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Insomnia Causes

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141. Effectiveness of internet-supported cognitive behavioral and chronobiological interventions and effect moderation by insomnia subtype: study protocol of a randomized controlled trial. (PubMed)

, with different underlying causes and expected treatment responses. The present study aims to evaluate the possibility for optimizing insomnia treatment along the principles of personalized and stratified medicine. It evaluates the following: 1. The relative effectiveness of internet-supported cognitive behavioral therapy, bright light, physical activity and body warming; 2. Whether the effectiveness of internet-supported cognitive behavioral therapy for insomnia can be augmented by simultaneous or prior (...) Effectiveness of internet-supported cognitive behavioral and chronobiological interventions and effect moderation by insomnia subtype: study protocol of a randomized controlled trial. DSM-V criteria for insomnia disorder are met by 6 to 10% of the adult population. Insomnia has severe consequences for health and society. One of the most common treatments provided by primary caregivers is pharmacological treatment, which is far from optimal and has not been recommended since a 2005 consensus

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2015 Trials

142. This is the best way to treat chronic insomnia

This is the best way to treat chronic insomnia This is the best way to treat chronic insomnia This is the best way to treat chronic insomnia | | July 9, 2015 235 Shares Chronic insomnia affects 5 percent to 15 percent of Americans. It is far from only a nighttime problem. As all of us know from occasional sleepless nights, the following day is unproductive and sometimes dangerous. Sleep deprived people are more prone to accidents, and are more likely to have depression, anxiety, diabetes (...) and high blood pressure. It is no surprise then that many patients seek relief from sleep medications. But most medications are only modestly effective. Many medications also slowly decline in efficacy over time, and some have worrisome side-effects. Cognitive behavioral therapy (CBT) has been known to be effective for chronic insomnia for some time. CBT is a specific kind of psychotherapy that focuses on thinking and on behavior. It is unlike older kinds of psychotherapy (like psychoanalysis

2015 KevinMD blog

143. Choosing Options for Insomnia in Cancer Effectively (CHOICE): A Comparative Effectiveness Trial of Acupuncture and Cognitive Behavior Therapy

as defined by the Diagnostic and Statistical Manual of Mental disorders, 5th Edition (DSM-5), per the diagnostic interview. According to this nosology, insomnia is defined as dissatisfaction with sleep quality or quantity characterized by difficulty initiating sleep, maintaining sleep, or early morning awakenings that cause significant distress or impairment in daytime functioning and occur at least three nights per week for at least three months despite adequate opportunity for sleep. Patients using (...) Choosing Options for Insomnia in Cancer Effectively (CHOICE): A Comparative Effectiveness Trial of Acupuncture and Cognitive Behavior Therapy Choosing Options for Insomnia in Cancer Effectively (CHOICE): A Comparative Effectiveness Trial of Acupuncture and Cognitive Behavior Therapy - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save

2015 Clinical Trials

144. Study to Evaluate the Effect of 2 Dosage Strengths of E2006 on a Multiple Sleep Latency Test in Subjects With Insomnia Disorder

Study to Evaluate the Effect of 2 Dosage Strengths of E2006 on a Multiple Sleep Latency Test in Subjects With Insomnia Disorder Study to Evaluate the Effect of 2 Dosage Strengths of E2006 on a Multiple Sleep Latency Test in Subjects With Insomnia Disorder - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached (...) the maximum number of saved studies (100). Please remove one or more studies before adding more. Study to Evaluate the Effect of 2 Dosage Strengths of E2006 on a Multiple Sleep Latency Test in Subjects With Insomnia Disorder The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02350309 Recruitment Status

2015 Clinical Trials

145. The associations of insomnia with costly workplace accidents and errors: results from the america insomnia survey. (PubMed)

accidents "that either caused damage or work disruption with a value of $500 or more" and another about other mistakes "that cost your company $500 or more."Current insomnia with duration of at least 12 months was assessed with the Brief Insomnia Questionnaire, a validated (area under the receiver operating characteristic curve, 0.86 compared with diagnoses based on blinded clinical reappraisal interviews), fully structured diagnostic interview. Eighteen other chronic conditions were assessed (...) The associations of insomnia with costly workplace accidents and errors: results from the america insomnia survey. Insomnia is a common and seriously impairing condition that often goes unrecognized.To examine associations of broadly defined insomnia (ie, meeting inclusion criteria for a diagnosis from International Statistical Classification of Diseases, 10th Revision, DSM-IV, or Research Diagnostic Criteria/International Classification of Sleep Disorders, Second Edition) with costly workplace

