Psychophysiological insomnia

Primary Insomnia. Primary insomnia is a sleep disturbance lasting at least a month with no clear cause. However, many well-recognized psychological and physical factors contribute to prolonging the insomnia. For this reason, some call this condition psychophysiological insomnia. 

Perlis ML, Giles DE, MendelsonWB, Bootzin RR, WyattJK (1997) Psychophysiological insomnia the behavioural model and a neurocognitive perspective. J Sleep Res 6 179— 188... 

Primary insomnia includes a number of insomnia diagnoses according to the International Classification of Sleep Disorders, including psychophysiological insomnia and idiopathic insomnia [11]. Psychophysiological insomnia most closely resembles primary insomnia. Individuals with idiopathic or childhood-onset insomnia show a lifelong inability to obtain adequate sleep there is no evidence of medical or psychiatric disorders that could account for the sleep disturbance. In sleep disor-... 

Primary insomnia (psychophysiological insomnia and idiopathic insomnia)... 

Psychophysiological insomnia—may have started with transient situational insomnia hut persisted after the stressor was resolved. 

Transient (two to three nights) and short-term (less than 3 weeks) insomnia is common and is usually related to a precipitating factor. Chronic insomnia (greater than 1 month) may be related to medical or psychiatric disorders or medication, or it may be psychophysiologic. 

Insomnia is a complaint, not a disease. The causes of insomnia are classified both in the DSM-IV for psychiatrists and in the International Classification of Sleep Disorders for sleep experts (Table 8—3). Insomnia can be a primary problem, or it can be secondary to medical or psychiatric disorders or to medications. Insomnia can also be due psychophysiological factors such as stress or to circadian rhythm distur-... 

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