. Smartphone addiction can affect people of all ages, from children to adults. It has been associated with several adverse effects, including insomnia, recurrent and prolonged headaches, and fatigue. This study aimed to investigate the relationship between smartphone addiction and insomnia among medical students at the University of Muhammadiyah Surabaya. This cross-sectional observational study involved 87 medical students from the 2019, 2020, 2021, and 2022 cohorts. The sample was selected using a proportionate stratified random sampling technique. Data were collected using the Smartphone Addiction Scale (SAS) and the Insomnia Rating Scale (KSPBJ-IRS) through a Google form. The data were analyzed statistically using the Chi-square test in SPSS version 25. The Chi-square test showed a p-value of 0.005 (<0.05), indicating a statistically significant relationship between smartphone addiction and insomnia among medical students at Muhammadiyah University of Surabaya. In conclusion, the study found a significant relationship between smartphone addiction and insomnia among medical students at Muhammadiyah University of Surabaya. This suggests that excessive smartphone use may contribute to sleep disturbances in this population.

To Determine the Quality of Sleep among Elderly Population at Selected Community in Chennai

Background: Our daily lives depend on sleep, and as we age, our sleep patterns tend to change as well. Most people discover that getting older makes it more difficult for them to fall asleep. Chronic sleep disorders are thought to affect 40–70% of older persons, and up to 50% of cases go misdiagnosed. The purpose of this study was to ascertain the causes of insomnia and the quality of sleep in order to develop strategies for promoting sleep among the senior population in a particular Chennai community .Materials and procedure: The study, which involved 100 senior citizens living in Mel Ayanambakkam, was carried out using a descriptive correlational research design. Pretested and validated instruments, such as the Insomnia Severity Scale, the Health variables proforma, and the Demographic Variables Proforma, were used to gather data. Results: The levels of insomnia, 39% of the elderly population did not have insomnia, 28% of the elderly population had sub threshold insomnia and moderate level of insomnia, only 5% of the elderly population had severe insomnia. There was no significant association between demographic variables such as age, gender, marital status, type of family, leisure time activities and monthly income and quality of sleep (p<0.05).Conclusion: The elderly who experience sleep disturbances will increase the amount of sleep during the daytime, attention and memory problems, depression. Health care professionals especially the nurses, play a vital role in educating the community on importance of sleep among elderly population.

Sleep disorders in chronic kidney disease.

Sleep disorders are highly prevalent in chronic kidney disease (CKD) but are often under-recognized. Restless legs syndrome, which is common in CKD owing to issues with dopamine metabolism and is exacerbated by iron deficiency and uraemia, can lead to poor sleep quality and increased daytime fatigue. Insomnia is also prevalent in CKD, particularly in patients requiring dialysis, with increased sleep latency and sleep fragmentation being reported. The cause of insomnia in CKD is multifactorial - poor sleep habits and frequent napping during dialysis, uraemia, medications and mood disorders have all been suggested as potential contributing factors. Sleep apnoea and CKD are also now recognized as having a bi-directional relationship. Sleep apnoea is a risk factor for accelerated progression of CKD, and fluid overload, which is associated with kidney failure, can lead to both obstructive and central sleep apnoea. The presence of obstructive sleep apnoea in CKD can exacerbate the already heightened cardiovascular morbidity and mortality in these patients, as well as leading to daytime fatigue and reduced quality of life. Increased awareness, timely diagnosis and appropriate therapeutic interventions are essential to reduce the negative impact of sleep disorders in patients with kidney disease.

PENERAPAN ALGORITMA K-MEANS DALAM PENGKATEGORIAN INSOMNIA

Complaints of sleep disorders or insomnia are usually typified by trouble falling asleep and staying asleep, unwillingness to go back to sleep after waking, and sleep that is poor in quantity and quality. When sleep is of a high caliber, the body’s metabolism will be balanced, and vice versa. The state of the body will be affected if the sleep is of low quality, as well as affecting human emotions and the body's metabolic system. Several factors are considered to cause insomnia, including female gender, age, marital status, income, and education level. Due to the numerous variables that may considered as causes of insomnia, it is necessary to group categories in determining whether insomnia is categorized or not using a klastering technique, namely the K-Means Method. By using the K-Means method, it was found that based on the 452 data used, the result was that there were 204 data, or 45.13% belonging to the Insomnia klaster and 248 data or 54.87% belonging to the Not Insomnia klaster.

