Comorbid Insomnia

Prevalence of comorbid insomnia and osa or sleep disordered breathing.

Comorbid insomnia. Prevalence of comorbid insomnia in patients with osa varies depending on the population methods and diagnostic questionnaires 1 13 29 32studies that have used the isi to measure insomnia in patients with psg confirmed osa have reported a prevalence of 32 to 84 in western countries 32 34the wide range of prevalence is due to variable insomnia definitions and inconsistent criteria for insomnia and osa used in these studies. Sometimes insomnia goes away after lifestyle factors such as family or work stress. This means that the fatigue and sleep one lost as a result for example staying awake all night would be carried over to the following day. 12 therefore it is often advantageous to treat comorbid insomnia directly and alongside the primary disorder.

Certain medical conditions can either cause insomnia or make a person uncomfortable at night as in the case of arthritis or back pain which may make it hard to sleep. A high prevalence 39 58 of insomnia. Four studies were identified that examined the effects of osa treatment in patients with insomnia and 8 studies were found that examined hypnotic use in patients with osa or sleep disordered breathing. Sleep is known to be cumulative.

Psychiatric symptoms such as anxiety and depression are known to be associated with changes in sleep. Insomnia is closely related to mood disorders like anxiety and. Comorbid insomnia insomnia that occurs with another condition. Therefore they proposed the term comorbid insomnia.

Insomnia also increases with age. Causation is not necessarily implied. Furthermore the conference members expressed concern that the term secondary insomnia may promote undertreatment. Insomnia can also be comorbid with other psychiatric disorders thereby adding to the medical burden and increasing the risk of psychiatric relapse.

Comorbid insomnia can worsen the clinical outcomes of another disorder predispose patients to its recurrence and persist despite improvement in the other condition. Insomnia can be the most common residual symptom of successful pharmacologic treatment of a major depressive disorder mdd and unresolved insomnia is predictive of an mdd relapse within the year. Shows that comorbid insomnia accounts for 85 to 90 percent of chronic insomnia. Insomnia can be a symptom or harbinger of other psychiatric disorders.

There are other ways to classify insomnia too such as comorbid insomnia when the sleep disorder occurs with another condition.