Insomnia: psychological and neurobiological aspects and non-pharmacological treatments

Arquivos de Neuro-Psiquiatria

Yara Fleury Molen¹  Luciane Bizari Coin Carvalho¹  Lucila Bizari Fernandes Do Prado¹  Gilmar Fernandes Do Prado¹ 

关键词: insomnia;    worry;    attention-intention-effort pathway;    hyperarousal;    non-pharmacological treatment;    insônia;    preocupação;    caminho da atenção-intenção-esforço;    hiperalerta;    tratamento não farmacológico;   

DOI  :  10.1590/0004-282X20130184

来源: SciELO

【 摘 要 】

Insomnia involves difficulty in falling asleep, maintaining sleep or having refreshing sleep. This review gathers the existing informations seeking to explain insomnia, including those that focus on psychological aspects and those considered neurobiological. Insomnia has been defined in psychological (cognitive components, such as worries and rumination, and behavioral aspects, such as classic conditioning) and physiological terms (increased metabolic rate, with increased muscle tone, heart rate and temperature). From the neurobiological point of view, there are two perspectives: one which proposes that insomnia occurs in association with a failure to inhibit wakefulness and another that considers hyperarousal as having an important role in the physiology of sleep. The non-pharmacological interventions developed to face different aspects of insomnia are presented.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License