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Signs & Symptoms
Adequate sleep opportunity
Ref:
Uptodate
[ Clinical features and diagnosis of insomnia in adults]
Difficulty initiating sleep
Ref:
Uptodate
[ Clinical features and diagnosis of insomnia in adults]
Uptodate
[ Overview of insomnia in adults]
Impaired daytime function
Note: due to difficulty initiating sleep, due to difficulty maintaining sleep, due to waking up early in the morning without ability to return to sleep
Ref:
Uptodate
[ Clinical features and diagnosis of insomnia in adults]
Persistent sleep difficulty
Ref:
Uptodate
[ Clinical features and diagnosis of insomnia in adults]
Physical Examination
Stanford sleepiness scale 7
Note: The SSS rates sleepiness on a scale of 1 (very awake) to 7 (very sleepy)
Ref:
Epocrates
[ https://online.epocrates.com/diseases/22732/Insomnia-in-adults/Risk-Factors]
Multiple awakenings
Note: 30 minutes or more to fall asleep if sleep maintenance difficulties are present
Ref:
Epocrates
[ https://online.epocrates.com/diseases/22732/Insomnia-in-adults/Risk-Factors]
Delayed sleep onset
Note: 30 minutes or more to fall asleep
Ref:
Epocrates
[ https://online.epocrates.com/diseases/22732/Insomnia-in-adults/Risk-Factors]
Imagin Study
Longer latency to persistent sleep
Ref:
Epocrates
[ https://online.epocrates.com/diseases/22732/Insomnia-in-adults/Risk-Factors]
Abnormalities on Polysomnography
Ref:
Epocrates
[ https://online.epocrates.com/diseases/22732/Insomnia-in-adults/Risk-Factors]
Higher amounts of wakefulness after sleep onset
Ref:
Epocrates
[ https://online.epocrates.com/diseases/22732/Insomnia-in-adults/Risk-Factors]