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  • Worry about the next night s insomnia

    2018-10-26

    Worry about the next night\'s insomnia was an important part of the routine. The finding suggests that in addition to the experience of insomnia, these patients worry about being an insomniac. The issue explains a state similar to anticipatory anxiety in panic disorders in which a patient experiences anxiety when predicting another attack [32]. Considering the similarities, the experience may be very disabling. Therefore, it lrrk2 seems reassurance about the anxiety may be helpful. Being overshadowed by depressed mood was the last subtheme in the unwanted new lifestyle theme. Experience of depressed mood, anthodia, difficulty in relationships with family and friends, and lack of motivation to participate in hobbies/leisure time activities are among the mentioned experiences of our participants. The bidirectional relationship between depression and insomnia is well documented. Patients with depression suffer from insomnia, and it is also considered as a DSM-IV criterion for diagnosis of major depression. On the other hand, Insomnia is considered as a predictor for developing, and as well as an indicator of a more sever course of the depression [33]. However, the exact mechanism of the relationship is not well understood. Considering the relationship is necessary in the assessment of these patients. Sometimes the symptoms of depression may mislead clinicians, and insomnia as an independent disorder may be overlooked. Therefore, clinicians should be aware of being misled in the assessment of patients with insomnia. Finally, suicide ideation was another experience of these patients during a depressed mood. Feelings of hopelessness due to lack of control of the insomnia and other components of depressed mood were among the reasons for suicide ideation mentioned by our participants. The relationship between insomnia and suicide ideation has been reported in case reports and other studies [34,35]. The role of insomnia as a risk factor for suicide necessitates early treatment of insomnia.
    Conclusion and implications
    Strengths and limitations This study should be seen in the light of both its strengths and limitations. One strength was our decision to perform a qualitative phenomenological study, which has several advantages. Gathering data from patients who have experienced insomnia provided us with a deep understanding of insomnia and its impacts on the daily lives of these patients. Secondly, purposive sampling with maximum diversity could enrich data gathering in our study. We interviewed both men and women of different ages with insomnia. The strategy provided us with diverse experiences. The third strength was using interviews for data gathering instead of a focus group. Using interviews could diminish some limitations that may have existed in data gathering through focus groups [13]. Finally, the study participants had all been formally diagnosis with insomnia using polysomnography. The diagnosis can reduce methodological problems in discriminating between insomnia symptoms and insomnia disorders. However, the study has a limitation that should be mentioned. We did not conduct further analysis to explore the stages of the experience of insomnia. Further research to overcome this limit is recommended.
    Acknowledgement
    Introduction The complexity of the human brain is one of the most well documented fields of academic study. Nowadays multiple technologies exist to record brain wave patterns, Electroencephalography being one of them. Through Electroencephalogram based signals, a better understanding of the complex inner mechanisms and their association with psychological and psychiatric disorders can be established [1]. Insomnia or sleeplessness is a sleep disorder in which there is an inability to fall asleep or to stay asleep as long as desired. Insomnia is characterized by: Insomnia cases have seen a rapid climb over the past few years and coupled with pain and fatigue is one of the most common disorders in urban societies. Even though cases of insomnia are at alarming levels, awareness about it is at abysmal levels, both in victims and doctors. Compounding the issue is the fact that there are no widely accepted forms standard treatments [2].