General Diagnostic Criteria for Insomnia*
- A complaint of difficulty initiating sleep, difficulty maintaining sleep, or waking up too early or sleep that is chronically nonrestorative or poor in quality. In children, the sleep difficulty is often reported by the caretaker and may consist of observed bedtime resistance or inability to sleep independently.
- The above sleep difficulty occurs despite adequate opportunity and circumstances for sleep.
- At least one of the following forms of daytime impairment related to the nighttime sleep difficulty is reported by the patient:
- Fatigue or malaise
- Attention, concentration or memory impairment
- Social or vocational dysfunction or poor school performance
- Mood disturbance or irritability
- Daytime sleepiness
- Motivation, energy, or initiative reduction
- Proneness for errors or accidents at work or while driving
- Tension, headaches, or gastrointestinal symptoms in response to sleep loss
- Concerns or worries about sleep
*American Academy of Sleep Medicine. (2005). The International Classification of Sleep Disorders (2nd Edition). Westchester, IL: author.