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2012 Archives of General Psychiatry

146. Acupuncture for Insomnia: a Randomized Controlled Trial

of Mental Disorders, Fifth Edition,2013, American psychiatric association PSQI score >7 AIS score ≥6 SDS ≤60 SAS ≤60 Age between 18 and 65 years old Not involved in other clinical trial in the lasted 6 months before screening Have the ability to write the informed consent. Exclusion Criteria: Breathing-related sleep disorders Circadian rhythm sleep-wake disorders Medication-induced sleep disorder Substance induced sleep disorders,such as alcohol, coffee, strong tea Secondary insomnia caused by systemic (...) Acupuncture for Insomnia: a Randomized Controlled Trial Acupuncture for Insomnia: a Randomized Controlled Trial - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Acupuncture for Insomnia: a Randomized

2014 Clinical Trials

147. Midlife insomnia and subsequent mortality: the Hordaland health study. (PubMed)

Midlife insomnia and subsequent mortality: the Hordaland health study. Previous research suggests a possible link between insomnia and mortality, but findings are mixed and well-controlled studies are lacking. The aim of the current study was to examine the effect of insomnia in middle age on all-cause mortality.Using a cohort design with 13-15 years follow-up, mortality registry data were linked to health information obtained during 1997-99, as part of the community-based Hordaland Health (...) Study (HUSK), in Western Norway. 6,236 participants aged 40-45 provided baseline information on self- reported insomnia using the Karolinska Sleep Questionnaire Scale (defined according to the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V), sociodemographic factors, health behaviors, shift/night-work, obstructive sleep apnea symptoms, sleep duration, sleep medication use, anxiety, depression, as well as a range of somatic diagnoses and symptoms. Height, weight

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2014 BMC Public Health

148. Insomnia Symptoms and Risk for Unintentional Fatal Injuries—The HUNT Study (PubMed)

Insomnia Symptoms and Risk for Unintentional Fatal Injuries—The HUNT Study To assess the association between insomnia symptoms and risk of fatal unintentional injuries.Population-based prospective cohort study with a mean follow-up of 14 y, linking health survey data with information on insomnia symptoms to the National Cause of Death Registry.Nord-Trøndelag County, Norway.A total of 54,399 men and women 20-89 y of age who participated in the Nord-Trøndelag Health Study between 1995 and 1997 (...) .N/A.There were 277 unintentional fatal injuries, including 57 fatal motor vehicle injuries during follow-up. There was a dose-dependent association between the number of insomnia symptoms and risk of unintentional fatal injuries (P for trend 0.001) and fatal motor vehicle injuries (P for trend 0.023), respectively. The proportion of unintentional fatal injuries cases that could have been prevented in the absence of difficulties initiating sleep, difficulties maintaining sleep, and having

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2014 Sleep

149. The insomnia and suicide link: toward an enhanced understanding of this relationship. (PubMed)

The insomnia and suicide link: toward an enhanced understanding of this relationship. Despite current knowledge of risk factors for suicidal behaviors, suicide remains a leading cause of death worldwide. This suggests a strong need to identify and understand additional risk factors. A number of recent studies have identified insomnia as a modifiable, independent suicide risk factor. Although a link between insomnia and suicide is emerging, further research is required in order to understand (...) the nature of the relationship. Accordingly, this paper presents an overview of the insomnia and suicide literature to-date, and a discussion of two major limitations within this literature that hinder its progress. First, the classification and assessment of insomnia and suicide-related thoughts and behaviors are inconsistent across studies; and second, there is a lack of empirical studies focused on investigating mediators of the insomnia and suicide relationship. Suggestions are offered within

