Psychophysiological Insomnia Samples for Students †MyAssignmenthelp.

Question: Discuss about the Psychophysiological Insomnia. Answer: Background Psychophysiological Insomnia is nowadays a common problem where the patient tries to focus on sleep but worries about not getting adequate sleep, which might affect their next day. Earlier it was assumed that maladaptive learning and irregular sleep hygiene are the primary causes of psychophysiological Insomnia. According to a publication by the Association of sleep disorders centres in 1979, this type of insomnia is due to various factors acting simultaneously such as chronic factor, negative sleeping condition and somatized tension anxiety. According to the cluster analysis of Laar and Pevernagie et al. (2015), psychophysiological insomnia can be identified on the basis of polysomnographic variables, sleep history and Minnesota Multiphasic Personality Inventory. In an Australian study, Psychophysiological Insomnia can be caused with a minimum of 17 hours of sleep deprivation and thus is a significant issue within the scope of community health management. Clinical/ Behavioural Features The patients with suspected psychophysiological insomnia mostly report that they get better sleep outside than at home. They often complain of being light sleepers and can hear everything going on around them during sleep time. Most of the patients find it difficult to fall asleep through the night and waking up early in the morning (van de Laar, Pevernagie, van Mierlo Overeem, 2015). Increased agitation and anxiety during sleeping time with constant worry about sleep is their common distention. People facing this problem tend to be tired airing the whole day and take the help of coffee or other drinks to remain active through the day. They are often unable to take naps in their own beds and are to sleep in others bed or hotel (Richardson, Gradisar Barbero, 2016). Importantly, there exists no explanation of above-mentioned clinical features in terms of the medical, psychological, or neurological concept that can justify the conditions. On the other hand, this is also caused by substance abuse during intoxication, sustained use, and withdrawal (Harada, 2015). Diagnostic Features The diagnostic criteria used by doctors for detecting primary insomnia is the set framed by Diagnostic and Statistical Manual of Mental Disorders, containing five defined criteria (Richardson, Gradisar Barbero, 2016). Firstly, suffering from non-restorative sleep for minimum 1 month, secondly, due to irregularity in sleeping, social, occupational and other functioning areas gets disturbed. The third criterion defines the occurrence due to breathing related sleep disorder or parasomnia, fourthly, sleeping disturbance occurs due to other mental disorder like depression, and anxiety. Lastly, it is not under the influence of any substance or medication (Perciaccante Coralli, 2016). The standard tests included in psychophysiological Insomnia treatment includes (1) thyroid function tests and (2) Blood alcohol levels. In addition to this, test related to neuroimaging studies that can reflect presence of structural lesion to cause insomnia; sleep diary questionnaire to describe sleep cycl e among the patient, actigraphy activity monitoring during sleep and waking periods, and multiple sleep latency test to determining duration of sleep, activity period, and efficiency of sleep are also essential diagnostic tools to identify the insomnia features in the patients (Sweetman, 2016). Epidemiology In an Australian survey, it has been reported that women are mostly affected by this problem than men, and it is quite uncommon in children (infant to the early teenage stage). The adults mostly and even some teenagers are the typical patients of psychophysiological insomnia in which anxiety, substance use, and physiological disability or discomfort are essential factors (Kingsbury, Buxton and Emmons, 2014). The prevalence of insomnia in Australia is reflective to affect 13-33% of adult population among which more than 50% of patients are comorbid with depression. Likewise, compared to Whites, Blanks are nearly twice likely to report insomnia conditions. Likewise, related to non-Hispanic Whites, the Hispanic White population are also likely to report insomnia. On the other hand, the sleep disorder is also found to be higher in low-income and minority groups which are attributed to the social factors. Among the global statistics, the African American and Hispanic groups are found to h ave the highest report for psychophysiological insomnia (Kingsbury, Buxton and Emmons, 2014). Pathophysiology Psychophysiological Insomnia may be caused due to bad sleeping behaviour like drinking alcohol, taking sleeping pills, and staying in bed despite being wide awake may sometimes lead to undermining sleep. Sometimes these bad behaviour also continue during the daytime, as