• The elderly, the rate of chronic insomnia among the elderly reaches 38.2%;

•Female, the risk of suffering from insomnia in women is about 1.4 times that of men;

•The prevalence rate among people who have ever suffered from insomnia is approximately 5.4 times that of the general population;

•People with family history;

•People who have high pressure in life and have major events in their lives;

•People with anxious and perfectionistic personalities;

•People who are sensitive to the environment;

•People with mental and psychological diseases such as anxiety and depression, About 70% to 80% of patients with mental disorders also have symptoms of insomnia;

•People with chronic medical diseases.

Short-term insomnia disorder refers to the occurrence of insomnia symptoms for no more than 3 months and is related to stress, psychological, and environmental changes.

Chronic insomnia disorder refers to the occurrence of insomnia symptoms for more than 3 months and occurring at least 3 times a week.

That is, insomnia that does not meet the above two types, such as insomnia symptoms occurring for more than 3 months but less than 3 times a week.

Major events in life lead to emotional agitation and uneasiness, Or persistent mental stress may lead to insomnia. Anxiety caused by excessive focus on sleep problems will not only aggravate insomnia, but also cause insomnia to persist.

Physiological factors such as age, gender, hunger, overeating, fatigue, and changes in female agitation are also factors that induce insomnia. Examples include the effects of the menstrual cycle and menopause. During menopause, night sweats and hot flashes often interfere with sleep. Insomnia is also common during pregnancy.

Sudden changes in the sleeping environment, bright light, noise, etc. may affect sleep.

Certain drugs (such as thyroxine, atropine, etc.) can cause excitement in the human body and interfere with sleep.

Drinking tea, coffee, smoking and drinking, watching TV and playing with mobile phones before going to bed, Irregular bedtimes and staying up late to work may disrupt your normal routine and cause insomnia.

Overly detailed personality traits (such as excessive demands on health, excessive concern, The pursuit of perfection, the habit of thinking about the worst in everything, etc.) also play a certain role in the occurrence of insomnia.

Insomnia is also common in mental illnesses such as anxiety disorders, depression, bipolar disorder, and schizophrenia.

Physical discomfort may also lead to insomnia, common ones include high blood pressure, chronic gastroenteritis, pain, etc.

•Tossing and turning after going to bed and unable to fall asleep, it often takes 30 minutes or more to fall asleep;

•Wake up several times during the night, usually more than 2 times, and find it difficult to fall back asleep after waking up;

•Wake up early in the morning, more than 30 minutes earlier than the normal waking time;

•Total sleep time is less than 6.5 hours;

•The quality of sleep is reduced, and you still feel sleepy when you wake up, and you feel that your energy has not been restored.

•Poor mental state during the day, feeling sleepy, tired, and wanting to sleep;

•It is difficult to concentrate when working and studying, the number of mistakes increases, and memory declines;

•Emotionally, feeling nervous, uneasy, depressed, or easily irritable or angry;

•Social life, housework, career or study are affected.

•Existence of symptoms of insomnia, including difficulty falling asleep, waking up easily, waking up early, and unwillingness to go to bed when it is time to sleep;

•Insomnia affects work and life during the day, including inability to concentrate, memory loss, and irritability;

•Already have suitable sleeping conditions and time, but still have symptoms of insomnia;

•Not included in other types of sleep disorders.

Doctors need to know the daily schedule and symptoms of insomniacs, At the same time, it is also necessary to understand the impact on work and life during the day.

The recording of sleep conditions needs to be recorded continuously for 2 weeks, including the time you go to bed every day, the length of time you fall asleep, The number of times you wake up during the night, total sleep duration, early awakenings, and lunch break times all need to be recorded.

Doctors will choose an appropriate scale based on the specific situation of the insomniac.

•Pittsburgh Sleep Quality Index (PSQI);

•Insomnia Severity Index (ISI);

•Generalized Anxiety Scale (GAD-7);

•Epworth Sleepiness Scale (ESS);

•Fatigue Severity Scale (FSS);

•Morning-Evening Scale (MEQ);

• Sleep Beliefs Scale (DBAS).

Doctors will only perform PSG examinations when they suspect that other sleep disorders are combined or treatment is ineffective. Used to diagnose insomnia. Usually, simple short-term insomnia or chronic insomnia does not require PSG examination.

Cognitive behavioral therapy is a combined form of cognitive therapy and behavioral therapy, which has been proven in clinical practice CBT-I has short-term and sustained effects. It is more effective than single-component treatment and has longer-lasting effects than drug treatment. It is suitable for people of all ages and is generally recognized as the first-line treatment for chronic insomnia.

Cognitively, adjust your attitude towards insomnia, do not pay too much attention to sleep, do not force yourself to fall asleep, and do not blame all problems on insomnia.

In terms of behavior, professional relaxation training and sleep-aid behaviors are used to intervene in insomnia, such as:

Traditional Chinese medicine is based on syndrome differentiation and treatment, and divides insomnia into syndromes of heart and gallbladder qi deficiency, liver fire disturbing the heart syndrome, There are seven categories: phlegm-heat disturbing the heart, stomach-qi disharmony, blood stasis and internal obstruction, heart and spleen deficiency, and heart-kidney disharmony. Each category has its corresponding primary symptoms and secondary symptoms. You should go to the hospital for medical treatment in time, and the doctor will choose the corresponding prescription or Chinese patent medicine after an interview.

Different classifications correspond to different acupuncture methods, and treatment plans need to be formulated and implemented by professional Chinese physicians.

There are various physical treatments for insomnia, including repetitive transcranial magnetic stimulation (rTMS), Transcranial electrical stimulation, electrostatic stimulation, etc. These therapies should be used under the guidance of a doctor.

Such as light therapy, exercise therapy, etc.