Analysis of Possible Causes of Insomnia & Personality Test

The invasion of diseases such as chronic pain: arthritis, back pain, neuralgia (such as sciatica, postherpetic neuralgia), fibromyalgia, cancer pain, etc. The persistent pain directly interferes with falling asleep and maintaining sleep.

The invasion of diseases such as acute pain: postoperative wound pain, toothache, headache (especially migraine, cluster headache), stomach pain, angina pectoris, etc.

Respiratory system diseases: asthma (worsening nighttime symptoms), chronic obstructive pulmonary disease (COPD), sleep apnea syndrome (although it is a sleep disorder itself, it leads to repeated awakenings and often manifests as insomnia symptoms).

Urinary system problems: frequent nocturia caused by benign prostatic hyperplasia, overactive bladder, urinary tract infections.

Digestive system diseases: Gastroesophageal reflux disease (GERD) (burning sensation intensifies when lying down), Irritable bowel syndrome (IBS) (abdominal pain, bloating, diarrhea/constipation).

Neurological disorders: Parkinson's disease, Alzheimer's disease, post-stroke sequelae, restless leg syndrome (RLS) (indescribable discomfort in the legs forcing movement), periodic limb movement disorder (PLMD).

Endocrine and metabolic diseases: hyperthyroidism (hyperthyroidism), diabetes (blood sugar fluctuation, neuropathy, nocturnal polyuria), climacteric syndrome (hot flashes and night sweats).

Side effects of prescription drugs: certain antidepressants (especially SSRIs, SNRIs), decongestants for treating asthma/nasal congestion (pseudoephedrine, etc.), some antihypertensive drugs (such as beta blockers), steroid drugs (such as prednisone), certain antibiotics, and stimulants for treating ADHD.

Side effects of over-the-counter drugs: Caffeine containing drugs (such as certain painkillers and cold medicines), nicotine (cigarettes), alcohol (although it may help fall asleep, it severely disrupts the structure of late night sleep).

Side effects of other drugs: stimulants such as cocaine and amphetamines.

Premenstrual syndrome (PMS)/premenstrual dysphoria (PMDD): Hormonal changes related to the menstrual cycle affect mood and sleep.

Hormonal fluctuations during pregnancy: hormonal fluctuations, physical discomfort (such as frequent urination, fetal movement, back pain, heartburn), anxiety.

Perimenopausal and postmenopausal periods: Decreased levels of estrogen and progesterone lead to hot flashes, night sweats, and emotional fluctuations.

Hormonal disorders related to circadian rhythm: abnormal secretion of melatonin (such as shift work and time difference).

Other physiological factors such as aging: natural changes in sleep structure, reduced deep sleep, and easier awakening.

Other physiological factors such as primary sleep disorders: such as idiopathic insomnia (without obvious causes, may begin in childhood).

Other physiological factors such as hunger or overeating: If the stomach is not in harmony, one may feel restless.

Anxiety caused by acute stress: major life events such as unemployment, unemployment threats, exams, important meetings, interpersonal conflicts, financial crises, moving, marital changes, serious illness or death of loved ones.

Anxiety caused by chronic stress: long-term heavy workload, high-pressure workplace environment, persistent economic difficulties, family conflicts, and long-term care for patients.

Generalized Anxiety Disorder (GAD): Excessive and uncontrollable worries about daily affairs.

Expectant anxiety: The fear of whether one will suffer from insomnia again tonight itself becomes a powerful driving force for insomnia (forming a vicious cycle).

Depression: Early awakening is a typical symptom, accompanied by low mood, loss of interest, self blame and despair.

Sadness response/bereavement disorder: intense grief after losing a loved one or important relationship.

Low mood: Not meeting the diagnostic criteria for depression, but continuing to feel depressed and hopeless.

Post traumatic stress disorder (PTSD): Severe sleep disturbances caused by nightmares, flashbacks, and heightened alertness after experiencing or witnessing a major traumatic event.

Lost direction in life: confusion and uncertainty about self-worth and future planning.

Confusion caused by major decision-making dilemmas: repeated thinking and concerns when faced with critical choices.

Confusion caused by a strong sense of loss of control: feeling powerless to control certain aspects of life, such as health, work, and relationships.

Overuse of the brain/excitement before bedtime: thinking about complex problems late at night, engaging in intense debates, watching stimulating movies/games.

Repetitive rumination: constantly chewing on unpleasant experiences or worries about the future during the day in the mind.

Information overload: Continuous exposure to a large amount of information (especially negative information) before bedtime makes the brain unable to calm down.

Noise pollution is like the snoring of a partner.

Noise pollution, such as the sound of neighbors' activities (footsteps, speech, music).

Noise pollution such as traffic noise (vehicles, airplanes, trains).

Noise pollution such as pet noises or activity sounds.

Noise pollution is like the noise from household appliances such as refrigerators, air conditioners, heaters, and water pipes.

Noise pollution is like sudden sounds (alarms, honking).

Light disturbances such as outdoor lighting: street lamps, advertising billboards, moonlight (when too bright), and early morning sunlight entering.

Light interference such as indoor lighting: electronic device indicator lights (chargers, routers, TV standby lights), night lights that are too bright, and gaps in curtains that are not tightly closed that allow light to pass through.

Light interference such as screen blue light: Long term use of mobile phones, tablets, computers, and televisions before bedtime.

Temperature too high or too low: The bedroom is too hot (especially in summer), too cold (especially in winter), or the blanket is too thick/thin.

Too high or too low humidity: too humid, stuffy, or too dry.

Difficulty regulating body temperature: menopausal hot flashes, certain medication effects.

Mattress issues: too hard, too soft, insufficient support, aging and collapse, mismatch with body shape/sleeping position.

Pillow issue: Inappropriate height, hardness, and material can cause discomfort in the neck or difficulty breathing.

Bedding issues: The bedding is too heavy, the material is rough, it is not breathable (such as synthetic fibers), static electricity, allergies (dust mites, fillers).

Sleepwear discomfort: too tight, non breathable material, and irritating sensation.

The bedroom is messy and lacks a sense of relaxation.

Lack of security in sleeping environment (such as new environment, fear of living alone, security concerns).

The mixed functions of the bedroom (such as working and exercising in the bedroom) weaken the suggestion of a "sleep sanctuary".

Time difference reaction: Traveling across time zones can cause a disruption of the biological clock.

Shift work: requires sleeping at unusual times that conflict with natural light dark cycles.

Frequent changes in sleep environment, such as business trips and travel, make it difficult to adapt to new environments.

Natural sleep remedies

Herbs for sleep

OTC sleep aid

Melatonin gummies

Meditation

Yoga

Sport

Spiritual campanionship

Optimize sleep aid tools

Upgrade bedding sets

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