2014 Sleep medicine reviews

150. Open Pilot of Cognitive Behavioural Therapy for Insomnia in Pregnancy

to assess the severity of sleep onset, sleep maintenance and early wakening problems, sleep dissatisfaction, and one's perceived distress caused by sleep problems. Scores on the ISI range from 0 to 28, with scores ≥ 15 indicating clinical insomnia. Change in Pittsburgh Sleep Quality Index (PSQI) scores from baseline to post-treatment [ Time Frame: Baseline (Week 1), Post-treatment (Week 7) ] The PSQI instrument is used in assessing one's sleep quality in the preceding month. It is comprised of 19 self (...) Open Pilot of Cognitive Behavioural Therapy for Insomnia in Pregnancy Open Pilot of Cognitive Behavioural Therapy for Insomnia in Pregnancy - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Open Pilot

2014 Clinical Trials

151. Pilot Study to Clinical Evaluate Lacrima Medical Device in Insomnia Patients

for insomnia for 14 days Patients currently using stimulants drugs 7 days Patients currently using antidepressants causing sleepiness Patients who are unable to commit to avoid consumption alcohol during the study Patients who are unable to commit to avoid consumption caffeine after 12 pm Patients who have a clinical significant or unstable medical or surgical condition Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may (...) Pilot Study to Clinical Evaluate Lacrima Medical Device in Insomnia Patients Pilot Study to Clinical Evaluate Lacrima Medical Device in Insomnia Patients - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more

2014 Clinical Trials

152. To Evaluate the Effect of Perampanel on Objective and Subjective Sleep in Subjects With Insomnia and Partial Onset Seizures

To Evaluate the Effect of Perampanel on Objective and Subjective Sleep in Subjects With Insomnia and Partial Onset Seizures To Evaluate the Effect of Perampanel on Objective and Subjective Sleep in Subjects With Insomnia and Partial Onset Seizures - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached (...) the maximum number of saved studies (100). Please remove one or more studies before adding more. To Evaluate the Effect of Perampanel on Objective and Subjective Sleep in Subjects With Insomnia and Partial Onset Seizures The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02220972 Recruitment Status

2014 Clinical Trials

153. Improvement and Mechanism of Wheel-chair Music Aerobic Exercise on Depression and Insomnia Among the Elderly in Long-term Care Facilities

regular exercise. The lack of physical activity may cause decreased physical function, impaired immunity, insomnia and depression. Insomnia can affect circadian rhythm, control of emotion and blood pressure. Depression can affect hormone regulation and quality of life. More importantly, depression has been recognized as one of the world's top three health problems by the World Health Organization. In Taiwan, our previous study showed that the prevalence of depression in community elderly was 27.5 (...) , BMC Public Health. 2013). Thus, we hypothesized that those wheel-chair dependent elders, who exercise less due to physical disability, have poor sleep quality that causes emotional disturbance and potential depression. A customized wheel-chair exercise for the elderly of long term care facilities might promote physical activity and improve insomnia and depression. Tai-chi Chuan exercise requires more endurance of static posture and is not suitable for wheel-chair dependent elders. Our preliminary

2014 Clinical Trials

154. RCT of CBT for Insomnia With PLWHA

RCT of CBT for Insomnia With PLWHA RCT of CBT for Insomnia With PLWHA - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. RCT of CBT for Insomnia With PLWHA The safety and scientific validity of this study (...) trial (RCT) comparing a known efficacious treatment for insomnia (CBT-I) to a sleep hygiene (SH) comparison condition. Condition or disease Intervention/treatment Phase Insomnia HIV Aids Behavioral: CBT-I Treatment Condition Behavioral: SH Comparison Condition Not Applicable Detailed Description: The purpose of this study is to test whether a group cognitive-behavioral treatment program for insomnia (CBT-I) will help adults diagnosed with HIV to improve the quantity (number of hours) and the quality

2014 Clinical Trials

155. Preventing the Inflammatory Response to Experimentally-induced Insomnia Symptoms

Preventing the Inflammatory Response to Experimentally-induced Insomnia Symptoms Preventing the Inflammatory Response to Experimentally-induced Insomnia Symptoms - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding (...) more. Preventing the Inflammatory Response to Experimentally-induced Insomnia Symptoms The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02268565 Recruitment Status : Completed First Posted : October 20, 2014 Last Update Posted : March 15, 2017 Sponsor: Beth Israel Deaconess Medical Center Information

