![]() ![]() Primary insomnia has 3 subtypes: idiopathic, stress-related, and SSM. SSM is believed to affect 9% to 50% of the adult population, and it is more common among people who also have bouts of primary insomnia. With paradoxical insomnia, a person feels that they are experiencing insomnia, although they are getting enough sleep and don’t experience daytime signs of sleep deprivation. And people who have a history of primary insomnia may also have episodes of sleep state misperception (SSM), also known as paradoxical insomnia. Primary idiopathic insomnia occurs without any identifiable cause and in the absence of anxiety. ![]() This type of insomnia is usually idiopathic, although it can be impacted by mild to moderate stress. 1 Primary insomnia is a type of chronic insomnia as defined by the ICSD-III, and it tends to persist or recur for many years throughout a person’s life, often beginning during childhood. Primary insomnia is diagnosed using DSM-5 and the International Classification of Sleep Disorders, 3rd Edition (ICSD-III) classification criteria. The sleep problems of primary insomnia are not associated with lifestyle habits or a medical or psychiatric cause. All rights reserved.Primary insomnia is a decreased ability to fall asleep and/or stay asleep, with resulting daytime effects of sleep deprivation, such as fatigue, dozing off, and irritability. Intractable insomnia The long-term effect Transcranial magnetic stimulation.Ĭopyright © 2021 Elsevier B.V. 2 consecutive courses of treatment still have a certain effect after 3 months, which is worthy of clinical promotion. The treatment of refractory insomnia by rTMS is effective, and the duration of the curative effect is related to the course of treatment. The results of CPC test showed that the improvement of total sleep time (TST), and deep sleep time (DST) was basically consistent with the assessment of PSQI, HAMD and HAMA that the clinical efficacy of the 3-month follow-up was better than that of one course of treatment after 2 consecutive courses of treatment. However, there was no statistical difference between the 3-month follow-up of one course of treatment and the pre-treatment period. After 2 consecutive courses of treatment, there was still a significant difference between the 3-month follow-up and the pre-treatment period (p < 0.05). ![]() The long-term effect of different treatment courses is different. The scores of PSQI, HAMD and HAMA in the 2 groups were significantly improved after 1 month of follow-up after rTMS treatment (p < 0.01). The pitchburg sleep index (PSQI), Hamilton depression scale (HAMD), Hamilton anxiety scale (HAMA), and cardiopulmonary coupled sleep (CPC) were assessed for 35 patients in each group at baseline, at 2 weeks, and at 1 and 3 months after treatment. The rTMS course consisted of daily sessions of 1200 stimuli for the r-DLPFC at a frequency of 1 Hz and 800 stimuli for parietal lobe (CPZ) at a frequency of 1 Hz. To explore the differences in clinical efficacy of different courses of repetitive transcranial magnetic stimulation (rTMS) in the treatment of intractable insomnia and the duration of clinical efficacy after cessation of treatment.ħ0 patients with intractable insomnia were randomly divided into 1 treatment course group and 2 treatment courses group. ![]()
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