Losing sleep over losing sleep: How watching the clock impacts insomnia, use of sleep aids
While tolerance to sedative effects of diphenhydramine emerges after 3 days,prescription sleep aids have demonstrated efficacy in reducing nighttime insomnia symptoms for 12 months or longer.Thus, it is no surprise that prescribing rates of benzodiazepines for insomnia remained stable from 2003 to 2015, with 1 in 4 medical visits for insomnia resulting in a prescription.Notwithstanding, approximately half of patients with insomnia taking prescription sleep aids do not attain remission.
The behavior results in additional negative consequences—reinforcing the belief that self-initiation of sleep is impossible and promoting psychophysiologic conditioningperpetuating more TMB and frustration, a cycle known as “losing sleep over losing sleep.”This emotional response may explain more about how TMB adversely influences insomnia and use of sleep aids than the actual act of clock-watching or arithmetic calculations in bed.
For additional analysis, chronic insomnia disorder was defined by insomnia symptoms of at least moderate severity , with insomnia-related daytime impairment and a minimum of 3 months duration, which is consistent with current nosologies.
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