Insomnia with short sleep duration: Nosologic, diagnostic, and treatment implications

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We review evidence that insomnia with objective short sleep duration is associated with physiologic hyperarousal; higher risk for hypertension, diabetes, neurocognitive impairment, and mortality; and with a persistent course. We propose that objective measures of sleep be included in the diagnosis of insomnia and its subtypes, objective measures of sleep obtained in the home environment of the patient would become part of the routine assessment and diagnosis of insomnia in a clinician's office setting, and insomnia with short sleep duration may respond better to biologic treatments, whereas insomnia with normal sleep duration may respond primarily to psychological therapies.

Original languageEnglish (US)
Pages (from-to)309-322
Number of pages14
JournalSleep Medicine Clinics
Issue number3
StatePublished - Sep 2013

All Science Journal Classification (ASJC) codes

  • Neuropsychology and Physiological Psychology
  • Clinical Psychology
  • Clinical Neurology
  • Psychiatry and Mental health


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