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Insomnia Causes

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161. 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

162. 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

163. 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

164. 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

165. 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

166. 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

167. 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

168. Insomnia Treatment for Women Veterans

of the patients we serve is critical. Insomnia complaints are more common among women than men, with a mean prevalence of over 23% among US women. Insomnia (defined as sleep disturbance that is sufficiently severe to cause distress or impact functioning), is a significant public health concern that contributes to lost productivity, psychological distress, medical morbidity, and mortality risk. In a recent paper on transformation of care for women Veterans, Yano et al. included "sleep issues" as part (...) Insomnia Treatment for Women Veterans Insomnia Treatment for Women Veterans - 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. Insomnia Treatment for Women Veterans The safety and scientific validity

2014 Clinical Trials

169. Efficacy and Safety Study of Propofol Infusion for Refractory Chronic Primary Insomnia

. Individuals with insomnia have a decreased quality of life compared to those who report other serious illnesses such as major depression and congestive heart failure. Chronic insomnia can be caused by medications, drug or alcohol abuse, psychiatric disorders, medical and neurologic disorders. It can impair cognitive and physical functioning. Propofol is an approved drug administered intravenously for use in the induction and maintenance of anesthesia or sedation. Some research suggests that propofol when (...) Efficacy and Safety Study of Propofol Infusion for Refractory Chronic Primary Insomnia Efficacy and Safety Study of Propofol Infusion for Refractory Chronic Primary 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

2014 Clinical Trials

170. 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

171. 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

172. Primary Insomnia (Treatment)

> Primary Insomnia Updated: Aug 25, 2014 Author: Catherine McVearry Kelso, MD, MS; Chief Editor: Iqbal Ahmed, MBBS, FRCPsych(UK) Share Email Print Feedback Close Sections Sections Primary Insomnia Criteria for Primary Insomnia Primary insomnia is sleeplessness that is not attributable to a medical, psychiatric, or environmental cause. Below are the diagnostic criteria for primary insomnia as set forth by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision ( DSM-IV-TR (...) that indicate sleep deprivation and fatigue can include features such as eye redness. Depending on the origin of the sleep dysfunction, other physical findings would be included to rule out secondary causes (ie, weight, neck circumference, thyroid). Previous Next: Assessment of Mental Status A complete neurologic examination is included in the evaluation of insomnia, to assess for comorbid conditions. Recognition of mental disorders that may be contributing to insomnia is key to effectively managing

2014 eMedicine.com

173. Insomnia (Treatment)

and conditioning to arousal in bed. If the patient has a psychiatric disorder, the disorder should be treated. Management may involve medications, psychotherapy, and possible referral to a psychiatrist, psychologist, or therapist. If the insomnia is related to medication or drug abuse, the offending medication or drug must be slowly tapered and withdrawn. Even when comorbid causes of insomnia (ie, medical, psychiatric) are treated, however, variable degrees of insomnia persist that require additional (...) 15. 3(1):63-72. . Chien KL, Chen PC, Hsu HC, Su TC, Sung FC, Chen MF, et al. Habitual sleep duration and insomnia and the risk of cardiovascular events and all-cause death: report from a community-based cohort. Sleep . 2010 Feb 1. 33(2):177-84. . . Phillips B, Buzková P, Enright P. Insomnia did not predict incident hypertension in older adults in the cardiovascular health study. Sleep . 2009 Jan 1. 32(1):65-72. . . Gangwisch JE, Heymsfield SB, Boden-Albala B, Buijs RM, Kreier F, Pickering TG, et

2014 eMedicine.com

174. Primary Insomnia (Overview)

> Primary Insomnia Updated: Aug 25, 2014 Author: Catherine McVearry Kelso, MD, MS; Chief Editor: Iqbal Ahmed, MBBS, FRCPsych(UK) Share Email Print Feedback Close Sections Sections Primary Insomnia Criteria for Primary Insomnia Primary insomnia is sleeplessness that is not attributable to a medical, psychiatric, or environmental cause. Below are the diagnostic criteria for primary insomnia as set forth by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision ( DSM-IV-TR (...) that indicate sleep deprivation and fatigue can include features such as eye redness. Depending on the origin of the sleep dysfunction, other physical findings would be included to rule out secondary causes (ie, weight, neck circumference, thyroid). Previous Next: Assessment of Mental Status A complete neurologic examination is included in the evaluation of insomnia, to assess for comorbid conditions. Recognition of mental disorders that may be contributing to insomnia is key to effectively managing

2014 eMedicine.com

175. Insomnia (Overview)

conditions that may contribute to more common causes of insomnia (eg, psychiatric disorders) A social history should be obtained, addressing the following: Transient or short-term insomnia: Recent situational stresses Chronic insomnia: Past stresses or medical illnesses Use of tobacco, caffeinated products, alcohol, and illegal drugs The medication history should be reviewed, focusing on agents that commonly cause insomnia, such as the following: Beta blockers Clonidine Theophylline (acutely) Certain (...) antidepressants (eg, protriptyline, fluoxetine) Decongestants Stimulants Over-the-counter and herbal remedies Physical examination may offer clues to underlying medical disorders predisposing to insomnia. [ ] Specific recommendations include the following: History suggestive of : Careful head and neck examination Symptoms of or periodic limb movement disorder or any other neurologic disorder: Careful neurologic examination Daytime symptoms consistent with a medical cause of insomnia: Careful examination

