Conditions

Age-Related Sleep Changes

Affects majority of adults over 60

Earlier wake times Less deep sleep More frequent awakenings +1

Anxiety-Related Sleep Problems

70-80% of anxiety disorder patients report sleep problems

Pre-sleep worry Hypervigilance Somatic tension +1

Circadian Rhythm Disorder

0.13-0.17% delayed sleep phase; higher in adolescents

Inability to sleep at desired time Excessive sleepiness Social/work impairment

Insomnia

10-15% chronic insomnia; 30-35% occasional symptoms

Difficulty falling asleep Frequent awakenings Early morning waking +1

Jet Lag

Affects most transmeridian travelers (>3 time zones)

Insomnia at destination bedtime Daytime fatigue GI disturbance +1

Restless Leg Syndrome

5-10% of adults; 2-3% have clinically significant symptoms

Urge to move legs Creeping/crawling sensations Evening worsening +1

Shift Work Sleep Disorder

10-38% of shift workers

Insomnia during day sleep Excessive sleepiness at work Reduced total sleep time

Sleep Apnea

9-38% of general population; higher with obesity

Loud snoring Witnessed apneas Excessive daytime sleepiness +1

Sleep Maintenance Insomnia

More common in older adults; affects ~15% of population

Multiple night awakenings Difficulty returning to sleep Light sleep +1

Sleep Onset Difficulty

15-20% of adults report difficulty falling asleep

Lying awake >30 min Racing thoughts Physical tension +1