Skip to main content

Introduction

The Varied Nature of Insomnia

  • Chapter
Case Studies in Insomnia

Part of the book series: Critical Issues in Psychiatry ((CIPS))

Abstract

Chronic insomnia has a profound impact on the quality of life. The transient variety is common enough to assure that most people will nod knowingly at the list of deficits this problem produces. Reduced zest, alertness, physical stamina, concentration, good-naturedness, enjoyment, and productivity are all reported. Experienced in a cascade, these impairments produce a general sense of vulnerability and disorder.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Reference

Recommended Readings

  • Bootzin, R. R. & Nicassio, P. M. (1978). Behavioral treatments for insomnia. In: Progress in behavior modification (Vol. 6 ). New York: Academic Press, pp. 1–45.

    Google Scholar 

  • Hauri, P. (1982). The sleep disorders. Kalamazoo, MI: Upjohn. A Scope Publication.

    Google Scholar 

  • Spielman, A. J., Caruso, L., & Glovinsky, P. B. (1987a). A behavioral perspective on insomnia treatment. In: M. Ermin (Ed.), Psychiatric clinics of North America. Philadelphia: W. B. Saunders, pp. 541–553.

    Google Scholar 

References

  • Association of Sleep Disorders Centers. (1979). Diagnostic classification of sleep and arousal disorders (1st ed.). Prepared by the Sleep Disorders Classification Committee, H. P. Roffwarg, Chairman. Sleep, 2, 1–137.

    Google Scholar 

  • Agnew, H. W, Webb, W. B., & Williams, R. L. (1966). The first-night effect: An EEG study of sleep. Psychophysiology, 2, 263–266.

    Article  PubMed  Google Scholar 

  • Bootzin, R. R., & Nicassio, P. M. (1978). Behavioral treatments for insomnia. In Progress in behavior modification (Vol. 6 ). New York: Academic Press, pp. 1–45.

    Google Scholar 

  • Carskadon, M. A., Dement, W. C., Mitler, M. M., Guilleminault, C., Zarcone, V. P, & Spiegel, R. (1976). Self-reports versus sleep laboratory fincings in 122 drug-free subjects with complaints of chronic insomnia. American Journal of Psychiatry, 133, 1382–1388.

    PubMed  CAS  Google Scholar 

  • Coleman, R., Roffwarg, H. P, Kennedy, S., et al. (1982). Sleep-wake disorders based on a polysomnoagraphic diagnosis: A national cooperative study. Journal of the American Medical Association, 247, 997–1003.

    Article  PubMed  CAS  Google Scholar 

  • Czeisler, C. A., Weitzman, E. D., Moore-Ede, M. C., Zimmerman, J. C., & Knauer, R. (1980). Human sleep: Its duration and organization depend on its circadian phase. Science, 210, 1264–1267.

    Article  PubMed  CAS  Google Scholar 

  • Czeisler, C. A., Allan, J. S., Strogatz, S. H., Ronda, J. M., Sanchez, R., Rios, C. D., Freitag, W. O., Richardson, G. S., & Kronauer, R. E. (1986). Bright light resets the human circadian pacemaker independent of the timing of the sleep-wake cycle. Science 233, 667–671.

    Article  PubMed  CAS  Google Scholar 

  • Edinger, J. D., Hoelscher, T. J., Webb, M. D., Marsh, G. R., Radtke, R. A., & Erwin, C. W. (1989). Polysomnographic assessment of DIMS: Empirical evaluation of its diagnostic value. Sleep, 12 (4), 315–322.

    PubMed  CAS  Google Scholar 

  • Ford, D. E., & Kamerow, D. B. (1989). Epidemiologic study of sleep disturbance and psychiatric disorders. Journal of the American Medical Association, 262 (11), 1479–1484.

    Article  PubMed  CAS  Google Scholar 

  • Freedman, R., & Sattler, H. (1982). Physiological and psychological factors in sleep-onset insomnia. Journal of Abnormal Psychology, 91, 380–389.

    Article  PubMed  CAS  Google Scholar 

  • Gross, R. T., & Borkovec, T. D. (1982). Effects of a cognitive intrusion manipulation on the sleep-onset latency of good sleepers. Behavior Therapy, 13, 112–116.

    Article  Google Scholar 

  • Hauri, P. (1989). Primary insomnia. In American Psychiatric Association treatments of psychiatric disorders: A task force report of the APA (Vol. 3 ). Washington, DC: APA, pp. 2424–2433.

    Google Scholar 

  • Kales, A., Caldwell, A. B., Preston, T. A., Healey, S., & Kales, J. D., (1976). Personality patterns in insomnia. Archives of General Psychiatry, 33, 1128–1134.

    Article  PubMed  CAS  Google Scholar 

  • Karacan, I., Thornby, J. I., Anch, A. M., Booth, G. H., Williams, R. L., & Salis, P. J. (1976). Dose-related sleep disturbances induced by coffee and caffeine. Clinical Pharmacology and Therapeutics, 20, 682–689.

