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We hypothesised that, among individuals with TTH, those with insomnia experience more severe symptoms than those without insomnia.
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Moreover, among individuals with TTH, those with insomnia experienced more frequent headaches, increased rates of psychiatric comorbities, and more severe disability due to headache.
Although we did not assess indirect costs in this study, several of the TECs (e.g., anemia, depression, and insomnia) experienced by patients who receive PEG-IFN-alfa/ribavirin therapy have associated indirect costs.
Nevertheless, as assessed by the I-PSS item-2, 47.9% of the patients with chronic insomnia experienced the need to void <2 h after a miction in at least 1 of 2 cases compared with 28.9% and 26.7% of the patients, respectively, with or without sleep disorders (p<0.001).
It's been shown that patients with insomnia, who experience less slow-wave sleep than normal sleepers, show impaired memory consolidation.
An unassuming hedge fund manager explained the spike of insomnia he experienced one recent 'Black' September which became clear only during an interview with me several months later.
The model assumes that insomnia is experienced only as a result of taking medication.
In two recent community-based surveys of older adults' sleep patterns, individuals with insomnia reported experiencing difficulties for 7 12 years on average (McCrae et al 2003, 2005).
Two focus groups captured first-person accounts of insomnia patients' experiences learning mindfulness techniques, applying their newly acquired meditation practices and knowledge to improve sleep, and describing personal benefits to sleep and other aspects of their lives.
Overall assessment outcome for sleep disorder was no or yes for patients that did not or suffered any form of insomnia or experienced vivid dreams or sleep walking respectively.
Michael J. Breus, a clinical director of several sleep disorder centers in the Atlanta area, says business travelers typically undergo two insomnia-inducing experiences: the "first-night effect" of unfamiliar surroundings and the "on-call effect" from worrying that the alarm won't go off or that the wake-up call will be missed.
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