Short Term Consequences
Fatigue and tiredness
Unpleasant body sx, e.g. heavy eyes
Hypersensitivity to noise and light
Mood disturbance: irritability, increased emotional reactivity
Negative personal interactions with children, partners
Reduced self-esteem, optimism and confidence
Poor quality of life
Pts often feel alone and misunderstood
Cognitive disturbance: reduced attention, concentration and performance

Long Term Consequences: Psychological Health
Insomnia is a risk factor for developing psych dz
2x higher risk of future anxiety
4x higher risk of future depression
Increased risk of suicidal intent, attempts and completed suicide
Risks seen in children, adolescents and adults
Independent of personal or family hx of psych dz
Relationship is bidirectional, insomnia can be the cause or result of psych dz
Depression with insomnia: worse sx ratings, higher attrition, lower remission, less stable tx response
Independent risk factor for schizophrenia, worsens psychotic experiences
Bipolar d/o: insomnia often triggers manic episodes and worsens as mania unfolds
Alcohol dependence: up to 72% have chronic insomnia after abstinence

Occupational Health Consequences
Daytime dysfunction is a barrier to career goals
Reduced productivity
Absenteeism and late for work
Reduced professional advancement, e.g. promotion, salary
Reduced job satisfaction
Reduced coping skills, esp problem solving
Lower feelings of mastery
Increased intent to switch jobs
Permanent work disability
Increased personal and work-related errors and accidents (not MVAs)

Economic Impact
US cost estimated at $63-90 billion per year