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INSOMNIA SYMPTOMS
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| Do you have complaints related to difficulty in falling asleep, difficulty in staying asleep throughout the night, or waking up early in the morning? |
| How many times a week or month do you have these complaints? |
| When did the symptoms began? Was the course progressive, intermittent, or continuous? |
| Was there variation over time in terms of intensity, frequency, and severity? Were there remissions? |
| Have you treated for insomnia before? Did you receive any? How were the responses to treatment? |
| What are the predisposing, precipitating, and perpetuating factors? |
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NIGHTIME BEHAVIORS AND HABITS
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| What time do you go to bed? |
| Do you do any activity in bed before going to sleep, such as watching television, reading, working, or eating? |
| What time do you turn off the lights to go to sleep? How long do you think it takes to fall asleep? |
| Do you wake up during the night? What leads to awakenings (going to the bathroom, dreams, drinking water)? How many awakenings and how long do they last? |
| Do you frequently look at the clock at night? |
| How long do you think you have been sleeping? How long do you think you would need to sleep to feel better? |
| What activities do you do before bed? Do you use devices that emit intense light: computers, tablets, cell phones? |
| Do you sleep better outside or in a place other than your bed? |
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DAYTIME HABITS AND BEHAVIORS
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| What time do you normally wake up in the morning? Do you use an alarm clock, wake up spontaneously or does someone wake you up? |
| How do you feel when you wake up (sleepy, tired)? Do you get up as soon as you wake up? |
| Do you feel tired and/or sleepy during the day? |
| Do you have daytime and afternoon naps, whether voluntary or not? |
| Do you experience impaired attention, concentration, and memory complaints? |
|
Do you consume substances with caffeine (coffee, tea, soda,
chimarrão
) and/or alcohol and/or cigarettes?
|
| Do you consume illicit substances? |
| Do you practice physical activity? What time? How often? |
| Stress at work, personal or family life? |
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SLEEPING ENVIRONMENT AND ACTIVITIES BEFORE BED
|
| Room temperature, brightness, noise level, ventilation? |
| Is there a television in the bedroom? Is this used when going to bed? |
| Do you experience tension when you see your room at nightfall, worry about sleeping during the day, fear of going to sleep? |
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CONSEQUENCES OF INSOMNIA
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| Reduced concentration, memory, attention, irritability, daytime drowsiness, fatigue, lack of energy |
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PRESENCE OF COMORBIDITIES
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| Do you have clinical illnesses, including those that involve pain? |
| Do you have psychiatric disorders, such as anxiety disorder, or depressive disorder? |
| What medications are used for sleep and/or clinical and psychiatric illnesses, as well as herbal medicines? Assess their interference with sleep. |
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OTHER SLEEP DISORDERS
|
| Assess the presence of snoring, nightmares, bruxism, abnormal sleep behavior, and/or restlessness in the legs at the end of the day. |
