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Recent Advances in Diagnosis and Treatment of Insomnia Disorder

Kim SJ

The diagnostic concepts of insomnia are controversial. New diagnostic criteria of insomnia disorder have been published in the International Classification of Sleep Disorders (ICSD-3) and the Diagnostic and Statistical Manual...
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Insomnia Symptoms and Mood Disturbances in Shift Workers with Different Chronotypes and Working Schedules

Choi SJ, Song P, Suh S, Joo EY, Lee SI

BACKGROUND AND PURPOSE: Shift workers frequently suffer from insomnia and mood disturbances, but little is known about the relationships of these conditions with the chronotypes and different working schedules of...
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Analysis of State-Trait Anxiety Inventory for Patients Diagnosed with Insomnia in an Outpatient Department

Lee SD, Ryu SH, Ha JH, Jeon HJ, Park DH

OBJECTIVES: Insomnia patients who visited the psychiatric outpatient of a university department, were divided into those patients with insomnia alone and those with depression or anxiety disorder, along with insomnia....
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Factor Analysis of the Insomnia Severity Index and Epworth Sleepiness Scale in Shift Workers

Park H, Lee SJ

BACKGROUND: Over one million Korean night shift workers undergo clinical assessment of sleep using the Insomnia Severity Index (ISI) and Epworth Sleepiness Scale (ESS) by occupational medical examination each year....
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Survey of Knowledge on Insomnia for Sleep Clinic Clients

Soh M

OBJECTIVES: Insomnia is not only the most common sleep-related disorder, but also is one of the most important. Knowledge of the comorbidities of insomnia is essential for proper treatment including...
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Relationship between Insomnia and Depression in Type 2 Diabetics

Lee JH, Cheon JS, Choi YS, Kim HC, Oh BH

OBJECTIVES: Many of the patients with type 2 diabetes are associated with sleep problems, and the rate of insomnia is known to be higher in the general population. The aims...
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Synergic Effects of Cranial Electrotherapy Stimulation with Sleep Hygiene in Patients with Chronic Insomnia

Kwon DR, Park JA, Lee YS, Kwak JH, Do JK, Kim JE

OBJECTIVES: To investigate the therapeutic effect of cranial electrotherapy stimulation (CES) with sleep hygiene in patients with chronic insomnia. METHODS: This study was designed as a prospective, double-blinded, and randomized controlled...
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Factors Influencing Functional Health of Patients with Chronic Insomnia based on Theory of Unpleasant Symptoms

Han EK, Kim S, Yoon IY

PURPOSE: The purpose of this study was to identify factors influencing functional health of patients with chronic insomnia based on the Theory of Unpleasant Symptoms (TOUS). METHODS: Data were collected from...
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Chronic insomnia disorder: perspectives from structural neuroimaging

Joo EY

Chronic insomnia disorder is the most widely reported clinical condition in medicine. It has a significant impact on populations and is characterized by chronically disturbed sleep and sleep loss, non-refreshing...
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Heart Rate Variability Biofeedback Increased Autonomic Activation and Improved Symptoms of Depression and Insomnia among Patients with Major Depression Disorder

Lin IM, Fan SY, Yen CF, Yeh YC, Tang TC, Huang MF, Liu TL, Wang PW, Lin HC, Tsai HY, Tsai YC

OBJECTIVE: Autonomic imbalance is considered a psychopathological mechanism underlying major depressive disorder (MDD). Heart rate variability (HRV) is an index for autonomic activation. Poor sleep quality is common among patients...
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A Study on Daytime Sleepiness, Insomnia, and the Quality of Sleep in Clinical Nurses

Hong KS, Park E

PURPOSE: The purposes of this study were to investigate sleep quality and the related factors among clinical nurses. METHODS: Data were collected from 208 nurses in general hospitals through self-report. Pittsburgh...
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Effects of Emotional Stability on Insomnia through Anxiety in Patients with Cataracts

Ahn IY, Lee SJ, Han YS, Park CS, Kim BJ, Lee CS, Cha B, Seo JY, Choi JW, Lee D

This study investigated the effect of emotional stability (ES) on insomnia through anxiety in preoperative patients with cataracts. Fifty-four subjects completed a self-questionnaire that included the Insomnia Severity Index (ISI),...
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Sharing Pathological Mechanisms of Insomnia and Osteoporosis, and a New Perspective on Safe Drug Choice

Yi SS, Chung SH, Kim PS

Lack of adequate sleep has become increasingly common in our 24/7 modern society. Reduced sleep has significant health consequences including metabolic and cardiovascular disorders, and mental problems including depression. In...
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Sleep Onset Insomnia and Depression Discourage Patients from Using Positive Airway Pressure

Park YK, Joo EY

OBJECTIVES: Despite the accumulating evidence of the effectiveness of positive airway pressure (PAP) therapy in obstructive sleep apnea (OSA) syndrome, adherence to PAP therapy is not high. Several factors reportedly...
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Effects of Transcranial Direct-Current Stimulation Therapy on Primary Chronic Insomnia: A Proof-of Concept Clinical Trial

Jun JS, Kim TJ, Koo SA, Park JS, Kim KT, Yang TW, Lim JA, Byun JI, Sunwoo JS, Jung KY

OBJECTIVES: To assess the effect and safety of transcranial direct-current stimulation (tDCS) in primary chronic insomnia. METHODS: A one-month, double-blind, randomized, sham-controlled trial was performed. A total of 7 patients with...
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The Effects of a Brief Intervention for Insomnia on Community Dwelling Older Adults

Oh ES, Park KM, An SK, Namkoong K, Shim DH, Lee E

OBJECTIVES: Insomnia is one of the major concerns in the elderly population. Cognitive behavioral treatment for insomnia is the first line treatment option, but there are some limitations including time...
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The Characteristics and Types of Psychiatric Consultation for Insomnia Symptom in Hospitalized Patients

Jeon H, Ryu SH, Ha JH, Jeon HJ, Park DH

OBJECTIVES: The purpose of this study was to explore insomniac demographic characteristics and the type of consultation provided to hospitalized patients asked to the Department of Psychiatry for insomnia and...
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Clinical Analysis of Daytime Sleepiness and Insomnia in Patients with Obstructive Sleep Apnea

Kim IS, Eom JH, Yoon HJ, Kim DH, Kim KR, Cho SH

BACKGROUND AND OBJECTIVES: Sleep disturbances and excessive daytime sleepiness (EDS) are the major symptoms of obstructive sleep apnea (OSA). This study aimed to investigate clinical implications of insomnia and EDS...
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Safety and Efficacy of Gamma-Aminobutyric Acid from Fermented Rice Germ in Patients with Insomnia Symptoms: A Randomized, Double-Blind Trial

Byun JI, Shin YY, Chung SE, Shin WC

BACKGROUND AND PURPOSE: This study aimed to determine the subjective and objective improvements in sleep quality after treatment with gamma-aminobutyric acid (GABA; 300 mg daily) extracted from unpolished rice germ. METHODS:...
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Discontinuation Rate of Doxepin in Insomnia Patients

Lee JH, Kim SM, Hong SC, Seo HJ, Kim TW, Um YH, Jeong JH

OBJECTIVES: We aimed to investigate the discontinuation rate and reasons of doxepin base prescription pattern in insomnia outpatients of psychiatry department of a university hospital. METHODS: 534 patients prescribed doxepin were...
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