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Insomnia as a Contributor to Hypertension and Somatic Distress: A Case Report Nihazzatuzzain; Algristian, Hafid; Cahyono, Budi
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 3 No. 4 (2025): October 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v3i4.1138

Abstract

Insomnia is increasingly recognized as a systemic disorder involving persistent hyperarousal with broad psychiatric and cardiovascular consequences. This case report describes a 49-year-old woman who developed functional dyspepsia after taking an analgesic, which led to chronic insomnia and, subsequently, essential hypertension (blood pressure reaching 173/93 mmHg) accompanied by generalized somatic distress. Her sleep pattern became non-restorative, with reduced sleep drive and dependence on hypnotics. Psychiatric evaluation revealed Nonorganic Insomnia, a Moderate Depressive Episode, and Somatization Disorder, with an Insomnia Severity Index score of 16. Her clinical course illustrates a psychophysiological cascade. Gastrointestinal distress disrupted sleep architecture, sustained sympathetic nervous system activation, and dysregulated the hypothalamic–pituitary–adrenal axis, thereby contributing to hypertension and somatic amplification. This case highlights the need to view insomnia as a systemic condition rather than an isolated symptom. Early recognition and non-pharmacological interventions—particularly Cognitive Behavioral Therapy for Insomnia (CBT-I)—may prevent long-term cardiovascular and psychiatric complications.
Co-Authors Abdillah, Yahya Nur Ahadiah, Hayyunah Rohmatul Al Hajiri, Aufar Zimamuz Zaman Aldi, Danya Rania Andik Ferdiantoro Ar Rasyid, Reza Dwi AS, Nur Azizah Asikah Bariyah, Khadijah Khairul Basuki, Shinta Maulydiyah Basuki, ⁠Shinta Maulydiyah Billah, Illa Brylyani, Diyani Shafira budi Cahyono Chambali, Zafira Aliya Shafwa Putri Difran Nobel Bistara Egy Atthahirah Septina Ersalina Nidianti Fasya, Abdul Hakim Zakkiy Fatwa, Ahmad Misbahul Ulum Ferdiantoro, Andik Fifi Khoirul Fitriyah Fitriasari, Andikawati Hermanto, Syalsabila Yumnaningtyas Hidaayah, Nur Imron, Muhammad Istio Hadi Al Irmawan Farindra ISKANDAR Ismail, Zainul Hadi Wildan Jannah, Ken Putri Raudhatul Kamila, Putri Faradisa Karida, Rika Nur Kasiani, Tutik Nur Khamida, Khamida Kurniasari, Diyan Wahyu Laila, Firda Nur Lisnawati, Diana Arum Maat, Suprapto Makka, Isna Meirilla Zahara Al Marintik Ilahi Maylia, Mira Lovita Merilla, Isna Miftakhul Huda Muhammad Ikhsan Muhammad, Akbar Reza Mutmainnah Nihazzatuzzain Nindhita, Pinastikasari Nur Azizah Nurhayati , Endi Pramesta, Linda Ramadhanty Prisnidiawati, Ajeng Putri, Rahmadaniar Aditya Rasyid, Rezza Dwi Ar Ridlo, Fairuz Sakdyah, Halimatus Septina, Egy Atthahirah Setyorini, Dian Shafira , Alsa Shafira, Alsa Shafly, Moch Syafirul Nur Shafly, Moch. Syafirul Nur Sitorus, Anwar T Soleha, Umdatus Solihah, Iradatus Suwarti, Ariyani Sri Suwito, Bambang Edi Syadza, Lailatus Syarifah, Mustika Chasanatusy Warda Elmaida Rusdi Winaryani Wulan, Tri Deviasari Yuniati, Dyah Yusmadewi, Aaliyah