MEpedia - User contributions [en]

Insomnia/sv

2026-09-14T01:25:43Z

BeardedBaldy:Translation to swedish.

'''Insomni''', också känt som '''sömnlöshet''', är en sömnstörning där man har svårt att somna eller sova så länge som önskat. Det kan förekomma oberoende av eller som ett resultat av ett annat problem. Det är ett vanligt symptom av [[ME/CFS]].<ref name=":0">{{Cite journal | last = Jackson | first = Melinda L. | authorlink = Melinda Jackson | last2 = Bruck | first2 = Dorothy | authorlink2 = Dorothy Bruck | date = 2012-12-15 | title = Sleep Abnormalities in Chronic Fatigue Syndrome/Myalgic Encephalomyelitis: A Review | url =https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3501671/|journal=Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine|volume=8|issue=6 | pages = 719–728|doi=10.5664/jcsm.2276|issn=1550-9389|pmc=3501671|pmid=23243408|access-date=|quote=|via=}}</ref>

==Presentation==
Insomni förekommer när en patient har ovanligt svårt att somna, bibehålla sömnen, eller vaknar tidigt på morgonen utan att kunna somna om.

Insomni kan orsaka många sekundära symptom och problem, inklusive [[fatigue|utmattning]], sömnighet dagtid, känna sig outsövd efter sömn, lättretlighet, [[anxiety|ångest]], orkeslöshet och [[Depression|nedstämdhet]]. Långsiktig insomni kan resultera i muskeltrötthet, hallucinationer, [[brain fog|mental trötthet]] och [[double vision|dubbelseende]].

==Förekomst==

==Symptomigenkänning==
*I [[Holmes criteria|Holmes Kriteria]] är [[sleep disturbance|sömnstörning]] ([[hypersomnia|hypersomni]] eller '''insomni''') ett alternativt kriterium för diagnos under avsnittet ''Minor Symptom Criteria''.<ref>[http://www.cfids-me.org/holmes1988.html The 1988 Holmes Definition for CFS]</ref>

==Nämnvärda studier==
* 2012, Sleep Abnormalities in Chronic Fatigue Syndrome/Myalgic Encephalomyelitis: A Review<ref name=":0" /> - [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3501671/ (Full text)]
*2015, Sleep quality and the treatment of intestinal microbiota imbalance in [[Chronic Fatigue Syndrome]]: A pilot study<ref>{{Citation | last1 = Jackson | first1 = Melinda L | authorlink1 = Melinda Jackson | last2 = Butt | first2 = Henry | authorlink2 = Henry Butt | last3 = Ball | first3 = Michelle | authorlink3 = Michelle Ball | last4 = Lewis | first4 = Donald | authorlink4 = Donald Lewis | last5 = Bruck | first5 = Dorothy | authorlink5 = Dorothy Bruck | title = Sleep quality and the treatment of intestinal microbiota imbalance in Chronic Fatigue Syndrome: A pilot study. | journal = Sleep Science | volume = 8 | issue = 3 | page = 124-33 | date = November 2015 | pmid = 26779319 | doi = 10.1016/j.slsci.2015.10.001 }}</ref> - [http://www.sciencedirect.com/science/article/pii/S1984006315000632 (Full Text)]
*2017, Sleep Quality in Adolescents With [[ME/CFS|Chronic Fatigue Syndrome/Myalgic Encephalomyelitis]] (CFS/ME)<ref>{{Cite journal | last = Josev | first = Elisha K. | authorlink = Elisha Josev | last2 = Jackson | first2 = Melinda L. | authorlink2 = Melinda Jackson | last3 = Bei | first3 = Bei | authorlink3 = | last4 = Trinder | first4 = John | authorlink4 = | last5 = Harvey | first5 = Adrienne | authorlink5 = | last6 = Clarke | first6 = Cathriona | last7 = Snodgrass | first7 = Kelli | last8 = Scheinberg | first8 = Adam | authorlink8 = | last9 = Knight | first9 = Sarah J. | author-link9 = Sarah Knight | date = 2017-09-15 | title = Sleep Quality in Adolescents With Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME) | url = http://jcsm.aasm.org/ViewAbstract.aspx?pid=31079|journal=Journal of Clinical Sleep Medicine|language=en|volume=13|issue=09|pages=1057–1066|doi=10.5664/jcsm.6722|issn=1550-9389|pmc=5566461|pmid=28760189|quote=|via=}}</ref> - [[pubmed:28760189|(Full text)]]

==Möjliga orsaker==
*Hög [[stress|stressnivå]]
*Ändringar i [[cytokines|cytokin-nivå]]
*Som ett [[sleep dysfunction|sömnstörningssymptom]] av [[ME/CFS]] eller någon annan sjukdom