2014 Clinical Trials

156. Traditional Chinese Medicine Suan Tsao Jen Tang and Tian-Wang-Bu-Xin Dan in Patients With Primary Insomnia. A Multi-center Clinical Trial

, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Insomnia disorders in patients 20-80 years of age, the Pittsburgh Sleep Assessment Scale (PSQI)> 6 points. No insomnia caused by other diseases. For example: mental illness (depression, etc.), sleep apnea, heart disease (acute myocardial infarction, heart rate is not the whole), hypertension, diabetes, cancer and so on. There are more than a week (including) three times to be more than 30 minutes (...) to fall asleep and sleep less than six hours, there is a continuous months. Test subjects had to really understand the nature of this study, and participants signed consent. Exclusion Criteria: Before participating in this study, three months, had a major accident or wheel graveyard shift or jet lag problems (such as a long flight). Any insomnia caused by other diseases. For example: mental illness (depression, etc.), sleep apnea, heart disease (acute myocardial infarction), poorly controlled

2014 Clinical Trials

157. Sleep Quality, Daytime Sleepiness and Insomnia in Patients With Endometriosis: a Case-control Study.

Sleep Quality, Daytime Sleepiness and Insomnia in Patients With Endometriosis: a Case-control Study. Sleep Quality, Daytime Sleepiness and Insomnia in Patients With Endometriosis: a Case-control Study. - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please (...) remove one or more studies before adding more. Sleep Quality, Daytime Sleepiness and Insomnia in Patients With Endometriosis: a Case-control Study. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02027142 Recruitment Status : Completed First Posted : January 3, 2014 Last Update Posted : May 4, 2017

2014 Clinical Trials

158. Transcranial Magnetic Stimulation for Treatment of Insomnia

health and economic consequences well beyond inadequate and non-restorative sleep. It increases healthcare costs, causes or adds to medical and psychiatric comorbidities, cognitive impairments, accidents, absenteeism and reduced quality of life. Treatment of insomnia is difficult and usually needs a multimodal approach incorporating various cognitive and behavioral approaches in addition to medication treatment. TMS and other neurophysiological studies have shown presence of a diffuse cortical hyper (...) will be offered enrollment in this study Patients must meet DSM IV criteria for Primary insomnia Aged 21-65 years to target relatively healthy adults Exclusion Criteria: Patients with co-morbid depression Substance abuse in last two weeks No Psychotropic medication changes 2 weeks before start of TMS treatment and no changes during the 3 week treatment period Patients with a major medical or psychiatric disorder that may be causing or contributing to insomnia: bipolar disorder, psychosis, anxiety disorders

2014 Clinical Trials

159. Treatments for Insomnia: Mediators, Moderators and Quality of Life

Treatments for Insomnia: Mediators, Moderators and Quality of Life Treatments for Insomnia: Mediators, Moderators and Quality of Life - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Treatments for Insomnia (...) Department of Veterans Affairs Palo Alto Veterans Institute for Research Information provided by (Responsible Party): Jerome A Yesavage,, Stanford University Study Details Study Description Go to Brief Summary: The purpose of this study is to evaluate the relative efficacy and effectiveness of specific components of cognitive behavioral therapies for insomnia: sleep restriction (SR) and cognitive therapy (CT) in comparison to combined SR and CT (SR+CT). Condition or disease Intervention/treatment Phase

2014 Clinical Trials

160. Alternative Dosing Regimens in the Pharmacotherapy of Insomnia

the explanations and instructions given by the study physician and the investigator Exclusion Criteria: Sleep disorders caused by medical factors (e.g. sleep apnea, restless legs syndrome, narcolepsy, substance-induced insomnia) Contraindications to study medication intake according to the information sheet for health professionals (Summary of medicinal Product Characteristics, SmPC; Fachinformation in Germany) assessed by physical examination (including ECG) and medical history allergies to amitriptyline (...) Alternative Dosing Regimens in the Pharmacotherapy of Insomnia Alternative Dosing Regimens in the Pharmacotherapy of Insomnia - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Alternative Dosing Regimens

2014 Clinical Trials

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