Insomnia is defined by two elements.
1. unsatisfactory sleep duration or quality.
2. Interference with daytime social functioning. World Health Organization (WHO) criteria for determining insomnia: There are strict definitions for determining insomnia in medicine, based on the World Health Organization (WHO) criteria.
(1) Inability to fall asleep for 30 minutes after going to bed at least 3 days a week for one month in a row.
(2) Sleeping less than 6.5 hours per day.
(3) Waking up more than three times during the night during sleep and having difficulty falling asleep afterwards.
(4) excessive dreaming.
(5) Waking up the next day with drowsiness, fatigue, and poor mental status.
Insomnia is considered to be caused by the presence of one or more of the above.
What are the causes of insomnia?
1. General insomnia.
There may be a reason, there may not be the original cause; such as some people can not find any reason, even you have a few days of sleep less, sleep 3-4 hours per night, feel very tired during the day, after a period of time and back to normal sleep; such as some people encountered career problems, and people quarrel, etc., even sleep poorly for a few days; some people play cards until late at night, for several days, and then several days can not sleep, this insomnia is caused by the biological clock is 拢 disruption.
2, non-organic insomnia.
a. The elements of insomnia are attached;
b. There is not much physical discomfort except insomnia; actively seek medical attention;
c, auxiliary examination did not find abnormalities;
d, no serious mental illness, no stress factors, etc.;
3.Insomnia due to stress factors.
There are some mental stress factors; such as economic failure; separation of relatives; imprisonment; marital discord, etc.
4.Insomnia caused by somatization disorder.
a.With the characteristics of insomnia.
b. Multi-system discomfort: central: headache, blurred vision, unstable walking; cardiovascular: chest tightness, angina, palpitations; gastrointestinal: diaphragm, bloating, “stomach pain”, rotten stools, more; respiratory: like breathlessness, shortness of breath; dry cough; urinary: painful urination, frequent urination, urgent urination; motor: neck pain, lumbago, myalgia, etc. There may be 1-2 of these symptoms, and there may be many of them.
C. Go everywhere for examination, go to all hospitals, have done many examinations; all kinds of examinations find few problems or no problems. The symptoms are very disproportionate to what is seen in the examination.
5. Insomnia of depression.
When depression, the patient may also be relatively heavy insomnia, in addition to insomnia, there are also bad mood, decreased interest, rarely active speech, anorexia, self-perception of self-guilt or think that they have done something wrong to others; think that living is meaningless, it is better to die and forget and other symptoms.
6.Insomnia caused by mania.
Patients do not sleep well, or stay awake all night, seem excited and talk a lot, think they are very smart, can do business and make a lot of money; meddle in things; spend money indiscriminately. Appear happy for no reason.
7. Insomnia caused by bipolar disorder.
This disease also causes severe insomnia; the onset of depression and mania alternately, a period of time to show depression, a period of time to show mania; mixed appearances are also possible .
8, insomnia caused by schizophrenia.
Patients have severe insomnia, and at the same time may talk and laugh to themselves, think that someone is harming him, think that someone is following him; think that people are controlling him with high technology; think that his thoughts are being passed out, etc.
9. Insomnia caused by somatic diseases.
Such as hyperthyroidism when there can be insomnia; uremia when there may also be insomnia.
10, insomnia caused by organic brain disease.
Such as encephalitis, syphilis brain, tuberculous encephalitis, etc. can be to insomnia.
11, drug-induced sleep disorders.
Such as with metronidazole, levofloxacin, etc., can cause sleep disorders.