==Möjliga Behandlingar==
Beteendeförändringar, inklusive:
*[[Sleep hygiene|Sömnhygien]] råd
*[[Cognitive behavioral therapy for insomnia|Kognitiv beteendeterapi för insomni]]

Tillskott och naturliga botemedel, inklusive: Inga sidor möter dessa kriteria.
Mediciner, inklusive

Supplements and natural remedies, including:
<DynamicPageList>
category = Hypnotics
category = Supplements
ordermethod=sortkey
order=ascending
mode=inline-list
</DynamicPageList>
Medications, including:
*[[:Category:Benzodiazepines|Bensodiazepiner]], t.ex. [[temezapam]]<ref name=SACFS-survey>{{Cite web | url = https://www.sacfs.asn.au/news/2014/02/02_28_survey_results_insomnia.htm | title = ME/CFS South Australia Inc: Survey results - insomnia | website = sacfs.asn.au|access-date=2021-02-11}}</ref>
*[[Non-benzodiazepine hypnotic|Bensodiazepinliknande preparat]], kända som z-preparat, t.ex. [[zopiclone|zopiklon]]
*Lugnande [[antidepressant|antidepressiva mediciner]], speciellt [[amitriptyline|amitryptalin]]
*Lugnande [[:Category:Antihistamines|antihistaminer]] inklusive [[diphenhydramine|difenhydramin]]
*[[Melatonin]], antingen på recept eller som tillskott<ref>{{Cite web | url = https://www.hopkinsmedicine.org/health/wellness-and-prevention/melatonin-for-sleep-does-it-work | title = Melatonin for Sleep: Does It Work? | website = hopkinsmedicine.org|language=en|access-date=2021-02-11}}</ref><ref name="ICC2011primer">{{citation | last1 = Carruthers | first1 = BM | authorlink1 = Bruce Carruthers | last2 = van de Sande | first2 = MI | authorlink2 = Marjorie van de Sande | last3 = De Meirleir | first3 = KL | authorlink3 = Kenny de Meirleir | last4 = Klimas | first4 = NG | authorlink4 = Nancy Klimas | last5 = Broderick | first5 = G | authorlink5 = Gordon Broderick | last6 = Mitchell | first6 = T | authorlink6 = Terry Mitchell | last7 = Staines | first7 = D | authorlink7 = Donald Staines | last8 = Powles | first8 = ACP | authorlink8 = A C Peter Powles | last9 = Speight | first9 = N | author-link9 = Nigel Speight | last10 = Vallings | first10 = R | authorlink10 = Rosamund Vallings | last11 = Bateman | first11 = L | authorlink11 = Lucinda Bateman | last12 = Bell | first12 = DS | authorlink12 = David Bell | last13 = Carlo-Stella | first13 = N | authorlink13 = Nicoletta Carlo-Stella | last14 = Chia | first14 = J | authorlink14 = John Chia | last15 = Darragh | first15 = A | authorlink15 = Austin Darragh | last16 = Gerken | first16 = A | authorlink16 = Anne Gerken | last17 = Jo | first17 = D | authorlink17 = Daehyun Jo | last18 = Lewis | first18 = DP | authorlink18 = Donald Lewis | last19 = Light | first19 = AR | authorlink19 = Alan Light | last20 = Light | first20 = KC | authorlink20 = Kathleen Light | last21 = Marshall-Gradisnik | first21 = S | authorlink21 = Sonya Marshall-Gradisnik | last22 = McLaren-Howard | first22 = J | authorlink22 = John McLaren-Howard | last23 = Mena | first23 = I | authorlink23 = Ismael Mena | last24 = Miwa | first24 = K | authorlink24 = Kunihisa Miwa | last25 = Murovska | first25 = M | authorlink25= Modra Murovska | last26 = Stevens | first26 = SR | authorlink26 = Staci Stevens | title = Myalgic encephalomyelitis: Adult & Paediatric: International Consensus Primer for Medical Practitioners | date = 2012
| isbn = 978-0-9739335-3-6 | url = http://www.investinme.org/Documents/Guidelines/Myalgic%20Encephalomyelitis%20International%20Consensus%20Primer%20-2012-11-26.pdf }}</ref>
Off-label läkemedel, t.ex.:
* Låg dos [[quetiapine|kvetiapin]], men det bör inte användas av överviktiga personer med CFS
==Se även==
* [[Hypersomnia|Hypersomni]]
* [[Sleep dysfunction|Sömnstörning]]
* [[Unrefreshing sleep|Oåterställande Sömn]]

==Vidare Läsning==
*[https://www.drugs.com/condition/insomnia.html Läkemedel för insomni] - drugs.com
* [http://www.cfsselfhelp.org/library/solutions-sleep Solutions for Sleep] by Bruce Campbell for ME/CFS & Fibromyalgia Self Help

