• Title/Summary/Keyword: Insomnia,

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Association between discrimination in the workplace and insomnia symptoms

  • Suhwan Ju;Seong-Sik Cho;Jung Il Kim;Hoje Ryu;Hyunjun Kim
    • Annals of Occupational and Environmental Medicine
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    • v.35
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    • pp.25.1-25.12
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    • 2023
  • Background: In Korea, little research has focused on the relationship between discrimination in the workplace and sleep health. Thus, this study aims to investigate the association between such discriminatory experiences and insomnia, a common sleep disorder, using Korean employees' data. Methods: This study used data from the 6th Korea Working Conditions Survey. Discrimination experiences due to age, ethnic background, nationality, race, sex, religion, disability, sexual orientation, educational level, hometown, and employment status were investigated. The Minimal Insomnia Symptom Scale estimated insomnia symptoms. The association between discrimination experience and insomnia symptoms were analyzed using survey-weighted logistic regression analysis. Results: Based on experiences of discrimination over the past 12 months, insomnia symptoms were associated with discrimination experience due to religion (odds ratio [OR]: 3.70; 95% confidential interval [CI]: 1.58-8.69), sex (OR: 2.51; 95% CI: 1.87-3.37), age (OR: 2.30; 95% CI: 1.88-2.81), hometown (OR: 2.07; 95% CI: 1.44-2.97), employment status (OR: 1.69; 95% CI: 1.37-2.10), and educational level (OR: 1.67; 95% CI: 1.31-2.14). Furthermore, the prevalence of insomnia symptoms increased with the number of discrimination experiences. Conclusions: In this study, discrimination experiences due to religion, sex, age, hometown, employment status, and educational level were significantly associated with insomnia symptoms. Furthermore, as the number of discrimination experiences increased, so did the prevalence of insomnia. Preventing workplace discrimination may improve workers' sleep health.

Clinical Report of One Case with Insomnia, Depression and Anxiety Disorder Improved by Traditional Korean Medical Treatment and Breathing Meditation (한방치료와 호흡명상으로 호전된 불면 및 우울증을 동반한 불안 장애 환자 치험 1례)

  • Oh, Kyong-Min;Kim, Bo-Kyong
    • Journal of Oriental Neuropsychiatry
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    • v.20 no.3
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    • pp.297-307
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    • 2009
  • Objectives : Insomnia, depression and anxiety disorder are widespread in elderly patients. Mood disorder and insomnia share complex theoretical and clinical relationships. We investigated if traditional Korean medical treatment and breathing meditation are effective in patient with insomnia, depression and anxiety disorder. Methods : We treated one patient with traditional Korean medical treatment such as accupuncture, herb-medication, moxa and breathing meditation Results : After Treatment, the chief complaint and accompanying symptoms were improved, and the score of BAI, SADS, BDI, PSQI, IQ were decresed. Conclusions : According to this study traditional Korean medical treatment is effective for the cure of insomnia, depression and anxiety disorder and breathing meditation forifies the traditional Korean medical treatment.

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The treatment of insomnia through stability of the autonomic nervous system (자율신경 안정을 통한 불면증 치료)

  • Yoon, Jong-Cheon;Jung, In-Chul;Lee, Sang-Ryong
    • Journal of Haehwa Medicine
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    • v.18 no.2
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    • pp.141-145
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    • 2009
  • Following thesis is about comprehensive treatment of insomnia through stability of the autonomic nervous system. It is widely accepted that most of the relevant symptoms of insomnia can be blamed on successive instability of the autonomic nervous system. In order to treat insomnia effectively, it is essential to maintain stability in the autonomic nervous system. When one is at stable stage of the autonomic nervous system, one maintains steady hormonal discharge. In Oriental Medicine, it is the stage when one has a sound qi-blood circulation. To treat insomnia effectively, one has to obtain both physical and mental relaxation through various ways.

