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22대 대한민국 국회 국회정보길라잡이 국회의원검색
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초록보기

Insomnia is a pervasive and often debilitating sleep disorder that profoundly affects health and overall wellbeing. This comprehensive review focuses on the historical context, clinical significance, diagnostic criteria, investigative methods, and global treatment guidelines for insomnia. Historically, references to insomnia have appeared in ancient Egyptian and Greek texts, but it was not until the 19th century that they were rigorously studied and classified. Notable individuals, including Vincent van Gogh, Franz Kafka, and Marilyn Monroe, have struggled publicly with insomnia, underscoring its widespread nature. The pathophysiology of insomnia is multifactorial, involving physiological, psychological, and environmental factors. Hyperarousal, dysregulation of the sleep-wake cycle, and neurotransmitter imbalances are central to its development. Insomnia can be categorized into acute, chronic, comorbid, idiopathic, and behavioral types. Epidemiological studies have revealed that up to 30% of adults experience insomnia, with a higher prevalence among women, older adults, and those with a lower socioeconomic status. Insomnia is associated with adverse health outcomes, including cardiovascular diseases, metabolic disorders, cognitive impairment, and increased mortality risk. The COVID-19 pandemic has exacerbated insomnia owing to stress and lifestyle changes. Diagnosis involves a comprehensive assessment, including sleep history, physical examination, and objective evaluations, such as polysomnography. Treatment combines pharmacological and non-pharmacological interventions with cognitive behavioral therapy for insomnia as the first-line approach. Pharmacotherapy includes benzodiazepines, non-benzodiazepine hypnotics, antidepressants, melatonin, and orexin receptor antagonists. Guidelines from the American Academy of Sleep Medicine and the European Sleep Research Society emphasize individualized, evidence-based treatment plans to improve sleep quality and overall health.

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기사명 저자명 페이지 원문 목차
Performance of fitbit devices as tools for assessing sleep patterns and associated factors Ji-Eun Park, Eun Kyoung Ahn, Kyuhyun Yoon, Jayeun Kim p. 59-64
(The) intricacies of insomnia : a comprehensive exploration Nimit Khara, Anagha Apte, Yagnang Vyas, Dhaval Prajapati, Ravish Kshatriya, Sateesh Patel p. 65-72
딥러닝을 이용한 액티그래피 데이터에서의 수면장애 예측 = Prediction of sleep disorder from actigraphy data using deep learning 김경민, 박정호, 육순현, 김호성, 주은연 p. 73-79
Quantitative spectral analysis of waking electroencephalography in patients with moderate to severe obstructive sleep apnea and excessive daytime sleepiness : a case–control matched pilot study Gi Won Nam, Jong Jin Woo, Yooha Hong, Heejung Mo, Soo-Jin Cho, Hee-Jin Im p. 80-87
Evaluation of sleep patterns and chronotypes in Spanish women with fibromyalgia syndrome : a descriptive cross-sectional study Sebastián Eustaquio Martín Pérez, Laura Lucas Hernández, Juan Luis Oliva de la Nuez, Aboubaker Soussi El-Hammouti, Tomás González Cobiella, José Carlos del Castillo Rodríguez, Mario Herrera Pérez, Isidro Miguel Martín Pérez p. 88-97
Which specialty would you choose? Understanding public preferences for sleep disorder treatment in South Korea Jee Hyun Kim, Tae-Won Yang, Hye-Jin Moon, Keun Tae Kim, Yong Won Cho, Seo-Young Lee, Jieon Lee, Jae Wook Cho p. 98-106
Association between self-reported sleep and cognitive function in patients with mild cognitive impairment Heewon Bae, Seonjeong Kim, Yi-Seul Choo, Eun Yeon Joo p. 107-115
Clinical characteristics, comorbidities, and quality of life in Korean patients with narcolepsy : findings from an online survey Namoh Kim, Se-yeon Min, Ki-Young Jung p. 116-122
Localized upper back pain : a rare variant of restless legs syndrome Seungwon Song, Namoh Kim, Yong Woo Shin, Ki-Young Jung p. 123-125

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