==Referenser==
{{Reflist}}

[[Category:Signs and symptoms]]
[[Category:Sleep signs and symptoms]]
[[Category:Sleep disorders]]
[[Category:Potential comorbidities]]
[[Category:Diagnoses]]
[[Category:Swedish-Language articles]]

Insomnia

2026-09-14T01:22:25Z

BeardedBaldy:"* low dose quetiapine but should this not be used in overweight people with CFS" changed to "* Low dose quetiapine, but this should not be used in overweight people with CFS"

'''Insomnia''', also known as '''sleeplessness''', is a sleep disorder where people have trouble falling asleep or staying asleep as long as desired. It can occur independently or as a result of another problem. It is a common symptom of [[ME/CFS]].<ref name=":0">{{Cite journal | last = Jackson | first = Melinda L. | authorlink = Melinda Jackson | last2 = Bruck | first2 = Dorothy | authorlink2 = Dorothy Bruck | date = 2012-12-15 | title = Sleep Abnormalities in Chronic Fatigue Syndrome/Myalgic Encephalomyelitis: A Review | url =https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3501671/|journal=Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine|volume=8|issue=6 | pages = 719–728|doi=10.5664/jcsm.2276|issn=1550-9389|pmc=3501671|pmid=23243408|access-date=|quote=|via=}}</ref>

==Presentation==
Insomnia is present when a patient finds it unusually difficult to fall asleep, maintain sleep, or wakes up early in the morning with an inability to return to sleep.

Insomnia can cause many secondary symptoms and problems, including [[fatigue]], daytime sleepiness, feeling unrefreshed after sleep, irritability, [[anxiety]], low energy, and [[Depression|depressed mood]]. Long-term insomnia can result in muscle weariness, hallucinations, [[brain fog|mental fatigue]] and [[double vision]].

==Prevalence==

==Symptom recognition==
*In the [[Holmes criteria]], [[sleep disturbance]] ([[hypersomnia]] or '''insomnia''') is an optional criteria for diagnosis, under the section ''Minor Symptom Criteria''.<ref>[http://www.cfids-me.org/holmes1988.html The 1988 Holmes Definition for CFS]</ref>

==Notable studies==
* 2012, Sleep Abnormalities in Chronic Fatigue Syndrome/Myalgic Encephalomyelitis: A Review<ref name=":0" /> - [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3501671/ (Full text)]
*2015, Sleep quality and the treatment of intestinal microbiota imbalance in [[Chronic Fatigue Syndrome]]: A pilot study<ref>{{Citation | last1 = Jackson | first1 = Melinda L | authorlink1 = Melinda Jackson | last2 = Butt | first2 = Henry | authorlink2 = Henry Butt | last3 = Ball | first3 = Michelle | authorlink3 = Michelle Ball | last4 = Lewis | first4 = Donald | authorlink4 = Donald Lewis | last5 = Bruck | first5 = Dorothy | authorlink5 = Dorothy Bruck | title = Sleep quality and the treatment of intestinal microbiota imbalance in Chronic Fatigue Syndrome: A pilot study. | journal = Sleep Science | volume = 8 | issue = 3 | page = 124-33 | date = November 2015 | pmid = 26779319 | doi = 10.1016/j.slsci.2015.10.001 }}</ref> - [http://www.sciencedirect.com/science/article/pii/S1984006315000632 (Full Text)]
*2017, Sleep Quality in Adolescents With [[ME/CFS|Chronic Fatigue Syndrome/Myalgic Encephalomyelitis]] (CFS/ME)<ref>{{Cite journal | last = Josev | first = Elisha K. | authorlink = Elisha Josev | last2 = Jackson | first2 = Melinda L. | authorlink2 = Melinda Jackson | last3 = Bei | first3 = Bei | authorlink3 = | last4 = Trinder | first4 = John | authorlink4 = | last5 = Harvey | first5 = Adrienne | authorlink5 = | last6 = Clarke | first6 = Cathriona | last7 = Snodgrass | first7 = Kelli | last8 = Scheinberg | first8 = Adam | authorlink8 = | last9 = Knight | first9 = Sarah J. | author-link9 = Sarah Knight | date = 2017-09-15 | title = Sleep Quality in Adolescents With Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME) | url = http://jcsm.aasm.org/ViewAbstract.aspx?pid=31079|journal=Journal of Clinical Sleep Medicine|language=en|volume=13|issue=09|pages=1057–1066|doi=10.5664/jcsm.6722|issn=1550-9389|pmc=5566461|pmid=28760189|quote=|via=}}</ref> - [[pubmed:28760189|(Full text)]]

