Studies have shown sleeping pill users at a greater mortality risk (Kripke et al. Available treatment options include pharmacological and non-pharmacological approach. Trial registrationĬTRI/2082 Trial Registered Retrospectively.Ĭhronic insomnia is a common sleep problem and is associated with increased morbidity and mortality (Taylor et al. Yoga nidra can be used as an important adjunct in management of chronic insomnia patients. Repeat PSG in second patient showed an increase in N3 after 4 weeks of yoga nidra intervention. The improvement remained even after 3 months of start of intervention. There was an improvement in sleep quality, insomnia severity, depression anxiety and stress scores after yoga nidra. Sleep diary parameters were analysed using Friedman test and Wilcoxon Signed Ranks test. Repeat PSG was offered in case patient volunteered. Regular fortnightly follow ups were done till 4 weeks of start of yoga nidra intervention. After the baseline assessment, yoga nidra intervention was started followed by five supervised sessions after which the patients were instructed to practice yoga nidra daily on their own. He was on tablet clonazepam 0.25 mg HS off and on since 1 year. He felt quite energetic during the day due to the work requirement but in the evening started feeling anxious about sleep problem which worsened at bedtime. Patient 02: 78 years old male self-employed, company owner with complaints of sleep maintenance insomnia since 15 years. He had history of benign prostatic hypertrophy and had no history of any medications for sleep or any other disease. He had worry at daytime regarding falling off to sleep which became even worse at bedtime. Patient 01: 60 years old widower with complaints of sleep maintenance insomnia since 20 years. The model was developed using inputs from yoga school trained instructors of yoga nidra. The objective of the study was to develop yoga nidra model in management of chronic insomnia patients. Although we find description of yoga nidra in literature, there is no scientific report of its application in sleep disorders. Recently, yoga nidra has been used in patients of menstrual abnormalities, post- traumatic stress disorder, diabetes, anxiety and depression but little is known about its effect on sleep or sleep disorders. Yoga nidra practice is documented to be used for sleep by sages. Chronic insomnia is a common sleep problem and there is a need to complement the existing treatment options.
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