Advancing Patient-Centered Care: An International Survey of Adolescent Perspectives on Insomnia

ABSTRACT Objective The study objective was to inform patient-centered care for adolescent insomnia by describing adolescents’ perspectives on insomnia. Specific constructs of interest included: 1) factors that contributed to insomnia development or maintenance, 2) impact of insomnia on day-to-day life, 3) recommended research priorities, and 4) overall experience living with insomnia. Method A convenience sample of adolescents (ages 13–18 years) self-identifying with insomnia symptoms was recruited through social media. Respondents (n = 3,014) completed an online survey. Responses to an open-ended item assessing patient experience were coded using thematic analysis. Results Participants identified as 70.8% White non-Hispanic, 77.0% female, and lived in one of five English-speaking countries (United States, United Kingdom, Canada, Australia, or New Zealand). Most (87.5%) met DSM-V diagnostic criteria for insomnia. The most common contributory factors to insomnia endorsed were stress (72.1%) and depressed mood (63.6%), while common impact areas were mood (72.2%), focus (61.0%), and pain (49.7%). Patient-centered research priorities were identifying insomnia causes (66.4%) and early detection (66.1%). Common adolescent experiences included high distress levels, feelings of invalidation, and helplessness about their insomnia. Conclusions Adolescents with insomnia offer a unique perspective that should inform patient-centered research and care. There is a need for heightened screening and awareness about insomnia as a condition that causes significant distress and impairment for adolescents. To provide validating care, providers should recognize the multifaceted causes of insomnia.

Insomnia in Forensic Detainees: Is Salience Network the Common Pathway for Sleep, Neuropsychiatric, and Neurodegenerative Disorders?

Forensic hospitals throughout the country house individuals with severe mental illness and history of criminal violations. Insomnia affects 67.4% of hospitalized patients with chronic neuropsychiatric disorders, indicating that these conditions may hijack human somnogenic pathways. Conversely, somnolence is a common adverse effect of many antipsychotic drugs, further highlighting a common etiopathogenesis. Since the brain salience network is likely the common denominator for insomnia, neuropsychiatric and neurodegenerative disorders, here, we focus on the pathology of this neuronal assembly and its likely driver, the dysfunctional neuronal and mitochondrial membrane. We also discuss potential treatment strategies ranging from membrane lipid replacement to mitochondrial transplantation. The aims of this review are threefold: 1. Examining the causes of insomnia in forensic detainees with severe mental illness, as well as its role in predisposing them to neurodegenerative disorders. 2. Educating State hospital and prison clinicians on frontotemporal dementia behavioral variant, a condition increasingly diagnosed in older first offenders which is often missed due to the absence of memory impairment. 3. Introducing clinicians to natural compounds that are potentially beneficial for insomnia and severe mental illness.

Causal Model Analysis of the Effect of Policy Formalism, Equipment Insufficiency and COVID-19 Fear on Construction Workers’ Job Burnout, and Insomnia during the Epidemic

During the epidemic, construction site workers suffered from COVID-19 fear, job burnout, and job insecurity due to insufficient personal protective equipment. This study mainly explores the effect of policy formalism, equipment insufficiency, COVID-19 fear, and job insecurity on construction workers’ job burnout and insomnia during the epidemic. The main contribution of this article is to introduce policy formalism into the exploration of the causes of insomnia among construction site workers during the epidemic. This study collected 733 valid samples of construction site workers. We tested the established hypotheses using confirmatory factor analysis and structural equation modeling. The research results found that equipment insufficiency positively affects COVID-19 fear. Policy formalism and COVID-19 fear positively affect job burnout. Social support negatively affects job burnout. Job burnout and job insecurity positively affect insomnia. The government should establish clear policy evaluation standards and implement policies to reduce construction site workers’ perceptions of policy formalism. The government should prepare sufficient personal protective equipment so that workers on construction sites can cope with the spread of the epidemic.

Insomnia Management Clinical Trials by various Conventional Therapies – A Review

Insomnia is a sleep disorder in which you having trouble in falling and/or staying asleep. The condition can be short-term (acute) or can last a long time (chronic). Acute insomnia lasts from 1 night to a few weeks. Chronic Insomnia - it happens at least 3 nights a week for 3 months or more. Insomnia may be a contributory factor in the development of a wide range of mental health problems. Primary causes of insomnia include stress due to a job loss or change in bad habits. A secondary cause of insomnia includes mental health issues like depression and anxiety, Alzheimer's disease and other types of dementia. Psychotic experiences commonly occur in mild forms and have been linked to disrupted sleep. Chronic insomnia higher rates in patients with comorbid conditions (e.g., hypertension, 44%; cardiac disease, 44.1%; breathing problems, 41.5%) it is glopally. Cognitive behavioural therapy (CBT) is a type of psychotherapeutic treatment; CBT for insomnia (CBTI) targets those behaviours, cognitions, and associations and is effective across a variety of populations, including those with medical and psychological comorbidities. CBT-I is a collaborative process and the skills learned in sessions require practice. The Society of Behavioural Sleep Medicine (www.behavioralsleep.org) and the American Board of Sleep Medicine also approved this type of treatment for Insomnia.

Comparative study on treatment strategies for insomnia

Insomnia is a common sleep disorder that affects the typical quality of life of people. Different treatment strategies are required for insomnia caused by specific factors, such as environment and genetics. Currently, the two main categories of insomnia treatments are cognitive behavioral therapy for insomnia (CBT-I) and pharmacotherapy. However, each treatment has distinctive limitations. CBT-I lacks accessibility and certified facilitators, while pharmacotherapy is more prone to result in negative side effects, addiction, and physiological tolerance. To get over these limitations, it is necessary to come up with new alternative therapies to deal with insomnia effectively. This review is intended to summarize the different causes of insomnia and the latest existing treatments for insomnia. Based on previous studies, this study provides new ideas for future insomnia treatments.

Impact of Insomnia on Humans and Measures

With the expansion of the insomnia community and the rise in consumption levels, the sleep economy is growing rapidly, and more people are demanding solutions to their insomnia. This article analyses the causes and effects of insomnia, also measures to address the problem. The causes of insomnia are broadly divided into three parts, namely mental illness, physical and medication factors. If insomnia is left unresolved for a long time, the patients physical and emotional well-being can be seriously affected. Medication is obviously the most effective measure for insomnia, but because of its side effects, non-pharmacological measures have been developed to improve it. The purpose of this article is to provide a better understanding of the causes and effects of insomnia, as well as a summary of previous research into the treatment of insomnia, so that readers can gain a more intuitive understanding of the subject and save time searching for information.

Stress and Insomnia among Elderly Living in a Nursing Home: A Cross-sectional study

Introduction: Globally, It was estimated that one in three adults experienced insomnia. In Indonesia, 10% or equal to 28 million of the population was reported this particular sleep problem. Physical illness, environment, drugs used, and stress were reported as the major cause of insomnia. This study aims to analyse the relationship between stress and the incidence of insomnia among elderly living in a nursing, Surabaya, Indonesia. Method: This study applied cross-sectional approach with correlation descriptive design. Population in this study was older adults living in a nursing home. A total of 51 participant recruited through a random simple sampling was involved. The independent variable was stress and dependent was insomnia. A self-report questionnaire was used to collect data from the study participants. Data was statistically test by Contingency Coefficient. Results: There is no relationship between stress and the incidence of insomnia in the elderly (p=0.267). Insomnia might relate to others factors that not explored in the study. Conclusions: The current study highlights insomnia among elderly is not related to stress events. Even insomnia was a common, nurses need to identify other factors that can contribute to insomnia experienced by the elderly. Thus, further study examines insomnia among elderly is warranty.

General practitioner assessment and management of insomnia in adults.

Sleep disturbance is among the most prevalent presentations in Australian general practice. Insomnia, the most common sleep disorder, is associated with impaired daytime, social and occupational function, reduced quality of life and substantially increased risk of future depression. Guidelines from Australian and international general practice, sleep and medical societies strongly recommend cognitive behavioural therapy for insomnia (CBT-i) as the first-line treatment for chronic insomnia. This is because CBT-i targets the underlying causes of insomnia, results in sustained improvements and commonly improves comorbid conditions such as depression and pain. This article aims to provide an overview of evidence-based assessment, management and referral options for insomnia in Australian general practice. Access to brief insomnia assessment andevidenced-based treatments are becoming increasingly available to Australian general practitioners. CBT-i can be delivered through self-guided online programs or by suitably trained general practitioners and psychologists.

