{"entities":{"Q40751":{"pageid":31119,"ns":120,"title":"Item:Q40751","lastrevid":132447,"modified":"2026-08-13T06:41:55Z","type":"item","id":"Q40751","labels":{"mul":{"language":"mul","value":"7A00"},"pt-br":{"language":"pt-br","value":"Ins\u00f4nia cr\u00f4nica"},"en":{"language":"en","value":"Chronic insomnia"}},"descriptions":{"pt-br":{"language":"pt-br","value":"Ins\u00f4nia cr\u00f4nica \u00e9 a dificuldade frequente e persistente de iniciar ou manter o sono que ocorre apesar da oportunidade e das circunst\u00e2ncias adequadas para dormir e que resulta em insatisfa\u00e7\u00e3o geral com o sono e em alguma forma de preju\u00edzo diurno. Os sintomas diurnos incluem tipicamente fadiga, humor deprimido ou irritabilidade, mal estar geral, e preju\u00edzo cognitivo. O dist\u00farbio do sono e os sintomas diurnos associados ocorrem pelo menos v\u00e1rias vezes por semana por pelo menos tr\u00eas meses. Alguns indiv\u00edduos com ins\u00f4nia cr\u00f4nica podem mostrar um curso mais epis\u00f3dico, com epis\u00f3dios recorrentes de dificuldades de sono/vig\u00edlia durando v\u00e1rias semanas de cada vez ao longo de v\u00e1rios anos. Indiv\u00edduos que relatam sintomas relacionados ao sono na aus\u00eancia de preju\u00edzo diurno n\u00e3o s\u00e3o considerados como tendo um transtorno de ins\u00f4nia. Se a ins\u00f4nia ocorre devido a outro transtorno de sono-vig\u00edlia, a um transtorno mental, a outra condi\u00e7\u00e3o cl\u00ednica, ou ao uso de medica\u00e7\u00e3o ou subst\u00e2ncia, ins\u00f4nia cr\u00f4nica deve ser diagnosticada somente se \u00e9 um foco independente de aten\u00e7\u00e3o cl\u00ednica."},"en":{"language":"en","value":"Chronic insomnia is a frequent and persistent difficulty initiating or maintaining sleep that occurs despite adequate opportunity and circumstances for sleep and that results in general sleep dissatisfaction and some form of daytime impairment. Daytime symptoms typically include fatigue, depressed mood or irritability, general malaise, and cognitive impairment. The sleep disturbance and associated daytime symptoms occur at least several times per week for at least 3 months. Some individuals with chronic insomnia may show a more episodic course, with recurrent episodes of sleep/wake difficulties lasting several weeks at a time over several years. Individuals who report sleep related symptoms in the absence of daytime impairment are not regarded as having an insomnia disorder. If the insomnia is due to another sleep-wake disorder, a mental disorder, another medical condition, or a substance or medication, chronic insomnia should only be diagnosed if the insomnia is an independent focus of clinical attention."}},"aliases":{},"claims":{"P68":[{"mainsnak":{"snaktype":"value","property":"P68","hash":"bfa3b46e7933dd998acc53c457afb9226a2e2e72","datavalue":{"value":"https://id.who.int/icd/entity/323148092","type":"string"},"datatype":"url"},"type":"statement","id":"Q40751$90EE1B34-AB0B-4971-A3D1-88304019AA6A","rank":"normal"}],"P67":[{"mainsnak":{"snaktype":"value","property":"P67","hash":"30c88a0b7d88d35a1321e3c75047177a275e3279","datavalue":{"value":"CID11:7A00","type":"string"},"datatype":"string"},"type":"statement","id":"Q40751$C187632B-EDA7-436F-A358-79DD450B4AF8","rank":"normal"}],"P70":[{"mainsnak":{"snaktype":"value","property":"P70","hash":"7d3678315e71a50543af8cb76e86a63793791ac0","datavalue":{"value":"dki-india-7A00","type":"string"},"datatype":"string"},"type":"statement","id":"Q40751$C0B1D748-E770-443D-A1D4-3425303A60A4","rank":"normal"}],"P86":[{"mainsnak":{"snaktype":"value","property":"P86","hash":"a96031634b9f5dafddaf781bbba3adea6bb64ef4","datavalue":{"value":"Conclu\u00eddo","type":"string"},"datatype":"string"},"type":"statement","id":"Q40751$C2310C94-0BC4-4F8E-AC65-4944F5EA942F","rank":"normal"}],"P78":[{"mainsnak":{"snaktype":"value","property":"P78","hash":"5f9b5be68b7400da549761cf15abfdbc4d1e075b","datavalue":{"value":"https://pauloleads.com.br/cases-publicos/","type":"string"},"datatype":"url"},"type":"statement","id":"Q40751$7EC9B626-C385-4473-BE3D-8247E85E2E87","rank":"normal"}],"P80":[{"mainsnak":{"snaktype":"value","property":"P80","hash":"92b8222fcbb75718504f915073a3f43bd4003d18","datavalue":{"value":{"time":"+2026-08-13T00:00:00Z","timezone":0,"before":0,"after":0,"precision":11,"calendarmodel":"http://www.wikidata.org/entity/Q1985727"},"type":"time"},"datatype":"time"},"type":"statement","id":"Q40751$A3A87C08-0B54-4289-A65C-82156733E96F","rank":"normal"}],"P89":[{"mainsnak":{"snaktype":"value","property":"P89","hash":"663424b258123b16e5dcd9a0f16fa87bc7431f66","datavalue":{"value":{"entity-type":"item","numeric-id":16376,"id":"Q16376"},"type":"wikibase-entityid"},"datatype":"wikibase-item"},"type":"statement","id":"Q40751$0C5C7F92-EEB7-4A81-B9CA-8C333E3D4120","rank":"normal"}]},"sitelinks":{}}}}