8/6/2023 0 Comments Chronic vs acute insomnia![]() ![]() The definition had both qualitative and quantitative criteria, included the delineation of sub-states, and required that a precipitating life event or stress condition be identified. ![]() Life stress was identified as a/the primary precipitant for insomnia based on a review of several etiological models, and a formal definition of AI was proffered. The central role of precipitating factors for AI was highlighted. In the review, three definitions of AI (Diagnostic and Statistical Manual of Mental Disorders, International Classification of Sleep Disorders, and International Classification of Diseases ) were compared and contrasted. In recent years, the issue of “what is acute insomnia and how should it be defined?” has been the subject of renewed interest, largely owing to the conduct of several natural history studies and the publication of one theoretical review dedicated to AI. Finally, it should be noted that the various definitions and nosological classifications for both AI and CI have been made on the basis of consensus opinion and not based on any empirical derivation (e.g., how many consecutive nights must occur until it is unlikely that the insomnia will remit?). sleep latency, wake after sleep onset, early morning awakenings, etc.). Still yet another problem, one that also extends to CI, is that AI has not been defined based on quantitative criteria for sleep continuity disturbance (illness severity viz. Over the years, CI has been variably defined as more than 1 month, 3 months, or 6 months, and therefore, AI has also been variably defined as shorter than each of these duration thresholds. ![]() Another problem has been that the durational criteria for AI has been defined by default by any time period shorter than the criteria for chronic insomnia (CI). Such variability in terminology has discouraged consensus building, both conceptually and operationally. ![]() AI has been classified as adjustment insomnia, stress-related insomnia, transient psychophysiological insomnia, symptomatic insomnia, sub-acute insomnia, and sub-chronic insomnia. Part of the problem is multiple terms have been used to refer to AI over this time frame. Historically, acute insomnia (AI) has not been well defined or precisely delineated in the literature, despite its having been included in multiple classification systems since at least the late 1970s. Defining Acute and Chronic Insomnia (Just a Matter of Time?)Īcute Insomnia. Chronic insomnia raises your risk of high blood pressure, coronary heart disease, diabetes, and cancer.2. Insomnia can affect your memory and concentration. Your provider may also recommend healthy lifestyle habits such as a regular sleep schedule, cognitive behavioral therapy for insomnia, and medicines to help you manage your insomnia. To diagnose insomnia, your healthcare provider may ask about your sleep habits and ask you to keep a sleep diary. Chronic (long-term) insomnia occurs 3 or more nights a week, lasts more than 3 months, and cannot be fully explained by another health problem. Short-term insomnia may be caused by stress or changes in your schedule or environment. Insomnia can get in the way of your daily activities and may make you feel sleepy during the day. This happens even if you have the time and the right environment to sleep well. With insomnia, you may have trouble falling asleep, staying asleep, or getting good quality sleep. ![]()
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