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Primary Insomnia

Definition

Primary insomnia is difficulty getting to sleep or staying asleep, or having non-refreshing sleep for at least 1 month without any known physical or mental condition.

See also: Insomnia concerns

Alternative Names

Insomnia - psychophysiological (learned); Chronic insomnia

Causes

Insomnia is caused by many different things. The most common causes of insomnia are:

  • Alcohol
  • Anxiety
  • Coffee
  • Stress

About 25% of elderly people and about 10% of people in general have insomnia.

Secondary insomnia is insomnia caused by a medical condition. Depression is a very common cause of secondary insomnia. Often, insomnia is the symptom for which people with depression seek medical help.

References

Goetz, CG. Textbook of Clinical Neurology. 2nd ed. St. Louis, Mo: WB Saunders; 2003: 1207-1210.

Rakel P, ed. Conn’s Current Therapy 2005. 57th ed. Philadelphia, Pa: WB Saunders; 2005:34-39.

Review Date: 2/6/2008
Reviewed By: Christos Ballas, M.D., Attending Psychiatrist, Hospital of the University of Pennsylvania, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission. URAC's accreditation program is the first of its kind, requiring compliance with 53 standards of quality and accountability, verified by independent audit.

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