Problems falling asleep and the associated sleep disorders (insomnias) are caused by a Discrepancy between need for sleep and subjective sleep ability marked. They are the most common form of insomnia.
In order to speak of a difficulty falling asleep and staying asleep, symptoms must appear during the day and persist for at least four weeks in addition to the disturbance of night sleep.
Over 30% of the population suffer from problems falling asleep and staying asleep at least at times.
Symptoms for this are characteristic
During the day there are complaints such as:
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With severe problems falling asleep and staying asleep, somatic symptoms such as:
arise.
Find out more about the other consequences of lack of sleep here: Consequences of lack of sleep
The primary problems falling asleep and sleeping through the night can be divided into eight different forms:
In the primary form of a sleep disorder, there is only an independent sleep disorder, which means that no other diseases are the trigger for the insomnia.
$config[ads_text2] not foundIn the secondary form of sleep disorder, this is insomnia a symptom of another condition.
The adaptation-related or acute primary problems falling asleep and sleeping through the night is caused by a specific stressor triggered.
It is usually short-lived from a few days to weeks.
The stressor can be here
Be nature.
Typical stressors are
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Typical complaints are
In the Diagnosis helps
$config[ads_text3] not foundThe danger with acute or adjustment-related problems falling asleep and sleeping through the night is that these can turn into a psychophysiological one Insomnia or increase into a falling asleep and staying asleep disorder as part of an affective disorder.
With a psychophysiological one insomnia is it a Insomnia as part of a psychophysiological symptom complex that is related to learned or sleep-prevented behavior patterns.
As triggering factors apply stressors like
In the course of the disease, the stressors can disappear and become one The sleep disorder becomes independent to lead.
Typical for this form of sleep problems and sleep disorders are
Often the ability to sleep occurs only in the morning hours in association with the base point of the core body temperature and the onset of the excessive effort to fall asleep.
During the day the complaints are over
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in the foreground. Stress symptoms occur just as frequently as
on. The fear of going to bed often increases in the evening with a tendency towards social withdrawal observed. Despite increased tiredness, patients are rarely able to sleep during the day.
Paradoxical insomnia is characterized by complaining of a sleep disorder with no objective evidence of it.
Here is the Perception of actual sleep ability disturbed. The impairments of day-to-day experience and behavior are not related to the severity of the complained of sleep disorders.
The Emergence of the paradoxical problems falling asleep and staying asleep to this day unexplained.
In individual cases there is one showy personality with hypochondriac Trains, especially in relation to night sleep.
As Symptoms apply the
However, the bed partner reports that the person concerned slept undisturbed. Occasionally the person concerned becomes fixated on the sleep problem.
To Diagnosis In contrast to other problems falling asleep and staying asleep, the External survey (of the partner) in relation to nightly sleep patterns as indispensable.
Idiopathic insomnia is due to the Beginning in childhood with no apparent cause marked.
Usually is no trigger recognizable and it cannot be explained by any other disease.
It is based on a lifelong inability to get enough sleep, which is believed to be due to an abnormality in the neurological or neurochemical control of the sleep-wake system.
Symptoms:
There may be shorter periods of symptom relief, but these will soon reverse.
Difficulty falling asleep and staying asleep in the context of a mental disorder are a symptom of an underlying one mental illness.
It is only named as such if the problems falling asleep and staying asleep disorder that Main symptom or is a serious symptom of mental illness.
They often occur in the context of a depressive illness and anxiety disorders.
Symptoms:
Difficulty falling asleep and difficulty staying asleep Inadequate sleep hygiene is a disorder with mostly unconscious sleep-incompatible behaviors.
These behaviors fall into two groups. On the one hand, those who provoke increased cognitive, emotional or somatic behavior before bed and those who are incompatible with the organization of sleep.
The latter are expressed in irregular bedtime, long bedtime, use of the bed for activities other than sleep, sleeping periods during the day, stimulating activities before going to bed, nighttime activities such as watching TV, getting up and working, and the evening consumption of substances that increase drive or sleep disturbance (e.g. caffeine).
As root cause Above all, the misjudgment of the consequences of staying awake indefinitely and irregularly are seen.
But also stress, ambition and excessive demands can lead to behavioral habits that result in sleep-related complaints or Sleep-wake rhythm disorders flow out.
These include substance abuse from:
The clinical picture is shaped by these behaviors, which can be divided into two groups. On the one hand, the striving for more and longer wakefulness, on the other hand, conscious actions against a good sleep organization.
Nicotine and caffeine rather generate alertness and there is a correlation between the amount consumed and individual sensitivity.
alcohol initially has one sedating and thus a hypnotic effect. However, the rapid degradation reverses this effect after a few hours, even with small amounts.
Irregular bedtime, staying in bed too long, sleeping long or even multiple times during the day or in the early evening hours can significantly shorten and unstable night sleep.
There are also behavior-related sleep disorders in childhood, which are characterized by a lack of or inadequate educational measures by the parents. It finds its expression in a lack of boundaries and a lack of discipline in connection with the bedtime situation.
The therapy of the Difficulty falling asleep and difficulty staying asleep is based on various factors such as behavioral medical advice, pharmacological interventions, and psychotherapeutic and behavioral interventions.
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