Page 50 - JCBP-3-1

Journal of Clinical and
Basic Psychosomatics Psychosomatic influences on insomnia

diagnostic and treatment strategies. Neurobiological Writing–original draft: Alejandro Camacho-Zamora,
dysregulation, particularly involving the HPA axis and Josué Camberos-Barraza, Ángel R. Rábago-Monzón,
circadian rhythms, plays a crucial role in the disorder, Alberto K. De la Herrán-Arita
whereas psychological factors such as cognitive arousal Writing–review & editing: Ángel R. Rábago-Monzón, Hugo
and emotional dysregulation further complicate the SWC. J. Sosa-Arámbula, Alberto K. De la Herrán-Arita
In addition, somatic conditions such as chronic pain and
other physical health issues significantly contribute to Ethics approval and consent to participate
insomnia, creating a feedback loop that exacerbates both Not applicable.
psychological and physical symptoms.
Accurate diagnosis of psychosomatic insomnia Consent for publication
requires a comprehensive approach, integrating Not applicable.
diagnostic criteria that consider psychological, somatic,
and neurobiological factors. Assessment tools, including Availability of data
clinical interviews, sleep diaries, and objective measures Not applicable.
such as polysomnography, are essential for understanding
the scope of the disorder and differentiating it from References
other sleep disorders. Effective treatment strategies, 1. Sutton EL. Insomnia. Ann Intern Med. 2021;174(3):ITC33-
combining psychological interventions such as CBT-I with ITC48.
pharmacological approaches, integrative therapies, and
lifestyle modifications, should be deployed to address the doi: 10.7326/aitc202103160
disorder’s multifaceted nature. 2. Perlis ML, Posner D, Riemann D, Bastien CH, Teel J,
Thase M. Insomnia. Lancet. 2022;400(10357):1047-1060.
Despite advances in treatment, challenges and
uncertainties remain, including variability in patient doi: 10.1016/s0140-6736(22)00879-0
responses, the debate over pharmacotherapy versus 3. Buysse DJ. Insomnia. JAMA. 2013;309(7):706-716.
psychological interventions, and the gaps in understanding doi: 10.1001/jama.2013.193
the long-term outcomes of various treatments. Future
research should focus on personalized approaches, 4. Tatayeva R, Ossadchaya E, Sarculova S, Sembayeva Z,
exploring the long-term efficacy of different treatment Koigeldinova S. Psychosomatic aspects of the development
strategies, and leveraging technological advancements of comorbid pathology: A review. Med J Islam Repub Iran.
2022;36:152.
to improve diagnosis and treatment. Understanding
the complex interactions between neurobiological, doi: 10.47176/mjiri.36.152
psychological, and somatic factors will be key to developing 5. Kolіadenko NV, Bachurina NO, Zhyvaho KS, Shopsha MM,
more effective, bespoke interventions and improving Shopsha OL. Psychosomatic manifestations of military
outcomes for individuals affected by psychosomatic psychotrauma. Clin Prev Med. 2023;8:30-38.
insomnia. doi: 10.31612/2616-4868.8.2023.03
Acknowledgments 6. Taylor GJ. Psychoanalysis and psychosomatics: A new
synthesis. Psychodyn Psychiatry. 2022;50(2):306-325.
None.
doi: 10.1521/pdps.2022.50.2.306
Funding 7. Khazaei H, Zakiei A, Rezaei M, Hoseini SM, Alikhani M.

None. Emotional dysregulation leads to reduced sleep quality when
the level of repetitive negative thoughts is high: Findings of
Conflict of interest a structural equation model. Iran J Psychiatry Behav Sci.
2019;13:e64661.
All authors declare no conflict of interest.
doi: 10.5812/ijpbs.64661
Author contributions 8. Van Someren EJW. Brain mechanisms of insomnia: New
perspectives on causes and consequences. Physiol Rev.
Conceptualization: Alejandro Camacho-Zamora, Alberto 2020;101(3):995-1046.
K. De la Herrán-Arita
Visualization: Josué Camberos-Barraza, Alberto K. De la doi: 10.1152/physrev.00046.2019
Herrán-Arita 9. Riemann D, Benz F, Dressle R, et al. Insomnia disorder:

Volume 3 Issue 1 (2025) 44 doi: 10.36922/jcbp.4588