Insomnia is closely related to depression. Insomnia may be a symptom of depression or a trigger for depression.

Insomnia is a symptom of depression

The study of sequential therapy for depression (STAR * D) is one of the most influential and large-scale clinical studies on depression in the world. This study showed that 84.7% of outpatients with depression had insomnia. Insomnia can be manifested as difficulty in falling asleep, awakening at night and early awakening. Night awakening is the most common type of insomnia in depression. 27.1% of the patients with depression had three kinds of insomnia: difficulty in falling asleep, awakening at night and early awakening. There are also studies suggesting that early awakening (more than 2 hours earlier than usual) is a characteristic insomnia manifestation of depression. Therefore, insomniacs, especially those who wake up early, should be routinely screened for depression. How to screen for depression? It can be screened by the simplest and most practical Patient Health Questionnaire-9 (PHQ-9).

How often have the following symptoms occurred in your life in the past two weeks?

1. Inspiration or lack of interest in doing things (0 = absolutely no; 1 = several days; 2 = more than half of the days; 3 = almost every day)

2. Feeling depressed, frustrated or hopeless (0 = absolutely not; 1 = several days; 2 = more than half of the days; 3 = almost every day)

3. Difficulty in falling asleep, restless sleep or excessive sleep (0 = absolutely not; 1 = several days; 2 = more than half of the days; 3 = almost every day)

4. Feeling tired or inactive (0 = no; 1 = several days; 2 = more than half of the days; 3 = almost every day)

5. Loss of appetite or eating too much (0 = not at all; 1 = several days; 2 = more than half of the days; 3 = almost every day)

6. Feel bad about yourself, or feel defeated, or disappoint yourself or your family (0 = not at all; 1 = several days; 2 = more than half of the days; 3 = almost every day)

7. It's difficult to concentrate on something, such as reading a newspaper or watching TV (0 = absolutely no; 1 = several days; 2 = more than half of the days; 3 = almost every day).

8. Move or speak slowly enough that others are aware of it? Or on the contrary, irritability, restlessness and movement are better than usual (0= will not; 1= for days; 2= for more than half of the day; 3= almost every day).

9. The idea of dying or hurting oneself in some way (0 = absolutely not; 1 = several days; 2 = more than half of the days; 3 = almost every day)

The total score of the scale is equal to the total score of each question. The scale concludes that:

0-4, no depression;

5-9, mild depression;

10-14, moderate depression;

15-19, moderate to severe depression;

20-27: Severe depression.

If the total score of the insomnia patients'PHQ-9 scale is more than 15, they should go to the psychiatry or psychiatry department to further clarify whether there is depression. If depression does exist, don't worry, because depression can also be cured.

2. Insomnia is the inducement of depression

After insomnia, if not treated in time or taken inappropriate treatment, it may develop into depression.

The animal model of depression is made by forced swimming. Put the mouse in a water cup, and the mouse will start swimming everywhere, trying to get rid of the water. After swimming many times, if rats can not leave the water, they will start to struggle everywhere. Efforts to struggle consume the energy of mice. When the energy is exhausted, the rats will "float" and give up completely, that is, they suffer from "depression". If this model is applied to the relationship between insomnia and depression, it is also very appropriate.

When insomnia begins, patients will try to use various methods to get rid of insomnia, such as exercise, massage, listening to music, looking for "ancestral secret recipes" and so on, similar to being in the "swimming" stage. When these methods are tried once and still fail to improve sleep, patients become restless, fearful, that is, the "struggling" anxiety stage. The painful struggle during insomnia consumes the patient's energy. When the energy is exhausted, the patient begins to despair and feels alive and meaningless. He is unwilling to do anything, but he is less willing to speak.

From this process, we can see that insomnia itself will not lead to depression, and insomnia "struggle" on the contrary, excessive consumption of energy, leading to the emergence of depression. When a rat is just put into the water, if it takes a "floating" attitude, it will not exhaust its energy. When a patient has just insomnia, he will not develop depression if he adopts the "floating" attitude of "sleepless but not sleepy". Insomnia is not really terrible. The terrible thing is the fear of insomnia. Sleep is a natural physiological process that we can't control. Sleep will automatically improve if you can accept insomnia and stop trying to control it. What we can control is our own behavior. We should try to cultivate good sleep habits. We should go to bed on time, get out of bed on time, not make up for sleep, not nap, not bad bed, exercise moderately, and do more relaxation exercises. Control controllable sleep habits and accept uncontrollable sleep quality and duration. Insomnia can also live in the present, not restless, not struggling, can avoid the development of depression.

Somatosensory Music Therapy for Psychosomatic Decompression

People's perception and experience of music is not only a physiological process, but also a psychological process. Music can cause changes in people's moods. Music therapy can alleviate various physical and mental symptoms such as insomnia, anxiety and depression, and gastrointestinal dysfunction. It is a psychotherapy worthy of attention.

Origin of Music Therapy Modern medicine enables people to start to understand that music can cure diseases for people is Li Xi Tang, because it finds that music can affect the disease and can be applied in clinical practice. At this point, he proposed a revolutionary point of view - Music doctor, which is the idea that the whole world played the musical therapy disease in 1890s.

Modern medicine holds that music can cause physiological changes, partly through nerve transmission. The auditory nerve fibers act like resonators, receiving different sounds and converting them into nerve impulses that are transmitted to the brain. After brain analysis, the human body reacts differently.

A large number of experimental studies have proved that the center of music perception, integration and analysis is in the right hemisphere of the brain, responsible for non-verbal forms and psychological functions. Such as the perception of music melody, music memory and tone regulation, but also promote the activation of the right hemisphere of the brain.

Those beautiful and pleasant music, which accords with the physiological rhythm of the human body, act on the brain system through sensory pathway, can regulate the excitability of the whole body cells, thus play the role of restoring the balance of the body through nerve and humoral regulation.