Factors associated with Insomnia Severity Index among elderly participants

Background: Amongst various psychiatric disorders in the elderly, insomnia is one of the major challenges. Aims & Objectives: To assess the prevalence of insomnia and the factors associated with it among the elderly. Material & Methods: This cross-sectional study was conducted in a rural and an urban area of Delhi taking 115 participants from each area using systematic random sampling. A semi-structured questionnaire was to collect the data. Results: Out of 230 participants, 121 (52.6%) were females and 109 (47.4 %) were males. Insomnia was more prevalent in the elderly participants of rural area (95%) while just 5% were in the urban population. Out of the 230 participants, 113 (49.1%) had scores of 0-7 whereas 117 (50.9%) had scores between 8-28 which meant they had some degree of insomnia. Insomnia was significantly associated with the locality of the participants (p-value <0.05). Conclusion: In the present study, around half of the elderly persons were suffering from Insomnia. As the cause of insomnia is multi-factorial, it needs a multi-pronged approach to prevention which can be achieved by creating awareness, management, and prevention. Further, screening elderly persons for insomnia and health education regarding the importance of sleep hygiene practices should be started.

Study on Association of Stress with Insomnia in University Students

A sleep problem called insomnia causes difficulty falling and/or staying asleep. The disorder can be either short-lived (acute) or persistent (chronic). Objective: To evaluate the study on association of stress related problems with insomnia and to evaluating the percentage of females who take stress and also, they have headache. Methods: We conducted a perspective study and cross-sectional survey of the different departments of Lahore College for Women University, Lahore with stratified sampling design, applied to total sample n= 300. The study was conducted on group A (n= 111) females between age of 15 to 20 years. The second group B of age group between 21 to 28 years which include 189 females (n= 189). Demographic measurements such as weight, height, BMI was taken of all subjects. Stress, insomniac patient, headache, NSAIDs taking was reported via questionnaire. All the data were collected and analyzed. Results: In group A 77% females take stress and in group B 82% females take stress out of 111 with (p< 0.001). Due to stress 23% females are insomniac patient in group A and in group B 27% females are insomniac patient (p< 0.001). The 64% females have headache due to stress in group A and 72 in group B with (p<0.001). The 32% females use NSAIDs in group A and 45% in group B with (p<0.001). Conclusions: It is concluded that the stress is harmful for any age group of females. The stress is the main cause of insomnia. Therefore, stress should not take. If the stress increases then the headache factor also increases.

0344 Behavioral Treatment of Insomnia with Concurrent Nocturia

Abstract Introduction Behavioral therapy has proved effective for insomnia in older adults. However, its efficacy has not been examined among those with nocturia (awakening to urinate) which is the most common cause of insomnia in this age group. Thus we assessed the impact of behavioral sleep treatment on sleep in older adults with nocturia. Methods Fifty-six community-dwelling older adults (mean age, 72±6 years; 64% women) with nocturia frequency ≥2 per night were randomized to receive Brief Behavioral Treatment for Insomnia (BBTI) or information-only control (IC). We determined the impact of BBTI on sleep, sleep quality, and nocturia as assessed by a 3-day voiding and sleep diary. Participants concurrently wore a single-channel, EEG device Z-machine® for objective in-home sleep assessment. Insomnia Severity Index (ISI) was used to assess insomnia symptoms. Results Participants had a mean nocturia frequency of 2.2±0.7/night at baseline. Time in bed (TIB) decreased by 42±76 minutes among the BBTI group, but total sleep time (TST) increased by 20±95. Significant differences ± standard error between BBTI and IC in pre- to post-intervention changes were observed for TIB (-41±18 minutes, p=.03) but not TST (27±18, p=.14). Compared to the IC group, the BBTI group also showed a greater improvement in ISI (-3.3±1.4, p=.02) as well as objectively measured sleep onset latency (-9.8±3.5, p=.008), latency to deep sleep (-19±11, p=.08), and percentage of total sleep time spent in deep sleep (8.4±3.1, p=.01). BBTI also decreased nocturia frequency to a greater extent (-0.49±0.20, p=.02) Conclusion BBTI improves insomnia symptoms, objective sleep measures, and nocturia in older adults with frequent sleep interruptions related to nocturia. Treatment for insomnia may be an important addition to current treatments for nocturia. Support (if any) NIA AG 060292

Review of Ayurvedic Herbal Drugs for Management of Insomnia (Anidra) Along with their Experimental Studies