2014 eMedicine.com

176. Insomnia (Overview)

conditions that may contribute to more common causes of insomnia (eg, psychiatric disorders) A social history should be obtained, addressing the following: Transient or short-term insomnia: Recent situational stresses Chronic insomnia: Past stresses or medical illnesses Use of tobacco, caffeinated products, alcohol, and illegal drugs The medication history should be reviewed, focusing on agents that commonly cause insomnia, such as the following: Beta blockers Clonidine Theophylline (acutely) Certain (...) antidepressants (eg, protriptyline, fluoxetine) Decongestants Stimulants Over-the-counter and herbal remedies Physical examination may offer clues to underlying medical disorders predisposing to insomnia. [ ] Specific recommendations include the following: History suggestive of : Careful head and neck examination Symptoms of or periodic limb movement disorder or any other neurologic disorder: Careful neurologic examination Daytime symptoms consistent with a medical cause of insomnia: Careful examination

2014 eMedicine.com

177. Insomnia (Treatment)

and conditioning to arousal in bed. If the patient has a psychiatric disorder, the disorder should be treated. Management may involve medications, psychotherapy, and possible referral to a psychiatrist, psychologist, or therapist. If the insomnia is related to medication or drug abuse, the offending medication or drug must be slowly tapered and withdrawn. Even when comorbid causes of insomnia (ie, medical, psychiatric) are treated, however, variable degrees of insomnia persist that require additional (...) 15. 3(1):63-72. . Chien KL, Chen PC, Hsu HC, Su TC, Sung FC, Chen MF, et al. Habitual sleep duration and insomnia and the risk of cardiovascular events and all-cause death: report from a community-based cohort. Sleep . 2010 Feb 1. 33(2):177-84. . . Phillips B, Buzková P, Enright P. Insomnia did not predict incident hypertension in older adults in the cardiovascular health study. Sleep . 2009 Jan 1. 32(1):65-72. . . Gangwisch JE, Heymsfield SB, Boden-Albala B, Buijs RM, Kreier F, Pickering TG, et

2014 eMedicine.com

178. Primary Insomnia (Follow-up)

> Primary Insomnia Updated: Aug 25, 2014 Author: Catherine McVearry Kelso, MD, MS; Chief Editor: Iqbal Ahmed, MBBS, FRCPsych(UK) Share Email Print Feedback Close Sections Sections Primary Insomnia Criteria for Primary Insomnia Primary insomnia is sleeplessness that is not attributable to a medical, psychiatric, or environmental cause. Below are the diagnostic criteria for primary insomnia as set forth by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision ( DSM-IV-TR (...) that indicate sleep deprivation and fatigue can include features such as eye redness. Depending on the origin of the sleep dysfunction, other physical findings would be included to rule out secondary causes (ie, weight, neck circumference, thyroid). Previous Next: Assessment of Mental Status A complete neurologic examination is included in the evaluation of insomnia, to assess for comorbid conditions. Recognition of mental disorders that may be contributing to insomnia is key to effectively managing

2014 eMedicine.com

179. Insomnia (Follow-up)

and conditioning to arousal in bed. If the patient has a psychiatric disorder, the disorder should be treated. Management may involve medications, psychotherapy, and possible referral to a psychiatrist, psychologist, or therapist. If the insomnia is related to medication or drug abuse, the offending medication or drug must be slowly tapered and withdrawn. Even when comorbid causes of insomnia (ie, medical, psychiatric) are treated, however, variable degrees of insomnia persist that require additional (...) 15. 3(1):63-72. . Chien KL, Chen PC, Hsu HC, Su TC, Sung FC, Chen MF, et al. Habitual sleep duration and insomnia and the risk of cardiovascular events and all-cause death: report from a community-based cohort. Sleep . 2010 Feb 1. 33(2):177-84. . . Phillips B, Buzková P, Enright P. Insomnia did not predict incident hypertension in older adults in the cardiovascular health study. Sleep . 2009 Jan 1. 32(1):65-72. . . Gangwisch JE, Heymsfield SB, Boden-Albala B, Buijs RM, Kreier F, Pickering TG, et

2014 eMedicine.com

180. Insomnia (Follow-up)

and conditioning to arousal in bed. If the patient has a psychiatric disorder, the disorder should be treated. Management may involve medications, psychotherapy, and possible referral to a psychiatrist, psychologist, or therapist. If the insomnia is related to medication or drug abuse, the offending medication or drug must be slowly tapered and withdrawn. Even when comorbid causes of insomnia (ie, medical, psychiatric) are treated, however, variable degrees of insomnia persist that require additional (...) 15. 3(1):63-72. . Chien KL, Chen PC, Hsu HC, Su TC, Sung FC, Chen MF, et al. Habitual sleep duration and insomnia and the risk of cardiovascular events and all-cause death: report from a community-based cohort. Sleep . 2010 Feb 1. 33(2):177-84. . . Phillips B, Buzková P, Enright P. Insomnia did not predict incident hypertension in older adults in the cardiovascular health study. Sleep . 2009 Jan 1. 32(1):65-72. . . Gangwisch JE, Heymsfield SB, Boden-Albala B, Buijs RM, Kreier F, Pickering TG, et

2014 eMedicine.com

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