The diagnosis of psychophysiologic or primary insomnia historically has required a
patient report of both poor sleep and “decreased functioning during wakefulness” [
[1]
]. The requirement for decreased function as a defining factor may be related to the
idea that insomnia produces reduced sleep time at night and that this chronic reduction
in sleep is the same as chronic partial sleep deprivation in normal individuals. This
article reviews studies that have examined the consequences of insomnia as related
to potential sleep deprivation and as related to findings that suggest that primary
insomnia is more closely associated with inappropriate arousal.To read this article in full you will need to make a payment
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Article info
Footnotes
This work was supported by the Dayton Department of Veterans Affairs Medical Center, Wright State University School of Medicine, and the Sleep-Wake Disorders Research Institute.
Identification
Copyright
© 2006 Published by Elsevier Inc. All rights reserved.