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Oriental Treatment of Insomnia in Stroke Patient (고침무우산으로 개선된 중풍 환자 불면 1례)

  • 양대진;강경숙;한진안;배형섭
    • The Journal of Korean Medicine
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    • v.21 no.4
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    • pp.271-275
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    • 2000
  • A growing number of people are concerned about their sleep. There are many people with chronic sleep disorders. As there are various causes in a disease, proper treatment according to each cause is necessary for a more effective treatment. In general, insomnia is classified into five categories of physical, physiological, psychological, psychiatric and pharmacological aspects. Sedative-hypnotics including benzodiazepine and non-benzodiazepine have widely been used in chronic insomniacs. However, most hypnotics including non-benzodiazepine cause some of dependence, tolerance, impaired daytime function and rebound insomnia. Therefore, we are looking forward to proposing an effective oriental treatment for insomnia. A 71-year-old male who had suffered from cerebral infarction was admitted to our department for oriental treatment of stroke and insomnia. Initial treatment modalities with administration of paroxetine were not effective. However administration of oriental medicine' Gochimmuwoo-san(Gaozhenwuyou-san)' achieved a desirable effect.

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Behavior Therapy and Light Therapy of Insomnia (불면증의 행동치료 및 광치료)

  • Seo, Wan-Seok
    • Sleep Medicine and Psychophysiology
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    • v.10 no.1
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    • pp.20-25
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    • 2003
  • Many people suffer from chronic insomnia. Inappropriate sleep causes attention difficulties, decreased work efficiency, and increased traffic accidents and disasters. Evaluating the precise causes of insomnia prior to treatment is very important, because chronic insomnia can be a secondary symptom of other medical, psychiatric, and sleep disorders. Medication and behavior therapy are not exclusive of each other, and both treatments are beneficial to some patients, but currently many physicians and patients tend to be dependent only on medication. While long-term medication causes various degrees of dependency, tolerance, and withdrawal symptoms, behavior therapy has a stable effect over a long period. Behavior therapy is one of the most important treatment modalities for chronic insomnia. It shortens sleep latency, and decreases frequency of awakening during sleep. The rationale and practice of currently used behavior therapy and light therapy will be reviewed in this study.

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The Effect of Hwangyeonhaedogtang-Gamibang on Insomnia in Stroke - 3-Case Report - (황연해독탕가미방으로 호전시킨 중풍 환자 불면증 3예)

  • 류순현;양대진;조기호;김영석
    • The Journal of Korean Medicine
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    • v.22 no.2
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    • pp.120-127
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    • 2001
  • Insomnia is a disorder of initiaton and maintenance of sleep that results in daytime sleepiness and dysfunction, and arises from multiple psychological, physiologic and environmental factors. A number of stroke patients suffer from insomnia classified as one of the sleep disorders associated with physical illness and on the contrary insomnia may have profound deleterious effects on the natural course of stroke. We experiened three cases of stroke patients with insomnia. In the point of Differentiation of Syndromes, these subjects were diagnosed as Excessive heat-fire syndrome of stroke and were administrated with Hwangyeonhaedog-tang Gamibang. After treatment, both sleep patterns and other accompanied symptoms improved.

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Influence of Consecutive Night-Shift Work and Working Time on Insomnia among Hospital Nurses (병원 간호사의 연속 야간 교대근무와 근무시간이 불면증에 미치는 영향)

  • Shin, Seunghwa;Kim, Su Hyun
    • Korean Journal of Occupational Health Nursing
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    • v.29 no.2
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    • pp.133-139
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    • 2020
  • Purpose: This study aimed to identify the influence of consecutive night-shift work and working time on insomnia among hospital nurses. Methods: A descriptive correlational research designutilizing secondary data analysis was adopted. Data on consecutive night-shift work, working time, and insomnia were collected from 64 hospital nurses using a Fitbit activity tracker and questionnaires, and analyzed using hierarchical logistic regression. Results: Consecutive night-shift work for more than three days had a significant influence on insomnia among hospital nurses. Weekly working hours also accounted significantly for the variance in insomnia, exceeding the influence of consecutive night-shift work. Conclusion: Development and implementation of proper schedules to control consecutive night-shift work and working time is important to alleviate insomnia among hospital nurses.

