Insomnia

How often would you say you struggle to stay or fall asleep? If it's more than three times per week (and has been going on for at least one month), then you might have one of the most common sleep disorders: insomnia.

The biological process Shakespeare referred to as the chief nourisher of life's feast is necessary for the body and mind to rest and repair from the activities of daily life. As sleep evades the exhausted, sufferers also lose emotional stability, mental clarity, social connections, and more while simultaneously gaining waves of interrupted biological processes that can lead to disease and death.

The term "insomnia" is often used in popular culture to refer to general difficulty sleeping or staying asleep. In the US, insomnia transitions to a clinical disorder when symptoms—dissatisfying, nonrestful, and life-disrupting sleep—occur at least three nights per week for at least one month and cause "clinically significant" distress in important areas of life.

Finally done with external obligations, you might plop onto the sofa and dive into a hobby or bit of media, pushing past sleepiness to have some time to yourself and enjoy doing what you want. This is known as "revenge bedtime procrastination," a behavior that feels relaxing but impairs sleep hygiene.

Growing evidence suggests genetics influence when, how long, and how well one sleeps, meaning insomnia may have a genetic component. While exact insomnia biomarkers have yet to be determined, some genes, including those related to psychiatric disorders, have been implicated.

Insomnia typically occurs in people dealing with life stressors and physical or mental health conditions, though the exact cause continues to elude researchers. Generally, the factors can be broken down into external (such as stress, medication, etc.) or internal (neurological) factors.

The circadian clock controls the sleep-wake cycle, as well as approximately 40% of human genes, which in turn regulate other functions, such as metabolism and hormone production. This eight-minute video features an interview and discussion with chronobiologist Carrie Partch, a researcher who studies the effects of time on biological cycles.

Brain regions that control sleep sit adjacent to those that regulate the autonomic nervous system, which controls involuntary bodily functions like heart and breathing rates. These neighbors influence each other, meaning poor sleep can impair or negatively impact the ANS, further disturbing sleep.

Skimping on sleep lengthens reaction times and blunts decision-making skills. At a certain point, the brain will try to sneak sleep where it can, shifting sections offline even as you remain awake. Going without sleep raises blood pressure, undermines the immune system, and increases one's risk of dementia.

Historical records indicate humans engaged in biphasic sleep for hundreds of years before the dawning of the Industrial Revolution in the mid-1700s, and research has shown that people return to this segmented sleeping pattern when confined to dark rooms for the majority of a 24-hour cycle.