Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0917801 (insomnia)
 10,606 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Insomnia is a common problem in medical practice. When the patient says 'Doctor I can't sleep at night' the cause should be identified from stress, psychological disturbance, physical symptoms, disease, drugs or environmental or idiopathic factors. A behavioural strategy focusing on relaxation and methods for stimulus control is presented.
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PMID:'Doctor I can't sleep at night'. 666 78

The MMPI performance of two sub-groups of chronic insomniac patients was compared to determine if patients with psychologically based insomnia (Group 1) differed from those with medically based insomnia (Group 2). This was done to establish whether etiology of insomnia had an impact on the psychological picture. We postulated that Group 1 would show a higher overall incidence of psychopathology, particularly on scales suggesting internalization of distress. Surprisingly, the results revealed no significant differences between the groups with respect to these questions. When the two diagnostic groups were combined, the sample as a whole was characterized by a high overall prevalence of psychopathology. As many as 79.3% of the MMPI records contained one or more clinical scales in the pathological range. Depression was a prominent feature. Our findings emphasize the importance of not assuming that a patient with an organically-based insomnia (e.g. due to sleep apnea, etc.) is free of psychological disturbance. This, in turn, underscores the need for a psychological evaluation as a routine part of the diagnostic work-up of all insomniac patients, regardless of the etiology of their disorder.
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PMID:Comparison of MMPI profiles in medically and psychologically based insomnias. 917 76

Study was made of the psychological sequelae of 301 tubal sterilizations performed between 1959 and 1964 at the Lady Hardinge Hospital in New Delhi. The women were interviewed on aspects of their general health, sleeping habits, and evidences of depression and anxiety for 2-4 years after the operation. The women were divided into 2 groups for comparison: the 241 who had requested the procedure and the 60 who had had to be persuaded to have the operation. Mild psychological disturbances such as anxiety of insomnia were reported in 12.2% of the cases, and severe disturbances such as hysteria or severe depression were reported in 8.9% of the cases. There were more disturbances reported in the persuaded group than the willing group. No significant change was reported in the patients' sexual response after the operations, though those in the persuaded group had slightly less libido. Also those with altered libido in both groups showed much higher degree of psychological disturbance than those with unaltered libido. Dyspareunia was reported in 13% of the cases and menstrual disturbances in 26.8% of the cases. The persuaded group showed much higher rates of dysmenorrhea than the willing group. Some changes occurred in family happiness after the operation, both positive and negative. It is concluded that psychological disturbances are an important factor in dealing with sterilization procedures.
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PMID:Psychological aspects of sterilisation in female. 1233 20

Without specific etiology or effective treatment, chronic fatigue syndrome (CFS) remains a contentious diagnosis. Individuals with CFS complain of fatigue and poor sleep--symptoms that are often attributed to psychological disturbance. To assess the nature and prevalence of sleep disturbance in CFS and to investigate the widely presumed presence of psychological maladjustment we examined sleep quality, sleep disorders, physical health, daytime sleepiness, fatigue, and psychological adjustment in three samples. individuals with CFS; a healthy control group; and individuals with a definite medical diagnosis: narcolepsy. Outcome measures included physiological evaluation (polysomnography), medical diagnosis, structured interview, and self-report measures. Results indicate that the CFS sample had a very high incidence (58%) of previously undiagnosed primary sleep disorder such as sleep apnea/hypopnea syndrome and restless legs/periodic limb movement disorder. They also had very high rates of self-reported insomnia and nonrestorative sleep. Narcolepsy and CFS participants were very similar on psychological adjustment: both these groups had more psychological maladjustment than did control group participants. Our data suggest that primary sleep disorders in individuals with CFS are underdiagnosed in primary care settings and that the psychological disturbances seen in CFS may well be the result of living with a chronic illness that is poorly recognized or understood.
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PMID:Sleep quality and psychological adjustment in chronic fatigue syndrome. 1566 45