American Psychiatric Association DSM 5 Criteria defines Insomnia as a condition in which people have difficulty falling asleep (DFA), difficulty staying asleep (DSA) and/or with early morning awakening (EMA).*
Symptoms occur in 33 to 50% of the adult population *,†
- As many as 95% of Americans have reported an episode of insomnia at least once in their lives Younger adults have more of a problem falling asleep*,†
- Middle-age and older adults complain of middle-of-the-night or early morning awakenings *,†
- Women are twice as likely to have insomnia than men *,†
- Around 40% of people with insomnia have a concurrent psychiatric issue *,†
† Roth T. Insomnia: definition, prevalence, etiology, and consequences. J Clin Sleep Med. 2007;3(5 Suppl):S7-10.
America Insomnia Survey
- American Insomnia Survey was a large national survey which included more than 10,000 adults from a commercial health plan.*
- The America Insomnia Survey states*, that American adults are almost twice as likely to complain about DSA and EMA than DFA.
- This survey found the most common symptom profiles in individuals with insomnia to be EMA only, DSA only, or both EMA and DSA.
- Approximately half (48.3%) of the respondents with insomnia complained about either two or three symptoms
The American Insomnia survey found more respondents complaining about difficulty staying asleep (61%) and early morning awakening (52%) than difficulty falling asleep (38%).
Insomnia & Comorbidities
Approximately 40% of adults with insomnia also have a coexisting psychiatric disorder, the most common being depression. Certain psychiatric conditions may be linked to Insomnia and can even be considered a diagnostic criteria. Psychological issues can lead to difficulty falling asleep, insomnia can lead to mood swings and shift in hormones. Studies suggest insomnia can trigger or worsen depression. The good news is that both conditions are treatable.
Trouble falling asleep can cause someone to worry or be nervous. Certain anxiety symptoms that may lead to Insomnia include:
- Excessive worry
- Feeling overwhelmed
Unhealthy lifestyle and irregular sleeping habits can create or initiate causes that may lead to insomnia. Some specific lifestyle factors may include:
- Working late in the evening & night
- Long naps in the afternoon
- Jet lag or Night worker
† Lopes CS, Robaina JR, Rotenberg L. Epidemiology of insomnia: prevalence and risk factors In: Sahoo S, editor. Can’t sleep? Issues of being an insomniac. Rijeka: InTech; 2012. p. 3-22.