Diagnostic Criteria for Psychophysiological Insomnia

1. Complaint of insomnia combined with a complaint of diminished performance during waking hours.

2. Learned associations that prevent sleep are identified:

a. Forcing sleep, which suggests inability to sleep at the desired time, but with the ability to sleep in the course of other relatively monotonous activities, such as watching television or reading.

b. Awakenings conditioned by the room or sleep-related activities, indicated by poor sleeping at home, but improved sleeping away from home or when no room routines are performed.

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