A Case Report of the Treatment of an Unstable Angina Pectoris Patient with Chest Pain, Insomnia, and Dyspnea by Gamiondam-tang-gagam (가미온담탕(加味溫膽湯) 가감(加減)으로 호전된 흉통(胸痛), 불면(不眠), 호흡곤란(呼吸困難)을 동반한 불안정협심증(不安定狹心症) 환자 1례)

  • Jeong, Hyun-jin;Jeon, Sang-yoon
    • The Journal of Internal Korean Medicine
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    • v.40 no.3
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    • pp.525-533
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    • 2019
  • Objectives: This study aimed to describe the use of traditional Korean medicine to relieve chest pain, insomnia, and dyspnea in a patient with unstable angina pectoris Methods: To relieve the symptoms, the patient was treated with a range of traditional Korean medicine, including acupuncture, moxibustion, and an herbal medicine (Gamiondam-tang-gagam). The numerical rating scale (NRS) was used to measure the patient's status and improvements in the frequency of symptoms. Results: After the treatment, the NRS score for chest pain, insomnia, and dyspnea decreased from 10 to 0. In addition, chest pain and insomnia almost subsided. Conclusions: This report suggests that Gamiondam-tang-gagam can be effective in relieving chest pain, insomnia, and dyspnea.

Neuromodulation for Insomnia Management (불면증 치료법으로서의 뉴로모듈레이션)

  • Yoon, Ho-Kyoung
    • Sleep Medicine and Psychophysiology
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    • v.28 no.1
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    • pp.2-5
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    • 2021
  • Hyperarousal or increased brain excitability is thought to play a key role in the pathophysiology of insomnia. Neuromodulation techniques are emergent complementary therapies for insomnia and can improve sleep by modulating cortical excitability. A growing body of literature support the idea that neuromodulation can be effective in improving sleep or treating insomnia. Recent evidence has revealed that neuromodulation methods can improve objective and subjective sleep measures in individuals with insomnia, although effects vary according to protocol. Different mechanisms of action might explain the relative efficacy of neuromodulation techniques on sleep outcomes. Further research testing different stimulation parameters, replicating existing protocols, and adding standardized sleep-related outcomes could provide further evidence on the clinical utility of neuromodulation techniques.

Adult Attachment Styles and Insomnia (성인 애착유형과 불면증)

  • Kim, Dong-Wook;Lee, Kyung-Hwa;Cho, Seong-Jin;Cho, In-Hee;Koh, Seung-Hee;Lee, Yu-Jin;Kim, Jong-Hoon;Kim, Seog-Ju
    • Sleep Medicine and Psychophysiology
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    • v.16 no.1
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    • pp.28-35
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    • 2009
  • Introduction: Human attachment is known to be closely associated with psychophysiological phenomenon. However, there have not been enough researches on the relationship of the attachment with sleep, especially with insomnia. The objective of the present study was to investigate the relationship between adult attachment styles and insomnia in community-dwelling population. Methods: One hundred seventy seven community-dwelling adults (74 males and 103 females;mean age $41.23{\pm}8.44$) participated in the current study. To assess the attachment styles (secure, dismissing, preoccupied and fearful), self-reporting Relationship Style Questionnaires (RSQ) were completed by the participants. Presence, type, frequency and duration of insomnia in the last month were also investigated. Results: Compared to subjects without insomnia, subjects with insomnia had higher fearful attachment scores (t=2.87, p=0.005). Higher fearful attachment score were found in all subtypes of insomnia (sleep-onset insomnia, t=2.33, p=0.021;maintenance insomnia, t=2.92, p=0.004;terminal insomnia, t=2.89, p=0.004). Subjects with frequent (${\ge}3$ per week) insomnia had higher fearful attachment scores than subjects with infrequent (${\le}2$ per week) insomnia (t=2.57, p=0.012). In addition, subjects with chronic insomnia (${\ge}6$ months) had higher preoccupied attachment scores relative to subjects with transient insomnia (<6 months), (t=2.57, p=0.012). Conclusion: In the current study, attachment styles were different depending on the characteristics of insomnia. The fearful attachment was associated with the presence of insomnia, while the preoccupied attachment was associated with the chronicity of insomnia. These findings suggest that there may be some relationship between the adult attachment styles and the clinical features of insomnia.

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