codingarchitect/insomnia-disorder-subtypes.md

## insomnia-disorder-subtypes.md

      
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              insomnia-disorder-subtypes.md
            
          
    Summarized from New subtyping of insomnia disorder and
Insomnia disorder subtypes derived from life history and traits of affect and personality

Highly Distressed
Moderately Distressed

Reward-Sensitive
Reward-Insensitive


Slightly Distressed

Low Reactive
High Reactive


Subtype
Characteristics
Life History
Personality Traits
Sleep Patterns
Treatment Focus


Highly Distressed Insomnia
Significant emotional distress (anxiety, depression).
Chronic stress, trauma, significant life events.
High neuroticism, low resilience.
Severe difficulties in falling asleep, maintaining sleep, or early awakenings.
CBT-I + psychotherapy, possibly medication for anxiety/depression.


Moderately Distressed Reward-Sensitive Insomnia
Moderate distress, high sensitivity to rewards and positive stimuli.
Mood instability, impulsivity history.
High extraversion, high reward sensitivity.
Sleep difficulties linked to mood fluctuations and reward-seeking behaviors.
Behavioral interventions for mood stabilization, CBT-I, and pharmacological support for mood stabilization.


Moderately Distressed Reward-Insensitive Insomnia
Moderate distress, low sensitivity to rewards.
Stable background with moderate chronic stress.
Low neuroticism, high conscientiousness.
Consistent sleep difficulties without mood swings or significant stressors.
CBT-I focusing on sleep hygiene, relaxation, stress reduction. Minimal pharmacotherapy unless coexisting depression.


Slightly Distressed Low Reactive Insomnia
Low emotional distress, low reactivity to stress.
Stable life history, minimal significant stress.
High resilience, low neuroticism.
Mild insomnia, consistent and long-standing, without external disturbances.
Behavioral approaches: sleep hygiene, cognitive restructuring, relaxation techniques. Minimal pharmacotherapy.


Slightly Distressed High Reactive Insomnia
Low distress, high sensitivity to stressors and environmental changes.
Situational stress history, no chronic psychological conditions.
High openness, sensitivity to environmental changes.
Sleep disturbances triggered by stressors, routine changes, environmental factors.
Stress management, enhancing sleep environment, relaxation exercises, CBT-I to improve coping mechanisms.
Subtype	Characteristics	Life History	Personality Traits	Sleep Patterns	Treatment Focus
Highly Distressed Insomnia	Significant emotional distress (anxiety, depression).	Chronic stress, trauma, significant life events.	High neuroticism, low resilience.	Severe difficulties in falling asleep, maintaining sleep, or early awakenings.	CBT-I + psychotherapy, possibly medication for anxiety/depression.
Moderately Distressed Reward-Sensitive Insomnia	Moderate distress, high sensitivity to rewards and positive stimuli.	Mood instability, impulsivity history.	High extraversion, high reward sensitivity.	Sleep difficulties linked to mood fluctuations and reward-seeking behaviors.	Behavioral interventions for mood stabilization, CBT-I, and pharmacological support for mood stabilization.
Moderately Distressed Reward-Insensitive Insomnia	Moderate distress, low sensitivity to rewards.	Stable background with moderate chronic stress.	Low neuroticism, high conscientiousness.	Consistent sleep difficulties without mood swings or significant stressors.	CBT-I focusing on sleep hygiene, relaxation, stress reduction. Minimal pharmacotherapy unless coexisting depression.
Slightly Distressed Low Reactive Insomnia	Low emotional distress, low reactivity to stress.	Stable life history, minimal significant stress.	High resilience, low neuroticism.	Mild insomnia, consistent and long-standing, without external disturbances.	Behavioral approaches: sleep hygiene, cognitive restructuring, relaxation techniques. Minimal pharmacotherapy.
Slightly Distressed High Reactive Insomnia	Low distress, high sensitivity to stressors and environmental changes.	Situational stress history, no chronic psychological conditions.	High openness, sensitivity to environmental changes.	Sleep disturbances triggered by stressors, routine changes, environmental factors.	Stress management, enhancing sleep environment, relaxation exercises, CBT-I to improve coping mechanisms.