![]() Although sleep medicine specialists have defined subtypes of primary insomnia, the reliability and validity of primary insomnia and its subtypes are modest at best. For these reasons, the term comorbid insomnia has been recommended as preferable to secondary insomnia. Furthermore, insomnia is a risk factor for many of the disorders with which it coexists, including coronary heart disease and depression. In practice, it is often difficult to determine whether a concurrent condition actually causes insomnia. Insomnia disorders have also been categorized as primary and secondary, depending on whether the sleep problem is judged to be caused by another medical or mental disorder or medication/substance use. The interrelationship of insomnia with other medical conditions is informatively summarized by Buysse: Also, many patients with psychiatric disorders complain of sleep disturbances, the relationship often being viewed as “bidirectional”. To take an obvious common-sense example, if you get cancer and as a result of that become existentially anxious at the prospect of death, you might have trouble sleeping. There is an association between insomnia and various medical and psychiatric conditions. Indeed, the prevalence of insomnia disorder in the general population has been said to be approximately 10-20 %. Hence, sleep disturbances are very common. Introduction: the complexity of sleeplessnessĪccording to data available from the open statistical database of the Swedish Board for Health and Welfare, about 10 % of adults in Sweden are prescribed sleeping pills (Anatomical Therapeutic Chemical classification system code N05C) at least once per year. The Creative Commons Public Domain Dedication waiver ( ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. “Ever find yourself awake / In the middle of the night / You’ve got insomnia / Grab a glass of water / Or a cigarette for your insomnia / But I know something that’s so much better yet / Just grab the bong and numb your brain with pot / Watch Cal Worthington and his dog Spot / Insomnia, yeah it’s so boring / Nothing to do at three o’clock in the morning / You can get dressed, go out for a walk / For your insomnia / But that’s just asking for hassles / From your neighborhood cops / You’ve got insomnia.Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. “Insomnia / I can’t eat, feeling the heat, can’t sleep / Insomnia / It’s just me and the sounds of police on the street / Insomnia / No retreat cause I never thought it’d happen to me.” – Daniel Rankine and Paul Ridgeĥ8. My mind is racing with creative ideas and come 3am I feel like a genius.” – Theoĥ7. That’s when I get all my best ideas… I’m alone, occasionally… with no distractions. “You know what, the rest of you may hate your insomnia but I’m not sure I want a cure for mine.
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