Concerns about or dissatisfaction with sleep.Ĭ. ![]() Decreased motivation, energy, or initiative,ĩ. Behavioral problems (such as hyperactivity, impulsivity or aggression),ħ. Impairments in social, family, occupational or academic performance,Ħ. Decrease in attention, concentration, or memory,ģ. The patient (or parents or caregivers) reports at least one of the following symptoms related to the nighttime difficulty in sleeping:Ģ. Difficulty sleeping without parent or caregiver intervention.ī. Resistance to going to bed on an appropriate schedule, orĥ. The patient (or parents or caregivers) reports at least one of the following:Ĥ. ![]() Ĭriteria A-F must all be met for the diagnosis of chronic insomnia disorder:Ī. The diagnostic criteria of chronic and acute insomnia disorder. Are there daytime naps? How many times, and for how long?.Is there a difference during longer vacations?.Is there a difference between working days and the weekends?.What is the total duration spent within the bed? How many hours of this duration have approximately been spent sleeping?.What is the sleep latency following going to bed? The earliest and the latest minutes of hours should be noted.Is there a regular timing to go to bed and to get out of the bed? If not, the earliest and the latest hours should be noted.For these reasons, a detailed questioning should include the following questions: Also, other conditions mimicking insomnia, such as normal variants like “short-sleeper”, should be excluded. When a physician faces a patient with either a single or a combination of these complaints, a detailed questioning about the sleep hygiene of the patient should be made to differentiate the symptom “insomnia” from the “insomnia disorder”. These features may be reported by the parents of a child or by the caregiver of a patient. In adolescents or young adults, showing resistance to going to bed or needing a pre-formed condition to sleep, such as the presence of a parent or a toy, may constitute the main complaint of insomnia. There may be a problem in initiating sleep, maintaining sleep, or early awakening than the desired The first diagnostic criterion is the presence of the complaint of insomnia. The diagnostic criteria of insomnia disorder on the basis of the third edition of International Classification of Sleep Disorders are shown in Table 1. ![]() The diagnosis of insomnia disorder, as one of the sleep disorders, is made according to the current classification defined by the American Academy of Sleep Medicine.
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