❤❤❤ Insomnia Research Paper
Slavery, the industrial Benefits Of Interior Design, Kennedy and Vietnam and more. Insomnia is generally a sleeping disorder where the individual has trouble falling asleep or Insomnia Research Paper asleep WebMD. Patra S, Insomnia Research Paper S. These were sleep diary parameters -total Insomnia Research Paper time, total Loyalty In Romeo And Juliet duration, overall rating Insomnia Research Paper sleep quality and Insomnia Research Paper Severity Index for assessment Insomnia Research Paper sleep. Do you have difficulty in sleeping despite having the Insomnia Research Paper to do so? Yoga nidra has Concussions Movie Trailer tried as a therapeutic option Influence Of Erasmus On Humanism many diseases. Popular Topics. Insomnia By Insomnia Research Paper Fry September 4, Insomnia Research Paper The efficacy of yoga nidra can be better understood in a randomised Insomnia Research Paper trial in comparison to Insomnia Research Paper preferably in a Insomnia Research Paper age group.
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Yoga nidra has been tried as a therapeutic option for many diseases. The relative ease of practise has made it an acceptable therapeutic option for many diseases. Yoga nidra has been used in patients of menstrual abnormalities Rani et al. Since yoga nidra has been used as a therapeutic option with no documented side effects and it is mentioned related to sleep in scriptures, there was a felt need to develop this method as a model in management of chronic insomnia patients. The objective of the study was to develop yoga nidra as a complementary model in management of chronic insomnia patients.
Authors had asked for volunteers through advertisement placed at various OPDs. Two patients aged 60 and 78 years, who volunteered for the model of yoga nidra, are discussed. They were explained about the nature of study and informed consent was obtained. Diagnosed chronic insomnia patients came from sleep clinic out patients department OPD of MT Footnote 1 , senior neurologist and certified sleep specialist. They were on treatment and were referred to KD Footnote 2 in case they volunteered to add yoga nidra intervention to the already prescribed treatment.
An informed consent from the patient was taken. Patients following usual sleep wake schedule during the study period. Patients with morning circadian preference were included. Patients who were keen to volunteer for the study were included and they had a right to withdraw anytime during the study. Any patient who was likely to plan an intercontinental flight or was not able to follow usual sleep wake schedule during the study period. Patients with evening circadian preference were excluded from the study.
This was done as the patients should have been most alert at the time of yoga nidra session which was in the morning from h to h making it important to exclude patients with delayed circadian rhythm. The scale also assess the time of the morning when they were most alert which helped in planning the yoga nidra sessions further. We included morning preference also because we did not want circadian rhythm as a confounding factor since the effect of yoga nidra on circadian rhythm is not known. Patient 60 years old widower with complaints of not able to sleep after getting up at night since 20 years for more than 30 min and more than three times a week. Patient had worry at daytime regarding falling off to sleep which became even worse at bedtime.
Patient had history of benign prostatic hypertrophy and had no history of any medications for sleep or any other disease. Patient 78 years old male self-employed, company owner with complaints of not able to sleep after getting awake at night for more than 30 min and more than three times a week since 15 years. Permission to use yoga nidra for chronic insomnia patients was taken. She had discussions with the teachers and doctor in the school. The teachers brought out the usual problems faced during conducting and also while doing the session oneself. KD 2 also did sessions herself under supervision while in ashram to get a hands-on feel of the session which would help planning for the patients subsequently.
Planning of the session was done keeping the discussion in mind. The discussion brought out that a yoga nidra session every day for 3 to 4 days as done in short yoga programmes helps their subject to make them comfortable during the session. It was also pointed out that at times the instructions are not clear to all the subjects and might require elaboration on an individual basis.
Keeping these points in mind five supervised sessions were planned continuously every day for 5 days. Discussion with yoga teachers and doctor at the school brought out that the subject has to be ready for taking a session as it included voluntarily following the instructions without sleeping. It was suggested by the Bihar school of yoga teachers that the session should be carried out when the person is most alert to avoid sleep during the session. Since the sessions were done in the morning hours, we excluded patients with an evening circadian preference in the study.
The patient was verbally informed that this method was novel and though has been tried in other diseases with no reported side effects but it was essential to follow up closely for initial days requiring the patient to report daily for a minimum of 5 days initially and subsequently for follow ups. Since it required time, volunteering was an indirect measure of the commitment of the patient towards the management. The patient was free to withdraw from the study at any time of the intervention. The patient was then briefed about yoga nidra , its philosophy and available reports of its use as a therapeutic option.
