Insomnia

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NEW TREATMENT ADDED BY A MEMBER
Melatonin supplements
Repair a broken sleep schedule using this sleep aid.
50% of users reported improvements
2 reviews
Home Remedy
OTC
TRIED
TRYING
How effective is it?
REMOVE ANSWER
completely cured
significant improvement
minor improvement
no difference
worse than before
Helps with prevention
6 (16%)
7 (18%)
6 (16%)
15 (39%)
4 (11%)
ESSENTIAL RESEARCH
Mortality associated with sleep duration and insomnia.
Patients can be reassured that short sleep and insomnia seem associated with little risk distinct from comorbidities. Slight risks associated with 8 or more hours of sleep and sleeping pill use need further study. Causality is unproven.
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0REPLY
NEW SYMPTOM ADDED BY A MEMBER
Yes
17
No
0
Difficulty sleeping at night
100% reported this symptom
Want to fall asleep at night but can't
Focus on breathing : more specifics
I notice there’s a treatment “focus on breathing”. This is very general and not likely to be as helpful as a breath pattern. One of the best for insomnia is 1:2 breathing, meaning, you count the length of your inhale and work toward making your exhale twice as long. So if your inhale is 3, your exhale is 6. It doesn’t matter what the numbers are, just that the exhale is double. This helps activate the parasympathetic side of the nervous system (I.e. rest and digest).
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2REPLY2 YEARS AGO
PROGRESS UPDATE
SYMPTOM
Difficulty sleeping at night marked as moderate
Fatigue marked as severe
Worried about sleep marked as severe
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0REPLY1 YEAR AGO
CLINICAL TRIALNot yet recruiting
Treating Comorbid Insomnia in Transdiagnostic Internet-Delivered Cognitive Behaviour Therapy
Regina, Canada
All genders
Transdiagnostic Internet-delivered Cognitive Behaviour Therapy (ICBT) is an efficacious treatment option for anxiety and depression; however, not all patients benefit equally and some leave treatment before program completion. Comorbid symptoms of insomnia are extremely common among individuals seeking ICBT, yet sleep problems are rarely a primary focus of treatment in transdiagnostic ICBT despite insomnia being a known risk factor for anxiety and depression. This trial is designed to test whether an ICBT program for anxiety and depression can be improved by providing therapy for insomnia alongside the standard transdiagnostic program. For this randomized controlled trial, patients will be randomly assigned to receive either the standard ICBT program for anxiety and depression, which includes only brief supplementary information about sleep (n = 68), or a modified version that includes a lesson specifically on sleep (n = 132). The sleep lesson will introduce patients to two key behavioural strategies: sleep restriction and stimulus control, which previous research has demonstrated are effective at reducing insomnia. Patients will monitor their sleep throughout treatment and will complete measures of insomnia, anxiety and depression before treatment, at the end of the 8-week program, and 3 months after program conclusion to allow for a comparison of patient outcomes and completion rates between conditions. The acceptability of the new intervention will also be assessed by asking participants to provide feedback on the new materials and to complete measures of treatment satisfaction and working alliance.
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0REPLY1 YEAR AGO
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ESSENTIAL RESEARCH
The Insomnia Severity Index: psychometric indicators to detect insomnia cases and evaluate treatment response.
These findings provide further evidence that the ISI is a reliable and valid instrument to detect cases of insomnia in the population and is sensitive to treatment response in clinical patients.
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ESSENTIAL RESEARCH
Recommendations for a standard research assessment of insomnia.
Adoption of a standard research assessment of insomnia disorders will facilitate comparisons among different studies and advance the state of knowledge. These recommendations are not intended to be static but must be periodically revised to accommodate further developments and evidence in the field.
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NEW TREATMENT ADDED BY A MEMBER
Focus on breathing
Follow your breathing when you're laying in bed.
61% of users reported improvements
Lifestyle
TRIED
TRYING
How effective is it?
REMOVE ANSWER
completely cured
significant improvement
minor improvement
no difference
worse than before
Helps with prevention
3 (8%)
8 (22%)
11 (31%)
11 (31%)
3 (8%)
NEW SYMPTOM ADDED BY A MEMBER
Yes
12
No
4
Worried about sleep
75% reported this symptom
Constantly thinking about not being able to sleep or not getting enough sleep
ESSENTIAL RESEARCH
Test-retest reliability and validity of the Pittsburgh Sleep Quality Index in primary insomnia.
The PSQI has a high test-retest reliability and a good validity for patients with primary insomnia.
