Anonymous
Not logged in
Talk
Contributions
Create account
Log in
Search
Editing
Insomnia
From MEpedia, a crowd-sourced encyclopedia of ME and CFS science and history
Namespaces
Page
Discussion
More
More
Page actions
Read
Edit
Edit source
History
Warning:
You are not logged in. Your IP address will be publicly visible if you make any edits. If you
log in
or
create an account
, your edits will be attributed to your username, along with other benefits.
Anti-spam check. Do
not
fill this in!
'''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 = 719β728|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=1057β1066|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 should this 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]]
Summary:
Please make sure your edits are consistent with
MEpedia's guidelines
.
By saving changes, you agree to the
Terms of use
, and you irrevocably agree to release your contribution under the
CC BY-SA 3.0 License
and the
GFDL
. You agree that a hyperlink or URL is sufficient attribution under the Creative Commons license.
Cancel
Editing help
(opens in new window)
Templates used on this page:
Template:Citation
(
edit
)
Template:Cite journal
(
edit
)
Template:Cite web
(
edit
)
Template:Main other
(
edit
)
Template:Reflist
(
edit
)
Module:Check for unknown parameters
(
edit
)
Module:Citation/CS1
(
edit
)
Module:Citation/CS1/COinS
(
edit
)
Module:Citation/CS1/Configuration
(
edit
)
Module:Citation/CS1/Date validation
(
edit
)
Module:Citation/CS1/Identifiers
(
edit
)
Module:Citation/CS1/Utilities
(
edit
)
Module:Citation/CS1/Whitelist
(
edit
)
Module:No globals
(
edit
)
This page is a member of a hidden category:
Category:Pages using DynamicPageList
Navigation
Navigation
Skip to content
Main page
Browse
Become an editor
Random page
Popular pages
Abbreviations
Glossary
About MEpedia
Links for editors
Contents
Guidelines
Recent changes
Pages in need
Search
Help
Wiki tools
Wiki tools
Special pages
Page tools
Page tools
User page tools
More
What links here
Related changes
Page information
Page logs