Sleep Unplugged with Dr. Chris Winter

#28 - The 9 Ps of Insomnia


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In 1987, Arthur Spielman put forth a model for understanding insomnia that came to be known as the 3-P Model. It laid out the progression of the disorders in 3 steps: Predisposing factors, a precipitating event, and perpetuating influences. In this Insomnia Monday episode of the podcast, we expand the model to include 9 "Ps" and explore each. In this episode, you will:

  • Learn about the original 3-P model including predisposing factors for insomnia
  • Understand how caregivers can preindoctrinate (or parent) in a way that increases insomnia likelihood
  • List common insomnia precipitants
  • Explore the crucial role panic plays in insomnia origination
  • Briefly touch upon sleeping pills (for more information, listen to episode #11)
  • See how one's perception of their insomnia impacts severity and influences treatment
  • Touch upon factors of perpetuation as well as looking at how insomnia in youth may predict insomnia in adulthood
  • Revisit pain and trauma in insomnia (Episode #6 covers this more thoroughly)
  • Conclude with the consideration of pessimism and powerlessness as factors in insomnia

Produced by: Maeve Winter

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  • The Sleep Solution and The Rested Child

Thanks for listening and sleep well!

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Sleep Unplugged with Dr. Chris WinterBy Chris Winter, MD

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