Insomnia rarely exists in isolation. It often arises from a complex interplay of predisposing, precipitating, and perpetuating factors—a model known as the “3P” model. include genetic vulnerability, high emotional reactivity, and a tendency toward hyperarousal. Precipitating events are acute stressors like job loss, illness, or relationship conflict. Perpetuating factors involve behaviors developed to cope with poor sleep, such as spending excessive time in bed, napping during the day, or worrying about sleeplessness, which ironically reinforces the problem.
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