2014
DOI: 10.1590/0004-282x20130184
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Abstract: The word insomnia may signify -both for patients and for many physicians, merely the difficulty in falling asleep and a disorder of sleep loss. However, besides the patient's experiencing difficulty in initiating or maintaining sleep and poor quality of sleep, even with adequate opportunity and time, he also faces daytime impairment: fatigue, decreased concentration, attention or memory, low academic productivity, functional or professional impairment, besides mood disturbances or irritability, greater work ab… Show more

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Cited by 18 publications
(4 citation statements)
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References 52 publications
(51 reference statements)
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“…Insomnia is defined as a subjective complaint of difficulty in initiating sleep, difficulty in maintaining sleep, or waking up too early (Molen, Carvalho, Prado, & Prado, ; Schutte‐Rodin, Broch, Buysse, Dorsey, & Sateia, ). The American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders' newly proposed criteria for chronic insomnia, which is currently closed to public comment, includes an insomnia complaint (ie, difficulty initiating or maintaining sleep, early‐morning awakenings, or nonrestorative sleep in adults) accompanied by daytime impairments, for at least 3 nights per week, for at least 3 months (American Psychiatric Association, ).…”
Section: Introductionmentioning
confidence: 99%
“…Insomnia is defined as a subjective complaint of difficulty in initiating sleep, difficulty in maintaining sleep, or waking up too early (Molen, Carvalho, Prado, & Prado, ; Schutte‐Rodin, Broch, Buysse, Dorsey, & Sateia, ). The American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders' newly proposed criteria for chronic insomnia, which is currently closed to public comment, includes an insomnia complaint (ie, difficulty initiating or maintaining sleep, early‐morning awakenings, or nonrestorative sleep in adults) accompanied by daytime impairments, for at least 3 nights per week, for at least 3 months (American Psychiatric Association, ).…”
Section: Introductionmentioning
confidence: 99%
“…According to neurobiological and psychological views, individual [23], behavioural [24], cognitive [25], and emotional [26] variables have been implicated in the onset to maintenance of Insomnia. In addition to the theoretical frameworks conceptualized to address the insomnia pathophysiology (e.g., neurobiological, behavioral), the Insomnia etiology is signi cantly taught from a diathesis-stress perspective.…”
Section: Insomnia Risk Factorsmentioning
confidence: 99%
“…However, hypnotic drugs cause many side effects, including increased risk of falls resulting in fracture, cognitive impairment, impaired motor coordination, sedation, confusion, motor vehicle accidents, tolerance and dependence [38,39], and are associated with increased mortality and risk of dementia [40][41][42]. In the search for non-pharmacological treatments for insomnia without severe side effects and with longer-lasting effects, clinical trials have tested the effects of exercise, thought control, imagery training, acupuncture, paradoxical intention, mindfulness and cognitive behavioural therapy for insomnia (CBT-i) [43][44][45]. Currently, non-pharmacological treatment for insomnia in patients with RA has focused only on physical activity and exercise training [46,47].…”
Section: Treatment Of Insomniamentioning
confidence: 99%