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ICD-9 [10] Organic sleep disorder, nonorganic sleep disorder and as symptom of other diseases 1979 Nosology Clinical classification into four major groups: Disorder of initiating and maintaining sleep (DIMS) - Insomnias, Disorder of Excessive sleep (DOES) - Hypersomnias, Disorder of sleep-wake schedule (Circadian rhythm disorders) and Parasomnias
ICD-9-CM ICD-10-CM Insomnia: Insomnia is defined as the subjective perception of difficulty with sleep initiation, duration, consolidation, or quality that occurs despite adequate opportunity for sleep, and that results in some form of daytime impairment. [4] Adjustment sleep disorder (acute insomnia) 307.41 F 51.02 Psychophysiological insomnia
The clinical practice of behavioral sleep medicine applies behavioral and psychological treatment strategies to sleep disorders. [3] [12] BSM specialists provide clinical services including assessment and treatment of sleep disorders and co-occurring psychological symptoms and disorders, often in conjunction with pharmacotherapy and medical devices that may be prescribed by medical professionals.
Complex or multicomponent interventions use multiple strategies, [5] and they often involve the participation of several types of care providers. [6] Non-pharmacological interventions can call on various fields of expertise, such as surgery, medical devices, rehabilitation, psychotherapy, and behavioral interventions. [6]
Complaints of non-restorative sleep without troubles of initiating or maintaining sleep are excluded. These difficulties are not primarily caused by a circadian rhythm disorder. In the case of a circadian rhythm disorder treatments such as phototherapy or chronobiologic interventions might be more suitable. However many primary insomnia ...
Between 10% and 30% of adults have insomnia at any given point in time and up to half of people have insomnia in a given year. [8] [9] [10] About 6% of people have insomnia that is not due to another problem and lasts for more than a month. [9] People over the age of 65 are affected more often than younger people. [7]
The response rate to sleep deprivation is generally agreed to be approximately 40-60%. A 2017 meta-analysis of 66 sleep studies with partial or total sleep deprivation in the treatment of depression found that the overall response rate (immediate relief of symptoms) to total sleep deprivation was 50.4% of individuals, and the response rate to partial sleep deprivation was 53.1% [3] In 2009, a ...
Insomnia disorder (primary insomnia), chronic difficulty in falling asleep or maintaining sleep when no other cause is found for these symptoms. Insomnia can also be comorbid with or secondary to other disorders. Kleine–Levin syndrome, a rare disorder characterized by persistent episodic hypersomnia and cognitive or mood changes [84]