Sleep Latency Prolongation is a clinical measurement defined as an increase in the amount of time required to transition from full wakefulness to the first stage of non-REM sleep, often exceeding the healthy benchmark of 10 to 20 minutes. This condition is a hallmark symptom of insomnia and is a critical indicator of an overactive sympathetic nervous system or a dysregulated circadian drive. Chronic prolongation signifies a failure of the central nervous system to successfully initiate the sleep state, impairing the onset of nocturnal repair processes.
Origin
This term originates from sleep medicine and is a standard parameter measured during the Multiple Sleep Latency Test (MSLT) and Polysomnography (PSG). “Latency” is a general physiological term for the time delay between a stimulus and a response, and in this context, it is the delay between attempting to sleep and achieving the sleep state. The clinical definition provides an objective measure for assessing the severity of sleep-onset difficulties.
Mechanism
The primary mechanism involves an imbalance between the wake-promoting and sleep-promoting neurotransmitter systems, often driven by persistent cognitive or physiological arousal. An elevated level of wake-promoting signals, such as orexin and histamine, or an inappropriate spike in evening cortisol, actively suppresses the onset of sleep. This hyperarousal state prevents the necessary deactivation of the ascending reticular activating system
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