Daytime napping may also result in insomnia for some people. Some medicines, such as treatments for the common cold, allergies, thyroid disease and high blood pressure, are thought to cause insomnia as a side effect.Ĭonsuming caffeine or alcohol can disrupt sleep patterns, while working from home or late at night can make winding down difficult. Reflux, asthma and thyroid disorders may also cause discomfort and make it difficult to get to sleep or stay asleep. Mood and hormonal changes can contribute to insomnia, while the reverse is also true.Ī number of medical conditions are known to cause insomnia, such as chronic pain, nasal allergies and arthritis. Restless leg syndrome, for example, can hamper attempts to sleep, while sleep apnea causes the sufferer to wake briefly but repeatedly through the night.ĭepression and other mental conditions may contribute to the onset of insomnia disorder. Some sleep disorders may cause insomnia, or coexist with the condition. Over time, the negative associations with sleeping may make it more difficult to fall asleep and stay asleep. Stress or anxiety can make sleeping difficult by causing tension or feelings of worry and overstimulation. There is no single cause of insomnia disorder but many factors may contribute to the condition’s onset, including: The Epworth Sleepiness Scale determines how drowsy a person feels in situations like waiting at traffic signals, watching television or reading.Ī physical examination is usually undertaken and bloods may be tested to check for thyroid function and other disorders. Physicians will often use a variety of techniques to support a diagnosis of insomnia disorder, such as a sleep diary and the Epworth Sleepiness Scale.Ī sleep diary helps identify any potential causal elements and habits, as well as variability in sleeping patterns. The problem cannot be attributed to substance use or medication.The difficulty cannot be better explained by other physical, mental or sleep-wake disorders.The problem occurs despite ample opportunity to sleep.Difficulty sleeping occurs at least three times a week and is present for at least three months.The sleep disturbance causes significant distress or impairment in functioning, such as within the individual’s working or personal life, behaviorally or emotionally.Unhappiness with the quality or quantity of sleep, which can include trouble falling asleep, staying asleep or waking up early and being unable to get back to sleep.To reach a diagnosis of insomnia disorder, the following criteria need to be met: There is no single way to test for insomnia disorder, so medical professionals will reach a conclusion based on symptoms and by ruling out other factors. Feeling fatigued or sleepy during the dayĭiagnostic criteria for insomnia disorder. Waking up early unable to get back to sleep.Symptoms of insomnia disorder include the following: Between six and ten per cent of individuals meet the criteria for insomnia disorder, which is the most common known sleep disorder. People with insomnia disorder often experience tiredness or sleepiness in the daytime as a result, along with related inattention, irritability and trouble concentrating on tasks, sometimes to such an extreme that their work or social life suffers.Īccording to statistics, about one-third of adults report having experienced symptoms of insomnia, with ten to 15 per cent recording daytime impairments. Insomnia disorder is a DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th ed.) diagnosis assigned to individuals who experience recurrent poor sleep quality or quantity that causes distress or impairment in important areas of functioning.Ĭategorized as a sleep-wake disorder, insomnia disorder is characterized by difficulty in initiating sleep, staying asleep and/or by waking early in the morning and being unable to get back to sleep.
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