DSM-IV Diagnostic Criteria for Primary Insomnia
A.The predominant complaint is difficulty initiating or maintaining sleep, or
nonrestorative sleep, for at least 1 month.
B.The sleep disturbance (or associated daytime fatigue) causes clinically
significant distress or impairment in social, occupational, or other important
areas of functioning.
C.The sleep disturbance does not occur exclusively during the course of
narcolepsy, breathing-related sleep disorder, circadian rhythm sleep disorder,
or a parasomnia.
D.The disturbance does not occur exclusively during the course of another
disorder (e.g., major depressive disorder, generalized anxiety disorder, a
E.The disturbance is not due to the direct physiological effects of a substance
(e.g., a drug of abuse, a medication) or a general medical condition.
Reprinted with permission from the American Psychiatric Association. Diagnostic
and statistical manual of mental disorders. 4th ed. Washington, D.C.: American
Psychiatric Association, 1994:557. Copyright 1994.
COPYRIGHT 1999 American Academy of Family Physicians
COPYRIGHT 2000 Gale Group