![]() These article introduces the clinical approach to the diagnosis and management of the sleep onset insomnia that can be caused by the various possibilities, such as PPI, SSM, PLMS, RLS, DSPS, OSAS, and CHF. After these studies, the most appropriate treatments are adjusted including sleep hygiene education, cognitive behavior therapy, pharmacologic therapy, continuous positive airway pressure titration, and surgery, etc. For more accurate evaluation, polysomnography (PSG), multiple sleep latency test (MSLT), neuropsychological test (NP test), and suggested Immobilization Test (SIT) can be necessary to these patients. Initial insomnia: Difficulty falling asleep in the absence ofmiddle or late insomnia (also referred to as sleep onsetinsomnia). ![]() They result in complaints of insomnia or sleep state misperception and have significant decreased daily activities and impaired cognitive functions. These patients are characterized by frequent arousals or failing to get to sleep in the early sleep stage and don’t feel refreshed in the morning. Usually, many patients have various causes or conditions such as psychophysiological insomnia (PPI), periodic limb movements in sleep (PLMS), restless legs syndrome (RLS), obstructive sleep apnea-hypopnea syndrome (OSAS), congestive heart failure (CHF), delayed sleep phase syndrome (DSPS), etc. The disorder is characterized by difficulty with sleep quality, initiating or maintaining sleep, along with substantial distress and impairments of daytime. Although these sleep onset insomnia has generally been attributed to psychological or psychiatric causes, it can also be secondary to a medical, circardian, or sleep disorder. Sleep onset insomnia, defined as difficulty initiating asleep, is a common disorder with associated impairment or significant distress and is associated with daytime consequences. If you have delayed sleep-wake syndrome, you fall asleep and wake up later despite a regular sleep schedule. Insomnia is characterized by difficulty falling asleep, difficulty staying asleep, or waking too early 1 and is associated with significant impairments in daytime activities, which might occur despite adequate opportunities for sleep. Seung Bong Hong ,Tel: +82-2-3410-3592, Fax: +82-2-3410-0052, Email: DecemAccepted: DecemPublished online: December 31, 2009 Delayed sleep-wake phase syndrome, or delayed sleep-wake phase disorder (DSPD), is characterized by the inability to fall asleep, difficulty waking up on time, and, in some cases, daytime sleepiness or depression. It’s usually not dangerous, and there are many ways including medications and mental health options to treat it. About 10 of the world’s population experience insomnia that qualifies as a medical condition. Hwan Seok Park 1, Eun Yeon Joo 2, Seung Bong Hong 2ġDepartment of Neurology, Inje University College of Medicine, Busan, Korea 2Department of Neurology, Sleep Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Insomnia is when you experience disruptions in how you feel or function because you aren’t sleeping well or sleeping enough. Sleep onset insomnia: When the person has difficulty falling asleep at the beginning of the night, or in the case of shift workers, whenever they attempt to.
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