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Treatment-Resistant Insomnia: A Common Undefined Condition
Insomnia is a highly prevalent sleep disorder associated with a significant public health burden. Approximately a third of the general population experiences insomnia, and about 10%-15% are labeled as having chronic insomnia. Despite the decline ∈ the use of sedative hypnotic drugs between 2015 and 2019, the emergence of the COVID−19∈ late 2019 has ∈ all likelihood aggravated sleeping difficulties and accelerated the rate of new cases of insomnia as evidenced by a 14.8% increase ∈ sleep medication prescriptions since the onset of the pandemic, according to new data from Express Scripts.
There is little doubt that insomnia has deleterious impact on overall quality of life. The presence of insomnia has been linked to cognitive and functional impairments, decrements ∈ social and emotional wellbeing, and serious health conditions. Epidemiologic evidence from the last two decades has demonstrated a significant correlation between insomnia and incident cardiovascular morbidity and mortality including hypertension, coronary heart disease, and heart failure. Similarly, the negative effect of insomnia on mental health is evidenced by its association with the increased risk of anxiety, depression, weight gain, and alcoholism. As a result, the economic burden due to reduced productivity, higher rate of absenteeism, and increased work related accidents is estimated ∈ billions of dollars annually.
Disponível em: https://www.amjmed.com/article/S0002-9343(21)00479-4/fulltext Access September 9th, 2021
