Insomnia associated with medical disorders

摘要: Insomnia is frequently associated with different medical disorders. This may be due to a variety of reasons: repercussions on sleep the symptoms pertaining these illnesses, e.g. pain, dyspnoea, nycturia, reduced motility, pruritus; anxiety or even depressive moods induced by handicap, failure understand course illness, sometimes risk life itself; adverse effects certain medications used. chapter will deal disorders encountered in heart, respiratory, gastro-intestinal, renal, rheumatic, endocrine and metabolic conditions. For insomnias related neurological diseases, reader should refer 57 “Sleep lesions CNS” for insomnia within framework fibromyalgia, 60 “Fibromyalgia chronic fatigue syndrome: role disturbances”. As general rule, treatment disturbances comes under diseases themselves. Nevertheless it important take account psychological factors, such as brought stress provoked stay hospital, possible pain involved explorations, scheduled surgical operation, which quite naturally lead proposing anxiolytic hypnotic treatment. But there drawbacks prescribing treatment: have detrimental effect immediate benzodiazepines respiratory failure, example; tolerance dependency nature underlying not mention lack understanding non-effects subjects affected various types illness.