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CLINICAL TRIALTerminated
A Sleep Program to Improve Sleep Quality in People With HIV
Montreal, Canada
All genders
Sleep problems, such as insomnia, are more frequent and intense in individuals living with HIV. These sleep difficulties can increase the difficulties in thinking and concentrating. Digital cognitive behavioral therapy for insomnia (dCBT-I) is a computer-based treatment intervention that provides strategies to improve sleep. This intervention has been shown to improve sleep and daytime function (concentration, productivity) in people with insomnia. However, the effects of this intervention in people living with HIV are unknown.
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0REPLY1 YEAR AGO
NEW TREATMENT ADDED BY A MEMBER
Take a hot bath or shower before bed
The drop in temperature coming out of a hot bath or shower signals to your body that it's time to rest.
39% of users reported improvements
1 review
Physical
Lifestyle
TRIED
TRYING
How effective is it?
REMOVE ANSWER
completely cured
significant improvement
minor improvement
no difference
worse than before
Helps with prevention
0 (0%)
4 (12%)
9 (27%)
17 (52%)
3 (9%)
PROGRESS UPDATE
TREATMENT
Trying treatment Eszopiclone
Sex made no difference
Diphenhydramine made no difference
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0REPLY2 YEARS AGO
Mr David Hallworth RS H
20+ Sufferer of Insomnia 2-3 nights NO Sleep so Cannot use my Car So I'm a prisoner in my Appartment I am 66 and want to BEAT this / No more MAX ZOPICLONE My Telephone 01606 212374. And Mobile 07821656815
0REPLY2 YEARS AGO
ESSENTIAL RESEARCH
Psychological and behavioral treatment of insomnia:update of the recent evidence (1998-2004).
These updated findings provide additional evidence in support of the original review's conclusions as to the efficacy and generalizability of psychological and behavioral therapies for persistent insomnia. Nonetheless, further research is needed to develop therapies that would optimize outcomes and reduce morbidity, as would studies of treatment mechanisms, mediators, and moderators of outcomes. Effectiveness studies are also needed to validate those therapies when implemented in clinical settings (primary care), by non-sleep specialists. There is also a need to disseminate more effectively the available evidence in support of psychological and behavioral interventions to health-care practitioners working on the front line.
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ESSENTIAL RESEARCH
Cognitive behavioral therapy for insomnia enhances depression outcome in patients with comorbid major depressive disorder and insomnia.
This pilot study provides evidence that augmenting an antidepressant medication with a brief, symptom focused, cognitive-behavioral therapy for insomnia is promising for individuals with MDD and comorbid insomnia in terms of alleviating both depression and insomnia.
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ESSENTIAL RESEARCH
Is the placebo powerless? An analysis of clinical trials comparing placebo with no treatment.
We found little evidence in general that placebos had powerful clinical effects. Although placebos had no significant effects on objective or binary outcomes, they had possible small benefits in studies with continuous subjective outcomes and for the treatment of pain. Outside the setting of clinical trials, there is no justification for the use of placebos.
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CLINICAL TRIALRecruiting
Mental Health Status and Related Factors Among Physical Medicine & Rehabilitation Physicians in the Covid-19 Pandemic
Izmir, Turkey
All genders
In December 2019, a highly infectious disease caused by a novel coronavirus (SARS-CoV-2) emerged in Wuhan, China. On March 11th 2020, the World Health Organization (WHO) declared COVID-19 a pandemic. Facing this critical situation, health care workers on the front line are at risk of developing psychological distress and other mental health symptoms. Physical medicine and rehabilitation (PM&R) physicians works both in specialty outpateint/inpatient clinic and pandemic outpatient/inpatient clinics during the outbreak. Accordingly, PM&R physicians are expected to be mentally affected by COVID-19 pandemic. In this study we aimed to evaluate mental health status of PM&R physicians and related factors during COVID-19 pandemic. This study is a cross-sectional survey which is conducted on an online platform. Demographic data, working conditions of PM&R physicians and factors that may be related to mental health status is questioned in the survey. The Depression, Anxiety and Stress Scale - 21 (DASS-21) is used to measure the emotional states of depression, anxiety and stress.The Insomnia Severity Index (ISI) is used to assess the severity of both nighttime and daytime components of insomnia.
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0REPLY1 YEAR AGO
ESSENTIAL RESEARCH
Sedative hypnotics in older people with insomnia: meta-analysis of risks and benefits.
Improvements in sleep with sedative use are statistically significant, but the magnitude of effect is small. The increased risk of adverse events is statistically significant and potentially clinically relevant in older people at risk of falls and cognitive impairment. In people over 60, the benefits of these drugs may not justify the increased risk, particularly if the patient has additional risk factors for cognitive or psychomotor adverse events.
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ABOUT
Insomnia, also known as sleeplessness, is a sleep disorder where people have trouble sleeping.
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