Then baseline assessment was completed and documented. Initial five daily supervised sessions at the time when they are most alert during daytime was planned. Each session takes approximately 30 min. Before the start of the session, the patient was instructed to make himself comfortable. Since, insomnia patients are sensitive to changes in their daily routine on sleep basic premise for use of principles of sleep hygiene and education , intervention like yoga nidra is likely to affect sleep and hence the patients were kept under direct supervision of a certified sleep specialist.
The patient was not interrupted during the session. Signs of restlessness e. Cues of whether the patient was following instructions were carefully noted e. When the instructor asked the subject to take a deep breath, or look down while keeping eyes closed, the observer made a note of whether the patient followed. In case the patient was found not following instructions or appeared restless, time of the practise was noted from the player and subsequently discussed after the session.
This is extremely important as yoga nidra is considered very relaxing and might put an insomnia patient to sleep despite being the most alert time of the day for him. The practising subjects on an average start remembering all the different phases by the end of the fourth day. We gave 5 days considering some insomnia patients might fall sleepy during the sessions. Then the patients were asked to practise the session at home every day. Patients were now asked about the problem faced during the session. The noted time points by the observer where he felt the patient was not following were also discussed. In case any clarifications regarding the instructions were required they were provided so as to better the next session. The patient was also encouraged to listen to the tape at home after the first supervised session and was instructed to write down instructions which were not clear to the patient.
This was done to increase his compliance during the subsequent sessions. These points of the patient were discussed the next day before starting the next day session as advised by yoga school since it relieves anxiety of the patient. The entire session was then discussed with the patient as to how he feels it went, the patient was assured and instructed to follow the instructions as they were and not analyse or worry about them. Yoga nidra intervention was done using a copyrighted pre-recorded Yoga Nidra audio CD approximately Conduct of yoga nidra session was done in a sound proof room, with minimal ambient lighting during daytime. The subject was made to lie in the supine posture on a comfortable mattress.
A soft pillow is optional to give maximum comfort to the patient while the entire session. This posture minimises the contact points especially between the limbs of the body. Sleep diary— Sleep diary was used by the patients to mark the daily activities. This could be filled on paper or on an excel sheet according to the patients choice. The diary was to be filled twice a day, once in the morning on getting up and then again at night just before bedtime.
The individual fills in the details of time of lying in bed, approximate time required to fall asleep, wake up time, number of breaks in sleep and the approximate time that the individual feels that he was awake before falling off to sleep. Sleep quality on a scale of 10 was also reported in the diary along with other details of time of meals, exercise and time of yoga nidra. Parameters calculated using 2 weeks sleep diary were- Time in Bed TIB : the total time the individual was lying in the bed i.
These parameters were calculated for each night for the patient. Day 01 st to 14 th represent baseline, 15 th day represents the first day of yoga nidra intervention, 28 th st was used for the data analysis i. Baseline sleep diary was a mandatory requirement as is considered an important tool in assessing sleep in an insomnia patient. The low frequency and high frequency filter setting were EEG Notch filter at 50 Hz was put and simultaneous video monitoring was done with the PSG device during the entire night. This was done in MT 1 sleep lab by technicians. The staging of the sleep was done using AASM criteria and relative percentages of various sleep stages were calculated. Two fortnightly follow ups were considered mandatory for the patients after the start of yoga nidra intervention.
During this study, patients were also instructed to meet MT 1 at least at the end of the month and at any time when the patient felt he deteriorated during this intervention. Primary outcome measures which were considered for improvement of patients were related to sleep and also improvement in daytime functioning Edinger et al. These were sleep diary parameters -total sleep time, total wake duration, overall rating of sleep quality and Insomnia Severity Index for assessment of sleep.
Pre sleep arousal scale was also used. From this scale a total score, somatic and cognitive score of pre sleep arousal were calculated. A reduction in these scores occurs with reduction in pre sleep arousal. Study design consisting of first 2 weeks of baseline followed by intervention using supervised yoga nidra training is shown in timeline in Fig. Patients also filled MES which was used to screen subjects and only those with morning preference were used for the study. Baseline PSG was done. This was done not only to assess insomnia but also to document presence of other sleep disorders. Yoga nidra training was done using copyrighted CD.
