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Consequences of Insomnia

  • Michael H. Bonnet
    Correspondence
    Corresponding author. Dayton Department of Veterans Affairs Medical Center, 4100 West Third Street, Dayton, OH 45428.
    Affiliations
    Wright State University School of Medicine, 4100 W 3rd Street, Dayton, OH 45428, USA

    Sleep Center at the Department of Veterans Affairs Medical Center, 4100 West Third Street, Dayton, OH 45428, USA

    Kettering Medical Center Sleep Disorders Center, Wallace Kettering Neuroscience Institute, 4545 Southern Boulevard, Kettering, OH 45459, USA
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  • Donna L. Arand
    Affiliations
    Wright State University School of Medicine, 4100 W 3rd Street, Dayton, OH 45428, USA

    Kettering Medical Center Sleep Disorders Center, Wallace Kettering Neuroscience Institute, 4545 Southern Boulevard, Kettering, OH 45459, USA
    Search for articles by this author
      The diagnosis of psychophysiologic or primary insomnia historically has required a patient report of both poor sleep and “decreased functioning during wakefulness” [
      • American Sleep Disorders Association
      The international classification of sleep disorders, revised.
      ]. 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.
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