==Possible causes==
*High levels of [[stress]]
*Changes in levels of [[cytokines]]
*As a [[sleep dysfunction]] symptom of [[ME/CFS]] or another illness

==Potential treatments==
Behavioral changes, including:
*[[Sleep hygiene]] advice
*[[Cognitive behavioral therapy for insomnia]]
Supplements and natural remedies, including:
<DynamicPageList>
category = Hypnotics
category = Supplements
ordermethod=sortkey
order=ascending
mode=inline-list
</DynamicPageList>
Medications, including:
*[[:Category:Benzodiazepines|Benzodiazepines]], e.g. [[temezapam]]<ref name=SACFS-survey>{{Cite web | url = https://www.sacfs.asn.au/news/2014/02/02_28_survey_results_insomnia.htm | title = ME/CFS South Australia Inc: Survey results - insomnia | website = sacfs.asn.au|access-date=2021-02-11}}</ref>
*[[Non-benzodiazepine hypnotic]]s, commonly known as z-drugs, e.g. [[zopiclone]]
*Sedating [[antidepressant]]s, particularly [[amitriptyline]]
*Sedating [[:Category:Antihistamines|anti-histamines]] including [[diphenhydramine]]
*[[Melatonin]], either on prescription or as a supplement<ref>{{Cite web | url = https://www.hopkinsmedicine.org/health/wellness-and-prevention/melatonin-for-sleep-does-it-work | title = Melatonin for Sleep: Does It Work? | website = hopkinsmedicine.org|language=en|access-date=2021-02-11}}</ref><ref name="ICC2011primer">{{citation | last1 = Carruthers | first1 = BM | authorlink1 = Bruce Carruthers | last2 = van de Sande | first2 = MI | authorlink2 = Marjorie van de Sande | last3 = De Meirleir | first3 = KL | authorlink3 = Kenny de Meirleir | last4 = Klimas | first4 = NG | authorlink4 = Nancy Klimas | last5 = Broderick | first5 = G | authorlink5 = Gordon Broderick | last6 = Mitchell | first6 = T | authorlink6 = Terry Mitchell | last7 = Staines | first7 = D | authorlink7 = Donald Staines | last8 = Powles | first8 = ACP | authorlink8 = A C Peter Powles | last9 = Speight | first9 = N | author-link9 = Nigel Speight | last10 = Vallings | first10 = R | authorlink10 = Rosamund Vallings | last11 = Bateman | first11 = L | authorlink11 = Lucinda Bateman | last12 = Bell | first12 = DS | authorlink12 = David Bell | last13 = Carlo-Stella | first13 = N | authorlink13 = Nicoletta Carlo-Stella | last14 = Chia | first14 = J | authorlink14 = John Chia | last15 = Darragh | first15 = A | authorlink15 = Austin Darragh | last16 = Gerken | first16 = A | authorlink16 = Anne Gerken | last17 = Jo | first17 = D | authorlink17 = Daehyun Jo | last18 = Lewis | first18 = DP | authorlink18 = Donald Lewis | last19 = Light | first19 = AR | authorlink19 = Alan Light | last20 = Light | first20 = KC | authorlink20 = Kathleen Light | last21 = Marshall-Gradisnik | first21 = S | authorlink21 = Sonya Marshall-Gradisnik | last22 = McLaren-Howard | first22 = J | authorlink22 = John McLaren-Howard | last23 = Mena | first23 = I | authorlink23 = Ismael Mena | last24 = Miwa | first24 = K | authorlink24 = Kunihisa Miwa | last25 = Murovska | first25 = M | authorlink25= Modra Murovska | last26 = Stevens | first26 = SR | authorlink26 = Staci Stevens | title = Myalgic encephalomyelitis: Adult & Paediatric: International Consensus Primer for Medical Practitioners | date = 2012
| isbn = 978-0-9739335-3-6 | url = http://www.investinme.org/Documents/Guidelines/Myalgic%20Encephalomyelitis%20International%20Consensus%20Primer%20-2012-11-26.pdf }}</ref>
Off-label drugs, e.g.:
* Low dose [[quetiapine]], but this should not be used in overweight people with CFS

==See also==
* [[Hypersomnia]]
* [[Sleep dysfunction]]
* [[Unrefreshing sleep]]

==Learn more==
*[https://www.drugs.com/condition/insomnia.html Medications for insomnia] - drugs.com
* [http://www.cfsselfhelp.org/library/solutions-sleep Solutions for Sleep] by Bruce Campbell for ME/CFS & Fibromyalgia Self Help

==References==
{{Reflist}}

[[Category:Signs and symptoms]]
[[Category:Sleep signs and symptoms]]
[[Category:Sleep disorders]]
[[Category:Potential comorbidities]]
[[Category:Diagnoses]]