You may not sleep well for at least 3 nights per week. When you have insomnia, your sleep problems may come and go, or they may be ongoing. Some people decide to take medicine for a while to help with sleep. You and your doctor can make a treatment plan that includes things you can try at home. Treatment may include cognitive behavioral therapy for insomnia (CBT-I). Treatment for insomnia includes behavior and lifestyle changes. Your doctor will ask about any health problems you have and what medicines you take. You may be asked to keep a sleep journal to record your sleep patterns. Your doctor will ask about your sleep history, bedtime habits, and how your sleep problems are affecting your daily life. And they have trouble doing daily activities because they're not sleeping well. People with insomnia may have trouble falling asleep, staying asleep, or they may wake up too early and have trouble falling back to sleep. Your habits before bedtime may also affect how well you sleep. These include health problems, medicines, and stressful events. These sleep problems may come and go, or they may be ongoing. You may wake up during the night or wake up too early the next morning. ![]() It can cause you to have trouble falling asleep or staying asleep. We hope that this virtual issue will allow the interested reader to grasp the diversity and complexity of ongoing research into insomnia.Insomnia is a common sleep problem that affects your daily life. Two articles come from the group of Eus van Someren in Amsterdam (Jespersen et al., 2019 Wei et al., 2019) and describe magnetic resonance imaging studies performed in insomnia, clearly showing that insomnia is coupled with functional changes in the brain. Furthermore, the long-term benefits are clearly proven. It becomes clear that CBT delivered via web-based solutions conveys a good chance of being able to help people with insomnia and to reduce associated depressive symptoms. Two articles (Henry et al., 2020 Luik et al., 2019) look at digital, web-based CBT treatment interventions. It is shown that insomnia may be involved in the development of post-traumatic stress symptoms, place people at a higher risk of cancer and also lead to an increased frequency of perinatal depressive symptoms during pregnancy. Hopefully, this initiative will be successful and lead to more adequately trained CBT-I therapists all over Europe.įour articles in this virtual issue (Short et al., 2019 Shi et al., 2019 Emamian et al., 2019 Palagini et al., 2019) deal with the question of whether insomnia symptoms may be predictive for somatic or mental disorders. (2020) covers the endeavours of the European Academy for Cognitive Behavioral Therapy for Insomnia to improve the teaching system for CBT-I. In a similar way, the article by Baglioni et al. Methods are discussed about how to further disseminate knowledge about CBT-I in general practice. This is a pity, because CBT-I has now been confirmed by several international guidelines to be the first-line treatment of insomnia. ![]() This article nicely shows that insomnia is a very frequent problem encountered in general practice, but still, the predominant modality of treatment is pharmacological treatment instead of CBT-I (Cognitive Behavioral Treatment of Insomnia). An article from Switzerland (Maire et al., 2020) focusses on the prevalence and management of chronic insomnia in Swiss primary care. This virtual issue covers several aspects of insomnia disorder. Summarising, the costs for the society are high, but adequate insomnia treatment is supposed to reduce these. Insomnia comes at a high cost because recent research has shown that insomnia has severe consequences for work productivity, sick leave and many other areas. It has been speculated that the early and adequate treatment of insomnia may be very helpful in avoiding these long-time consequences, and in cases of comorbidity, insomnia treatment may also have a positive impact on the somatic or mental comorbidity. ![]() ![]() Chronic insomnia significantly increases the risk of developing somatic or mental illness, especially depressive disorders. Insomnia disorder as a diagnostic category encompasses disturbances of sleep, like problems to fall asleep or to maintain sleep and associated daytime sequelae like impairment of concentration or attention, increased fatigue, dysphoria etc. According to most recent diagnostic criteria, like the DSM-5 or the ICSD-3, we nowadays talk of insomnia disorder instead of primary or secondary insomnia, as it was usually called in older versions of diagnostic manuals. Insomnia, especially in its chronic form, is a frequent sleep disorder, probably the most frequent sleep disorder of all, afflicting approximately 10% of the adult population worldwide. This virtual issue of JSR brings together ten articles published in 20 dealing with different aspects of insomnia. Dear readers of the Journal of Sleep Research,
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