Poor sleep hygiene

Introduction Poor sleep hygiene refers to sleep disorders caused by various daily life and behavioral habits that may induce sleep difficulties. There is no psychopathological abnormality in mental state examination, and there are no obvious physical disease factors.

Cause

The cause is clearly related to sleep hygiene and poor habits. Bad behavioral habits undermine sleep-wake rhythms, such as irregular sleep time, daytime nap, or too much time in bed. Engage in exhilarating activities before sleep, such as reading thrilling novels, watching complex dramas, performing physical exercises, or intense brain activity. Excessive consumption of coffee, cigarettes and ethanol before sleep. The light in the bedroom is too bright, the room temperature is too high or too low, and the noise is too high. The occurrence of poor sleep hygiene is basically independent of genetic factors, but it is related to individual quality factors, such as daytime fatigue, lethargy, emotional instability caused by insomnia, and it is easy to take actions that violate the principles of good sleep hygiene, including snoring, Increasing the intake of caffeine and drinking at night during the day, coupled with factors such as fluctuations in mood, make the sleep-wake rhythm more unstable and more likely to cause insomnia.

an examination

Related inspection

Electrocardiogram EEG examination

Most are considered to be a more common type of insomnia. The main clinical manifestations are difficulty falling asleep, easy to wake up and wake up during sleep. In many patients, sleep maintenance is difficult, and an increase in the number of awakenings may become a prominent symptom.

Bedtime is too long, going to bed and getting up time is too irregular, sleep time changes, daytime nap or excessive snoring, etc., will lead to changes in sleep patterns, symptoms such as difficulty falling asleep, affecting the quality and quantity of nighttime sleep.

Patients with poor sleep hygiene often experience symptoms of lack of sleep during the day, such as low mood, lack of motivation, decreased concentration, and easy fatigue. It is also common to have a preemptive concept due to difficulty sleeping. After the behavior of poor sleep hygiene evolves into habit, it can make chronic insomnia or worse. For example, after insomnia, some patients try to refresh themselves by drinking a lot of coffee, and make up for sleep deficiency by going to bed early, getting up late, taking a nap, snoring, or taking a rest in the daytime. It relieves the symptoms, but the result is more disturbing the biological rhythm of the body and weakening the self-regulation ability of the sleep awakening cycle, thereby causing the patient to fall into a vicious circle and become more insomnia.

Differential diagnosis

Need to be identified with the following symptoms:

Paroxysmal sleep: narcolepsy is an irresistible sleep episode, most of which are unknown.

Sleep Rhythm Disorder: Sleep rhythm disorder is a regular disorder of sleep caused by diseases such as circadian rhythm sleep disorders and sleep-wake rhythm disorders. Physiological rhythm disorder sleep disorder: persistent or repeated disturbances lead to excessive sleep or insomnia, which is due to the patient's 24-hour sleep-awakening rhythm pattern and the rhythm required by his or her environment. Sleep-wake rhythm disorder refers to the sleep-wake rhythm and the required discrepancy, resulting in persistent dissatisfaction with the quality of sleep. Patients have anxiety or fear, and cause mental activity to decline and impede social function. This disease is not part of any physical illness or mental disorder. If sleep-wake rhythm disorder is an integral part of a physical illness or a mental disorder (such as depression), it is not diagnosed as a sleep-wake rhythm disorder.

Sleep awakening reaction: refers to a state of alertness, indicating that the individual is mentally and physiologically (mainly in the autonomic nervous system) ready to respond. Inhalation of hypoxia or high CO 2 gas can trigger a sleep wake-up response.

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