Insomnia differential diagnosis: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Insomnia}} | {{Insomnia}} | ||
{{CMG}} | {{CMG}} ; {{AE}} {{Adnan Ezici}} | ||
==Overview== | ==Overview== | ||
Insomnia disorder (difficulty sleeping despite optimum conditions with daytime impairment, which cannot be explained by another sleep disorder) must be differentiated from other diseases that cause difficulty sleeping such as normal variants (short sleeper, excessive time in bed), [[circadian rhythm sleep disorders]], [[obstructive sleep apnea]], movement disorders, [[narcolepsy]], and substance/medication-induced [[sleep disorder]]. | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
* | Insomnia disorder (difficulty sleeping despite optimum conditions with daytime impairment, which cannot be explained by another sleep disorder) must be differentiated from other diseases that cause difficulty sleeping (because the treatment guidelines are prepared for the people who meets the criteria for insomnia disorder rather than other diseases with insomnia symptoms) such as:<ref name="pmid33683929">{{cite journal |vauthors=Sutton EL |title=Insomnia |journal=Ann Intern Med |volume=174 |issue=3 |pages=ITC33–ITC48 |date=March 2021 |pmid=33683929 |doi=10.7326/AITC202103160 |url=}}</ref> | ||
*Delayed sleep phase | *'''Normal variants''' | ||
*[[ | **Short sleeper (needs <6 h of sleep) | ||
* | **Excessive time in bed | ||
* | *'''Sleep disorders''' | ||
*[[Restless legs syndrome]] | **[[Circadian rhythm sleep disorder]] | ||
* | ***[[Jet lag]] | ||
***[[Delayed sleep phase syndrome|Delayed sleep–wake phase disorder]] (night owl) | |||
***[[Advanced sleep phase syndrome|Advanced sleep–wake phase disorder]] (early bird or lark) | |||
***[[Shift work sleep disorder]] | |||
***[[Non-24-hour sleep-wake syndrome]] | |||
***Irregular sleep–wake rhythm disorder | |||
**[[Obstructive sleep apnea]] | |||
**Movement disorders | |||
***[[Restless legs syndrome]] | |||
***[[Periodic limb movement disorder]] | |||
**[[Narcolepsy]] | |||
*Substance/medication-induced [[sleep disorder]], insomnia type<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref> | *Substance/medication-induced [[sleep disorder]], insomnia type<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref> | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 12:10, 21 June 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Adnan Ezici, M.D[2]
Overview
Insomnia disorder (difficulty sleeping despite optimum conditions with daytime impairment, which cannot be explained by another sleep disorder) must be differentiated from other diseases that cause difficulty sleeping such as normal variants (short sleeper, excessive time in bed), circadian rhythm sleep disorders, obstructive sleep apnea, movement disorders, narcolepsy, and substance/medication-induced sleep disorder.
Differential Diagnosis
Insomnia disorder (difficulty sleeping despite optimum conditions with daytime impairment, which cannot be explained by another sleep disorder) must be differentiated from other diseases that cause difficulty sleeping (because the treatment guidelines are prepared for the people who meets the criteria for insomnia disorder rather than other diseases with insomnia symptoms) such as:[1]
- Normal variants
- Short sleeper (needs <6 h of sleep)
- Excessive time in bed
- Sleep disorders
- Circadian rhythm sleep disorder
- Jet lag
- Delayed sleep–wake phase disorder (night owl)
- Advanced sleep–wake phase disorder (early bird or lark)
- Shift work sleep disorder
- Non-24-hour sleep-wake syndrome
- Irregular sleep–wake rhythm disorder
- Obstructive sleep apnea
- Movement disorders
- Narcolepsy
- Circadian rhythm sleep disorder
- Substance/medication-induced sleep disorder, insomnia type[2]
References
- ↑ Sutton EL (March 2021). "Insomnia". Ann Intern Med. 174 (3): ITC33–ITC48. doi:10.7326/AITC202103160. PMID 33683929 Check
|pmid=value (help). - ↑ Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.