Insomnia Disorder in People living with Chronic illness
| Key things to know | What the evidence shows |
|---|---|
| How common is it? | Disease-specific: T2D 39% insomnia symptoms; cancer 60.7% sleep disturbance; CHD 51.8% insomnia |
| Is it more common among people living with chronic illness? | Clearly elevated across many chronic diseases |
| Are people living with chronic illness at higher risk? | #N/A |
| How much higher is the risk? | T2D insomnia symptoms 39%; CHD pooled insomnia 51.8% |
| How often can it be missed? | Very High |
| Does it show up differently among people living with chronic illness? | Strong Yes |
| How might it look different? | Symptoms, treatments, hospitalization, medications and disease-related worry can precipitate insomnia |
| What commonly occurs alongside it? | Depression; anxiety; disease-specific symptoms |
| What can it be confused with? | Disease symptoms; medication effects; apnea; RLS |
| Common screening tool | ISI — Insomnia Severity Index |
| Separate screening tool for people living with chronic illness | None universal |
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