    PubMed  CAS  Google Scholar 

  • King, D. A., Bouton, M. E., & Musty, R. E. (1987). Associative control of tolerance to the sedative effects of a short-acting benzodiazepine. Behavioral Neuroscience, 101, 104–114.

    Article  PubMed  CAS  Google Scholar 

  • Lack, L., Balfour, R., & Kalucy, R. (1985). The circadian rhythms of body temperature in poor sleepers. Sleep Research, 14, 298.

    Google Scholar 

  • Lavie, P. (1986). Ultrashort sleep-waking schedule. III. “Gates” and “forbidden zones” for sleep. Electroencephalographs and Clinical Neurophysiology, 63, 414–425.

    Article  CAS  Google Scholar 

  • Lichstein, K. L., & Rosenthal, T. L. (1980). Insomniacs’ perceptions of cognitive versus somatic determinants of sleep disturbance. Journal of Abnormal Psychology, 89, 105–107.

    Article  PubMed  CAS  Google Scholar 

  • MacFarlane, J., Cleghorn, J. M., Brown, G. M., Kaplan, R., Brown, P., & Mittorn, J. (1984). Sleep Research, 13, 223.

    Google Scholar 

  • Mellinger, G. D., Balter, M. B., & Uhlenhuth EH. (1985). Insomnia and its treatment: Prevalence and correlates. Archives of General Psychiatry, 42, 225–232.

    Article  PubMed  CAS  Google Scholar 

  • Monroe, L. J. (1967). Psychological and physiological differences between good and poor sleepers. Journal of Abnormal Psychology, 72, 255–264.

    Article  PubMed  CAS  Google Scholar 

  • Morris, M., Lack, L., & Dawson, D. (1990). Sleep-onset insomniacs have delayed temperature rhythms. Sleep, 13 (1), 1–14.

    PubMed  CAS  Google Scholar 

  • Nicassio, P. M., Mendlowitz, D. R., Fussell, J. J., & Petras, L. (1985). The phenomenology of the pre-sleep state: The development of the Pre-Sleep Arousal Scale. Behaviour Research and Therapy, 23, 263–271.

    Article  PubMed  CAS  Google Scholar 

  • Seidel, W. E, Ball, S., Cohen, S., Patterson, N., Yost, D., & Dement, W. C. (1984). Daytime alertness in relation to mood, performance, and nocturnal sleep in chronic insomniacs and noncomplaining sleepers. Sleep, 7 (3), 230–238.

    PubMed  CAS  Google Scholar 

  • Siegel, S. (1975). Evidence from rats that morphine tolerance is a learned response. Journal of Comparative and Physiological Psychology, 89, 498–506.

    Article  PubMed  CAS  Google Scholar 

  • Soldatos, C. R., Kales, J., Scharf, M. B., Bixler, E. O., & Kales, A. (1980). Cigarette smoking associated with sleep difficulty. Science, 207, 551–552.

    Article  PubMed  CAS  Google Scholar 

  • Spielman, A. J. (1986). Assessment of insomnia. Clinical Psychology Reviews, 6, 11–25.

    Article  Google Scholar 

  • Spielman, A. J., Caruso, L., & Glovinsky, P. B. (1987a). A behavioral perspective on insomnia treatment. In M. Ermin (Ed.), Psychiatric clinics of North America. Philadelphia: W. B. Saunders, pp. 541–553.

    Google Scholar 

  • Spielman, A. J., Saskin, P, & Thorpy, M. J. (1987b). Treatment of chronic insomnia by restriction of time in bed. Sleep, 10 (1), 45–56.

    PubMed  CAS  Google Scholar 

  • Stepanski, E., Zorick, F., Roehrs, T., Young, D., & Roth, T. (1988). Daytime alertness, in patients with chronic insomnia compared with asymptomatic control subjects. Sleep, 11 (1), 54–60.

    PubMed  CAS  Google Scholar 

  • Sterman, M. B., Clemente, C. D., & Wyrwicka, W. (1963). Forebrain inhibitory mechanisms: Conditioning of basal forebrain induced EEG synchronization and sleep. Experimental Neurology, 7 (5), 404–417.

    Article  PubMed  Google Scholar 

  • Strogatz, S. H., Kronauer, R. E., & Czeisler, C. A. (1987). Circadian pacemaker interferes with sleep onset at specific times each day: Role in insomnia. American Physiological Society, 1987, R172 - R178.

    Google Scholar 

  • Sweetwood, H. L., Kripke, D. E, Grant, I., Yager, J., & Gerst, M. S. (1976). Sleep disorder and psychobiological symptomatology in male psychiatric outpatients and male nonpatients. Psychosomatics Medicine, 38, 373–378.

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer Science+Business Media New York

About this chapter

Cite this chapter

Spielman, A.J., Glovinsky, P.B. (1991). Introduction. In: Hauri, P.J. (eds) Case Studies in Insomnia. Critical Issues in Psychiatry. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-9586-8_1

Download citation

  • DOI: https://doi.org/10.1007/978-1-4757-9586-8_1

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4757-9588-2

  • Online ISBN: 978-1-4757-9586-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics