Frontiers in psychiatry

Body Clock Patterns in Insomnia: Mechanisms, Possible Types, and a Research Approach Based on These Types

Updated

Abstract

Insomnia disorder may involve misalignment of circadian rhythms, with potential impacts on treatment strategies.

  • Some patients with insomnia may exhibit misalignment between their internal circadian rhythms and their desired sleep times.
  • Others may show reduced levels of activity during the day, increased variability in sleep timing, or abnormal patterns of light exposure.
  • A proposed framework for circadian phenotyping in insomnia combines various assessment tools, such as sleep diaries and light exposure evaluations.
  • Cognitive behavioral therapy for insomnia is identified as the primary treatment, while adjunctive modules may enhance outcomes for specific insomnia phenotypes.
  • Future studies should focus on phenotype-stratified trials to validate proposed definitions and measurement strategies.

Simplified

Full Text

Full text is available at the source.

Funding

Competing interests

No commercial or financial ties reported.
PubMed

What Lands in Your Inbox Each Week:

  • 📚7 fresh studies
  • 📝plain-language summaries
  • direct links to original studies
  • 🏅top journal indicators
  • 📅weekly delivery
  • 🧘‍♂️always free