Category: Recent Studies

Web-based cognitive behavioral therapy for insomnia improves sleep & mood

Early Treatment of Insomnia May Improve Mental Health

Insomnia and mental health problems go hand in hand. It’s firmly established now that insomnia can be a causal factor in depression and that treatment for insomnia can improve both sleep and mood.

A new study shows that insomnia may also be a causal factor in psychotic experiences such as paranoia and hallucinations, and that CBT for insomnia (CBT-I) may lead to better mental health. Here’s a quick look at the research and what it suggests for us.

Insomnia is not always treatable by primary care providers

Insomnia: Are Primary Care Doctors Still Getting It Wrong?

It’s not always easy to find help for insomnia. Several people I interviewed for “The Savvy Insomniac” reported that their primary care doctors didn’t seem to take the complaint seriously or prescribed treatments that didn’t work.

I thought the situation must have changed since persistent insomnia is now known to be associated with health problems down the line. But a recent report on the Veterans Affairs (VA) health system shows that insomnia is still overlooked and undertreated by many primary care providers.

Here’s what you may find—and what you deserve—when you talk to your doctor about sleep.

Poor sleep conditions compound the problem of sleep onset insomnia

Six Tips for Overcoming Sleep Onset Insomnia

Poor sleeping conditions such as those found on planes can interfere with anyone’s sleep. But sleep onset insomniacs may find them particularly challenging, accustomed as we are to not falling asleep very quickly and being bothered by things that other sleepers readily tune out.

Why is it so hard for some insomniacs to fall asleep and what can help? Following are six ways to hold sleep onset insomnia at bay.

Insomnia sufferers relearn the feeling of falling asleep

Sleep (Re)Training for Insomnia

What does falling asleep feel like? Good sleepers may never bother with the question. One minute they’re conscious and the next minute they’re out. But if you have chronic insomnia, falling asleep (or back to sleep) can feel like a tiresome slog.

Insomnia sufferers may actually lose touch with the feeling of falling asleep. So Sleep Technologist Michael Schwartz created a smartphone app to put people back in touch and increase their confidence and ease in falling asleep.

Melatonin content may differ from amount listed on label

How Much Melatonin Is Really in That Supplement?

Supplementary melatonin is the fourth most popular natural product used by adults in the United States and the second most popular given to children.

But supplements like melatonin are not subject to the same quality controls as prescription medications. A new study of melatonin sold over-the-counter shows that information on the label often does not reflect the content of the product.

Insomnia with short sleep increases susceptibility to overweight

Sleep and Body Weight: A Close Relationship

“If you weigh too much, maybe you should try sleeping more.”

This commentary in the journal Sleep caught my eye. Flip as it sounds to a person who would sleep more if she could, it points to a relationship between sleep and body weight that should be widely publicized.

Sleep can also affect your ability to keep weight off. As for the relationship between insomnia and body weight, the latest news is surprising. Read on for details:

Paradoxical insomnia may respond to treatment with CBT & therapies lowering arousal

Paradoxical Insomnia: A Second Look at Treatments

Paradoxical insomnia: a diagnosis given to people whose sleep studies show they sleep a normal amount but who perceive they sleep much, much less. When I wrote about it in 2015, the word was that cognitive behavioral therapy (CBT)—the gold standard in treatments for insomnia—might not be an effective treatment for it.

But a brief testimonial that recently appeared in American Family Physician argues otherwise. Here’s an update on this puzzling sleep disorder.

Coffee | insomnia sufferers can enjoy health benefits & avoid the harms

Coffee: The Sleepless, Too, Can Enjoy the Benefits

I love coffee and I’m always glad to hear coffee is beneficial to my health. Two new studies—one of humans and the other of mice—add to this growing body of knowledge.

Yet coffee contains caffeine, and people with insomnia are often advised to cut down on caffeine because it interferes with sleep. Is there a middle course the sleepless can steer to avoid the harms and reap the benefits?