due to lack of sleep daytime seems tired (Shekleton, 2014). Some people take the help of caffeine all over the day but are aware of the fact that it will remain in their system for hours and lead to psychophysiological insomnia. In other cases, the neurological imaging is also revealed the presence of structural lesion that can attribute to the pathophysiology. Other than this, substance abuse, disturbed environmental condition like noise, pollution, and light may retain the alertness in an individual that causes insomnia (Shekleton, 2014). Treatment Treatment of Psychophysiological Insomnia includes the combination of all the mentioned procedures. (1) A psychotherapist or sleep specialist helps in assisting the Cognitive Behavioural therapy (CBT), which aims to transmit the thoughts that weaken sleeping ability. Some4 of the forms of CBT include relaxation training, stimulus control, sleep restriction and biofeedback. (2) Good Sleeping hygiene involves the avoidance of caffeine after noon time and consuming alcohol before four hours of bedtime. (3) Certain sleeping medication as per doctors prescription such as Hypnotics is used to cure depression and also enhance sleeping ability (Richardson, Gradisar Barbero, 2016). In addition to this, sleep restriction therapy and relaxation therapy are also effective in which the time spent by the patient on sleep will be limited as a result of which the sleep onset on subsequent nights can be resumed. Likewise, in relaxation theory, measures like progressive muscle relaxation, biofeedback, and imagery training and thought to stop are effective (Kodsi Kennedy, 2015). Implication Psychophysiological Insomnia has particular health consequences like mood disorders, major depression disorder, anxiety disorder, substance abuse disorder, and medical disorder. There is a relationship between sleep and immunity as lack of sleep results in a change of the innate immunity and also reduces natural killer cell activity (van de Laar, Pevernagie, van Mierlo Overeem, 2015). Even the sleep disorder leads to decrease in ability to handle irritations and thus reduces enjoyment with family, friends and social life. The major implication of psychophysiological insomnia is that it affects the daytime arousal and performance of the individual. This included lack of focus, poor attentiveness, impaired decision making, and lack of energy in all the physical activity. Even it leads to a reduction of job satisfaction and production and results in poorer performance score and increased absenteeism (Perciaccante Coralli, 2016). Overall, the condition is found to be deteriorating of t he individual in terms of its involvement within the family, at the workplace, as well as in terms of deteriorating mental health conditions. References: Harada, D., Yamadera, W., Sato, M., Iwashita, M., Aoki, R., Obuchi, K., ... Nakayama, K. (2015). Effects of two?session group cognitive behavioral therapy for psychophysiological insomnia: A preliminary study.Sleep and Biological Rhythms,13(4), 348-356. Kingsbury, J. H., Buxton, O. M., Emmons, K. M., Redline, S. (2013). Sleep and its relationship to racial and ethnic disparities in cardiovascular disease.Current cardiovascular risk reports,7(5), 387-394. Kodsi, A., Kennedy, G. A. (2015). An investigation of sleep and mood factors as predictors of insomnia and the effects of insomnia severity on cognitive performance.The Time of Your Life. Australasian Chronobiology Society, Melbourne, Australia, 5-11. Laar, M., Pevernagie, D., Mierlo, P. V., Overeem, S. (2015). Psychiatric comorbidity and aspects of cognitive coping negatively predict outcome in cognitive behavioral treatment of psychophysiological insomnia. [Assessed from https://repository.ubn.ru.nl/handle/2066/153762 Dated 06 Mar 2017]. Perciaccante, A., Coralli, A. (2016). Franz Kafka's insomnia and parasomnias.The Lancet Neurology,15(10), 1014. Richardson, C. E., Gradisar, M., Barbero, S. C. (2016). Are cognitive insomnia processes involved in the development and maintenance of delayed sleep wake phase disorder?.Sleep medicine reviews,26, 1-8. Shekleton, J. A., Flynn-Evans, E. E., Miller, B., Epstein, L. J., Kirsch, D., Brogna, L. A., ... Lockley, S. W. (2014). Neurobehavioral performance impairment in insomnia: relationships with self-reported sleep and daytime functioning.Sleep,37(1), 107. Sweetman, A., Lack, L., Catcheside, P., Antic, N., Chai-Coetzer, C. L., Smith, S., ... McEvoy, R. D. (2016). 4. Centre for Accident Research Road Safety, Queensland University of Technology, Brisbane, QLD, Australia 4000 5. Thoracic Program, The Prince Charles Hospital, QLD, Australia, 4032. van de Laar, M., Pevernagie, D., van Mierlo, P., Overeem, S. (2015). Psychiatric comorbidity and aspects of cognitive coping negatively predict outcome in cognitive behavioral treatment of psychophysiological insomnia.Behavioral sleep medicine,13(2), 140-156.