Insomnia, the disease of our age

I have two nights, both of them sleepless;

Either without you, I cannot sleep, or with you, sleep is forbidden.

Hz. Mevlana


Approximately one third of human life is spent sleeping. Although the daily sleep need of an adult is 7-8 hours, this period varies greatly from person to person. While there are healthy individuals who can be satisfied with 3-4 hours of sleep, 8-9 hours of sleep may not be enough for some people. The sleep duration of 16-18 hours in newborn babies shortens with age. Again, in the later years of life, the duration of deep sleep also decreases. Older people are affected by sound, light and light. They are more sensitive to external stimuli, such as changes in body temperature, and their sleep is more easily interrupted. During its normal duration, sleep follows a cyclical pattern. There are two sleep states that repeat 4-5 times at certain intervals and have different characteristics. These are: 1-REM sleep with rapid eye movements 2-Non-REM sleep period. REM sleep is associated with dreaming. Non-REM sleep is the period when physiological and psychological activity decreases. 50% of people experience insomnia at some point in their lives. Again, symptoms of insomnia may be found in 1/3 of adults when investigated. In approximately 10-15% of these people, their insomnia is accompanied by problems they experience during the day. Although sleep problems can occur at any time in life, they are more common in young adults.

Insomnia is more common among women than men. In women, the onset of insomnia may occur during menopause, and it continues after other symptoms of menopause, such as hot flashes, disappear. If sleep problems started at an older age, it is necessary to review other health problems. Problems related to falling asleep are more common in young people, and problems with maintaining sleep are observed in middle and older ages. According to the American Psychiatric Association DSM-5 (Diagnostic and Statistical Manual of Mental Disorders); Diagnostic criteria for Insomnia Disorder: Difficulty falling asleep. Difficulty staying asleep, frequent waking up, or having trouble falling back asleep after waking up. It is a disease characterized by the presence of at least one of the complaints of waking up early in the morning and not being able to fall back asleep after waking up. Sleep disturbance that causes clinically significant distress or social, work-related This causes a decrease in school-related functionality. Occurs at least 3 nights a week. It continues for at least 3 months. Even though sleep is a conducive environment for sleeping, this problem persists. It cannot be attributed to another disease or to the physiological effects of a substance or drug of abuse. If these symptoms last more than one month and less than three months, they are called periodic, and if they last longer than three months, they are called persistent insomnia disorder.

Facilitating Reasons: Psychological Structure: Anxiety, anxious personality or having an anxious mental structure. Environmental Features: Sound, light, uncomfortably high or low temperatures, and being at high altitude can facilitate insomnia. Hereditary and Physiological Causes: Female gender and older age are at a higher risk of insomnia. Interrupted sleep and insomnia are associated with familial predisposition.

CONSEQUENCES: Insomnia or excessive thinking about sleep causes unusual restlessness and inability to concentrate during the day, disrupting interpersonal and social relationships. Again, insomnia disrupts attention and concentration, which causes inefficiency in work and school life and decreases in quality of life. It is also one of the important causes of traffic accidents. Everyone's sleep may be disturbed from time to time. Mental distress and physical illnesses can temporarily disrupt the duration and pattern of sleep. It can also be seen as a symptom in many psychiatric disorders (bipolar mood disorder, depression, obsessive-compulsive disorder, anxiety disorder). These are not diagnosed with sleep disorders, their diagnosis is their primary disease.

Sleep problems are the curse of intelligent people. A.Einstein

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