Ayurveda “Science of life” is a unique combination of science and philosophy that balances the holistic aspects of health i.e. physical, mental, emotional and spiritual. Its aim is to promote and preserve physical and mental health and cure of ailments too. In order to lead a good quality of life both physical and mental health of a person should be maintained in good conditions. Now a days, even people know the importance of mental health as due to their busy lifestyle usually they succumb to unhealthy lifestyle which later pose harm to their health. Due to extreme stress in life people are becoming susceptible to various mental and lifestyle health issues like anxiety, depression, HTN, Diabetes and insomnia. Insomnia is defined as a condition where a person is unable to sleep or does not have a sound and sufficient sleep and wakes up usually tired and exhausted. The general causes of insomnia include stressful lifestyle, environmental influence, mental tension, changed food habits or any mental trauma. It is generally of two types: acute insomnia and chronic insomnia. The acute insomnia is referred to a condition one with short duration of few days to few weeks and the second chronic insomnia is which lasts for longer duration of few months to even years. Some of the major symptoms of insomnia include: difficulty in falling asleep at night, sleeplessness, waking up abruptly while sleeping and then not being able to fall asleep again, waking up tired and exhausted, irritability, sometimes wake up with headache, less concentration and low mood throughout the day, over thinking and worry related to sleep. There are various treatments available for this ailment in the form of oral medicines and therapies. In Ayurvedic treatment for insomnia some therapies such as Shirodhara and herbal medicines like Brahmi, Ashwagandha, Sarpgandha are known to produce calming and relaxing effect and result in sound and good sleep. This paper aims to compile and review the classical literature regarding management of Anidra; scientifically reported classical and non-classical sedative herbs; and clinical trials conducted on Anidra.

Patricia Lacks' contributions to evidence-based practice for insomnia

In the 1980s, Patricia Lacks (February 22, 1941–December 3, 2016) began a systematic program of research at Washington University in St. Louis to identify the causes of insomnia and effective treatments. Her treatment outcomes research culminated in the publication of the first detailed cognitive-behavioral treatment manual for insomnia, Behavioral Treatment for Persistent Insomnia. This paper focuses on the history of Dr. Lacks and her contributions to the field of insomnia research and practice.

Network structure of insomnia symptoms in shift workers compared to non-shift workers

ABSTRACT Insomnia is a commonly occurring sleep problem in shift workers. So far, no studies have investigated how insomnia symptoms present differently in shift workers and non-shift workers. The purpose of this study was to compare the network structures and centrality indices of shift and non-shift workers using network analysis and network comparison test. Participants included 1339 hospital employees, where 542 were shift workers and 797 were non-shift workers. Overall, a significant difference between network structures were observed. In particular, daytime dysfunction emerged as a strongly connected symptom in shift workers, as evidenced by strength centrality. Increased use of sleeping medication and decreased habitual sleep efficiency were more strongly associated with increased daytime dysfunction in shift workers. Sleep latency and sleep quality were also more strongly linked in shift workers. These results are in part attributable to differing causes of insomnia in shift and non-shift workers. Furthermore, the results indicate that shift workers are more vulnerable and susceptible to changes in sleep-related indices, such as sleep efficiency and latency. The findings suggest that certain insomnia symptoms are more consequential in shift workers, emphasizing the need for a differentiated approach in treating insomnia according to shift work.

Correlation Between Insomnia And Primary Headache In Final-Year Students Of Nursing

Background: Adolescents' irregular sleep patterns, use of technology, gadgets, and gaming are among the causes of insomnia. Primary headaches are regarded to be another symptom of insomnia. In this study, ordinary nursing students in their last semester will be examined to see if there is any correlation between headache frequency and insomnia. Methods: This study uses a cross-sectional approach with a quantitative descriptive correlation research design. Total sampling is the sampling method employed by 71 students who, according to responses, reported having sleeplessness. The Independent variable is insomnia. The dependent variable is Primary Headache. Instrumen use kuesionare. Results: According to the results of the univariate analysis, 60 people (84.5%) and 64 people (90.1%) had primary headaches, respectively. The bivariate analysis with the Gamma test revealed that 64 students (93.8%) at Aisyah University of Pringsewu had both primary headaches and insomnia with a P-Value =0,002 ≤ 0,05. Conclusion: it can be concluded that there is a significant correlation between insomnia and primary headaches. Students are expected to improve their sleep patterns to prevent primary headaches.