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    • The second subtheme of an upset

    2018-11-01

    The second subtheme of an upset mind was insomnia as a worrying experience. It describes the experience of different kinds of worrisome concerns in patients with insomnia. Concern about the progressive course of insomnia, development of a psychiatric disorder and the associated stigma, development of other medical conditions, dependency on narcotic drugs, and finally death due to insomnia are among the most important concerns in these patients. The finding suggests the patients with insomnia experience several anxieties that may interfere with well-being and quality of life. The finding that patients with insomnia worry catastrophically about the consequences of insomnia is also in line with Harvey and Greenal [28]. On the other hand, the relationship between insomnia and anxiety disorders has been reported [29]; therefore, assessment of anxiety disorders in patients with insomnia is necessary. An unwanted new lifestyle was the second theme that emerged in this study. It describes the experience of changes in the routine of daily living which are created by chronic insomnia. Based on our results, patients with chronic insomnia experience new routines mainly due to insomnia treatment and so they may be considered as a consequence of insomnia. Accordingly, it muscarinic receptors can be said that insomnia has a deep and pervasive effect on life. The relationship between lifestyle determinants and insomnia development indicates that some determinants such as smoking and drinking caffeinated beverages may have a negative effect on sleep quality [30]. In fact, it can be said that as well as lifestyle being a contributory factor to the development of insomnia, chronic insomnia can play a role in the development of a new lifestyle. Another point that should be considered is the nature of a new lifestyle. Based on our results, the new lifestyle is not a healthy one and cannot lead to playing an active role in the family or at work. Therefore, the consequences of insomnia, especially the impact on quality of life, can be predicted. Treatment seeking behavior was a part of an unwanted new lifestyle experienced by patients with chronic insomnia. Accordingly, patients with chronic insomnia have a long history of ongoing Para clinical examination and treatment. As included in the results section, they may have several visits to doctors, performing different kinds of test such as MRI and CT scans, and other treatments such as herbal treatment and acupuncture. This issue may be important for several reasons. First, the cost in time and money can be a great burden for patients and their families. It can also be a barrier to participating in routine activities of daily living. Secondly, treatment seeking behavior may create a situation in which there is an overuse of treatment services. This situation in turn is associated with a cost for service providers in the community. Finally, treatment seeking behavior can interfere with a comprehensive treatment plan as a patient may suddenly reject one intervention in favor of another. Therefore, impairment in the life of these patients is reasonable. On the other hand, the behavior can be seen in the context of a patient with an upset mind. Unpleasant experiences and the worrying experience of insomnia may cause treatment seeking behavior; this finding is in line with the report of Angst et al. that subjective distress is the most consistent correlate of treatment seeking in disorders such as insomnia [31]. Therefore, Ploidy seems intervention such as cognitive behavior therapy could be helpful to address the mental experience of these patients. The second subtheme to emerge was a boring new daily routine. As mentioned earlier, our participants expressed that they could not work as they had previously done and participate in both housework and their job; therefore, they feel their life is boring. Inability to work because of fatigue or sleepiness is a common reported consequence of insomnia [10–12], Therefore, the routine experienced by a patient with insomnia may be both boring and opposed to their social roles.