![]() Researchers have identified specific genes linked to brain function as being capable of triggering insomnia. 7 Knowledge about the pathophysiology of chronic insomnia can help NPs direct appropriate individualized treatment for patient-centered care. Several mechanisms may contribute to the development of the disorder, including genetic states of hyperarousal, and wake-sleep chemical dysregulation. No single pathophysiologic cause is responsible for chronic insomnia. 6 Of note, 48% of individuals with sleep disorders report snoring, 37.9% report unintentionally falling asleep during the day at least once in the preceding month, and 4.7% report nodding off or falling asleep while driving at least once in the preceding month. 6 The American Sleep Association reports that 50-70 million US individuals suffer from a sleep disorder short-term issues of insomnia affect approximately 30% of individuals. EpidemiologyĬhronic insomnia is a common sleep disorder in the US, accounting for 10% of all sleep disorders. This article focuses on the assessment and management of chronic insomnia in primary care. 2,3 Therefore, NPs need adequate knowledge, skills, and experience to assess and manage chronic insomnia for positive health outcomes. 5 Chronic insomnia can cause clinical distress and contribute to functional, health, and quality-of-life impairments. 4 Chronic insomnia causes a high economic burden its health expenditures and treatment costs exceed $100 billion per year. 1 Chief complaints of sleep difficulties for US outpatient visits are on the rise, increasing from 4.9 encounters in 1999 to 5.5 million encounters in 2010. 1-3 Additional diagnostic criteria for chronic insomnia include difficulty maintaining sleep, and waking up in the early morning and not being able to return to sleep. 1 Insomnia is considered acute when the symptoms last less than 3 months and chronic when patients report the inability to fall asleep or maintain their sleep at least 3 nights per week, for 3 months or longer. Insomnia disorder is classified under the sleep-wake disorders by the American Psychiatric Association. They will get better with time, but right now they’re most useful to tell you your pattern when you’re going to bed, when you’re waking up, what are those hours and not to focus on light versus deep.While many individuals experience the occasional sleepless night, clinically referred to as acute insomnia, long-lasting episodes of insomnia are problematic and warrant assessment. “I personally like to look at them when patients bring them up in clinic. “They have absolutely no clue what is deep and what is light sleep,” Dr. “The commercially available sleep trackers offer some insight into our patterns of sleep, but they should not be taken literally, particularly when they’re trying to separate deep sleep from light sleep. “This phenomenon, orthosomnia, is a new term based on our ability to technologically monitor something that people think actually is sleep when it doesn’t necessarily mean you’re sleeping,” he said. My Fitbit or whatever it is that I’m wearing tells me that my sleep is insufficient, light and not refreshing, although one may feel great.” “They’re obsessed that-I’m not getting eight hours of sleep. The term “orthosomnia” came out of people watching their Fitbit or Apple Watch, said Dr. Use sleep trackers with caution Use sleep trackers with caution Ilene Rosen, MD, MSCE, associate professor of medicine in the Division of Sleep Medicine and assistant dean for Graduate Medical Education at the Perelman School of Medicine at the University of Pennsylvania.Chediak serves as an AMA delegate for the American Academy of Sleep Medicine. Chediak, MD, associate professor of medicine and associate chief of clinical affairs in the Division of Pulmonary, Critical Care and Sleep Medicine at the University of Miami Miller School of Medicine. In this installment, two AMA members who are sleep medicine physicians shared what doctors wish patients knew about insomnia. The AMA’s What Doctors Wish Patients Knew™ series provides physicians with a platform to share what they want patients to understand about today’s health care headlines. Over time, this lack of sleep can contribute to health problems such as type 2 diabetes and hypertension. Chronic insomnia can lead to increased risk of depression, anxiety, substance abuse and motor vehicle accidents. About one-third of adults experience acute insomnia, which means they have bouts of sleep loss that last a few days at a time.īut one in 10 suffer from chronic insomnia, which lasts for more than three nights a week for three or more months. This lack of sleep has led to insomnia, which is a common sleep complaint. Nearly 60% of Americans have struggled with sleep during the pandemic, according to the American Academy of Sleep Medicine.
0 Comments
Leave a Reply. |