Insomnia

Question 1

Define Insomnia

Answer 1

Unsatisfactory duration or quality of sleep

Question 2

Any expert consensus on criteria that defines insomnia?

Answer 2

- taking >30mins to fall asleep
OR
- spending >30mins awake in the middle of the night
WITH
- < 6.5h of sleep

Question 3

List 4 categories of insomnia

Answer 3

• initial insomnia
• difficulty staying asleep
• premature awakening in morning
• non-refreshing sleep

Question 4

What are the 2 large categories of sleep disorders?

Answer 4

1) Primary - dyssomnias and parasomnias

2) Secondary - due to medical or psychiatric condition

Question 5

What is the difference between acute and chronic insomnia?

Answer 5

Acute - <3mo.

Chronic - sleep disturbance > 3 nights / wk for more than 3 months

Question 6

List factors associated with insomnia in patients:

Answer 6

1) Psychiatric disorders
2) Chronic pain (bidirectional)
3) Opioids
4) Cancer
5) Other chronic illnesses