After 05 days of yoga nidra training under supervision, the patients were instructed to practice yoga nidra at home daily at a time when he was alert. Sleep diaries for both the patients were analysed. Patient 01 filled the diary continuously till 93 rd day i. Analysis of sleep diary was done as: baseline; at 1 month- 28—41 day and for patient 01 at 3 months as 79—93 day. Various sleep diary parameters are shown schematically for patient 01 and 02 in Fig. Results of post hoc tests are shown in Fig. Sleep diary parameters of patient 02 are shown in Fig.
On regular visits patients were asked about the anxiety and worry regarding falling asleep. Counting Sheep As noted, sleep plays. Passionflower Passionflower was used traditionally by Native Americans and later in Europe as a calming herb for anxiety, insomnia, seizures and hysteria. In modern herbal medicine professional herbalists still use passionflower as a gentle sedative to treat anxiety and insomnia. It is often combined with valerian and lemon. Sleeping issues may cause headache and such pain is indication that you are suffering from some sleep disorder, including insomnia, nightmares or sleep apnea.
In order to solve the problem with sleeping and get proper sleep during the night, many people decide to take sleeping pills. But, instead using medications, our advice is to find some natural solution for this issue. Sleep helps the body get enough rest, thus restoring strength and energy. However, insomnia can affect my daily life and make me feel exhausted and anxiety. Firstly, Insomnia is affecting the impact of daily work. Normally, enough sleep can make our minds clear. However, due to the insomnia which can lack the concentration and focus on the study.
For instance, I feel exhausted and cannot pay attention, to listen what teacher say. Lack of Time The lack of time to sleep commonly occurs when the time to sleep is consumed by doing certain tasks, like accomplishing certain projects and research papers, reviewing for the examination the next day- for students, this could also occur to those who are working such as those who are working during the night time or the night shifters. Sleep deprivation of this like is difficult to cure and address, since they are required to do those task However, they should be aware of the negative.
A TV, cell phone, or computer in the bedroom can be a distraction and deprive you of needed sleep. Individuals who have insomnia often watch the clock. Daylight is key to regulating daily sleep patterns. Try to get outside in natural sunlight. Background of Sleep Deprivation Sleep deprivation is. Introduction Good morning everyone. So, we called this situation as sleep deprivation which means a condition where people not get enough sleep. We are in the same shoes, so no worries. A research from Brown University stated that, from a survey they conducted to a group.
Have you ever had any troubles sleeping at night? Some people might have an inability to sleep, a sleeping disorder called insomnia. But for Adam Young, he had trouble sleeping at night, and yet, still have a very colorful vivid dreams. Conversely, it is important to note that if pre-existing mental disorders exist, the diagnosis and therapy recommended may alter effectiveness. Therefore, my ability to learn will be severely impacted because my learning relies on those function previously stated.
Additionally, I could develop various conditions as a result of sleep deprivation such as depression, anxiety, and insomnia. As a result, they may feel dissatisfied with their sleep and may not feel refreshed when they wake up. Consequently, insomnia will directly be detrimental to performance of daily task, such as the problems with learning, remembering, daytime fatigue, irritability, and negative feelings of wellbeing.
Primary insomnia is a. How effective is CBT for Insomnia? Sleep is a very important part of life that helps to keep us healthy, alert, and functioning well. Unfortunately, many people suffer from insomnia which is the inability to sleep. CBT-I has shown to be. It is a distinct disorder, and its onset is still not quite understood. Because of this, the start of this sleep disorder can be a result of many causes. Primary insomnia usually lasts for at least one month. Furthermore, many life changes can initiate primary insomnia, and it may be due to major or long-lasting.
In after I came back from Afghanistan, I was diagnosed with mild insomnia. I have learned that my insomnia is due partially to pain. I have now been living with Insomnia for the past 2 years and still am learning more about it. Most people think that insomnia is just the inability to sleep. It actually has different levels that include having a hard time going to sleep, and staying asleep, and not feeling rested when you. Insomnia can also vary in how long it lasts and how often it occurs. It can be short-term or can last a long time chronic insomnia. Short-term insomnia can last from one night to a few weeks.
Chronic insomnia is when a person has a sleep disorder for at least three nights a week for a month or longer.BaselinePSG data of both patients did not show association of any other sleep Insomnia Research Paper. Google Scholar. Available Insomnia Research Paper options Insomnia Research Paper pharmacological mark up languages non-pharmacological approach.