Comorbid Insomnia and Psychiatric Disorders: An Update
This article reviews this relationship and provides recommendations for management. Keywords: Insomnia, sleep disorder, psychiatric disorder, depression, psychosis, schizophrenia, anxiety disorder Insomnia affects 25 million people in the United States annually and leads to an estimated $100 billion health care burden. Insomnia has also been shown to be a causal factor in other medical and psychiatric disorders, cognitive impairments, accidents, absenteeism, and reduced quality of life.1 The cost of not treating insomnia is more than the cost of treating insomnia.2 Insomnia as a symptom is seen in up to one third of the United States population, while the disorder is seen in up to 20 percent.3 The diagnostic criteria of insomnia have been updated in the International Classification of Sleep Disorders, Third Edition (ICSD-3) and the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). The distinction between primary and secondary insomnia was removed from both classifications. Insomnia is a disorder unto itself that needs independent clinical attention. Viewing insomnia mainly as a symptom of another disorder prompted many clinicians to direct the bulk of their treatment efforts at the so-called primary disorder. Studies have shown that treating insomnia leads to better outcomes and improvement in co-existing psychiatric disorders. To achieve optimal treatment outcomes in people with comorbid psychiatric illness and insomnia, the clinician should...
Elden Berla Thangam, Ebenezer Angel Jemima, Himadri Singh, Mirza Saqib Baig, Mahejibin Khan, Clinton B. Mathias, Martin K. Church, Rohit Saluja
Publication date: Available online 13 August 2018Source: The Journal of Allergy and Clinical Immunology: In PracticeAuthor(s): Elissa M. Abrams, Alexander G. Singer, Lianne Soller, Edmond S. Chan
DIABETES type 2 patients should exercise to lower their risk of high blood sugar symptoms. But, this is the one thing all diabetics must do after walking, or risk painful foot complications.
If poverty persists in America, it is not for lack of resources. —Matthew Desmond, Harvard sociologist and author, Evicted: Poverty and Profit in the American CityI have a rough time wanting to spend billions and billions and trillions of dollars to help people who won’t help themselves, won’t lift a finger, and expect the federal government to do everythin g.—Senator Orrin Hatch (R-Utah)Just my soul is messed up…. Sometimes I find my body trembling or shaking. I’m tired, but I can’t sleep. I’m fitting to have a nervous breakdown.
What is the public health burden of eating disorders? The burden is a product of two factors: 1) the prevalence of these disorders and 2) the degree of disability (including morbidity and mortality) caused by these disorders. In this issue of Biological Psychiatry, Udo and Grilo (1) offer new numbers for this “burden equation.” Using data from the 2012 to 2013 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC-III), they have attempted to estimate the prevalence and correlates, including self-reported disability, of anorexia nervosa, bulimia, and binge-eating disorder.
A SIGN of bowel cancer can be a pain in the abdomen that cannot be explained, Bowel Cancer UK have reported. Other symptoms include unexplained weight loss, a change to your toilet habits, or finding blood in your stools.
Many college-bound kids start out with dreadful sleep habits that are likely to get worse once the rigorous demands of college courses and competing social and athletic activities kick in.
HEART attack symptoms include chest pain, headaches and dizziness. But you could also be at risk of a deadly myocardial infarction if you have this one sign while lying asleep in bed.
The women say the Essure implant may have caused wide-ranging problems, including chronic pain.
Publication date: Available online 12 August 2018Source: Regional Science and Urban EconomicsAuthor(s): By Wayne Passmore, Alexander H. von HafftenAbstractThe 30-year fixed-rate fully amortizing mortgage (or “traditional fixed-rate mortgage”) was a substantial innovation when first developed during the Great Depression; however, it has three major flaws. First, homeowner equity accumulates slowly during the first decade. Many lenders require large down payments because of slow equity accumulation. Second, in each monthly mortgage payment, homeowners substantially compensate capital markets investors for the abi...
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