Feb 21 • 04:30 UTC 🇪🇸 Spain El País

Sleeping poorly away from home: the 'first night effect' opens the door to insomnia therapies

A study identifies the biological switch that keeps individuals alert, presenting new possibilities for treatments addressing sleep disorders.

The phenomenon known as the 'first night effect' refers to the disruption of sleep characteristics that the majority of people experience during their initial night away from their usual sleeping environment. This concept was first described in 1966 when researchers discovered that patients in a sleep lab displayed less efficient sleep, featuring more awakenings, reduced REM sleep, and delayed onset of deep sleep during their first night. These disruptions often act as confounding factors in polysomnographic studies that the participants undergo, highlighting the need for further study into the relationship between environment and sleep quality.

The findings indicate a biological switch that modulates alertness, which could lead to the development of new treatments for insomnia and related sleep issues. Understanding this switch can inform therapeutic approaches aimed at reducing the adverse impacts of the first night away from home. This research underscores the need for individuals experiencing insomnia to consider their sleeping environment, especially when away from home, as it may play a crucial role in their sleep quality.

Overall, the implications of these findings are significant for the field of sleep medicine. Researchers are calling for further investigation into how environmental factors interact with biological mechanisms governing sleep. This could pave the way for enhanced clinical strategies that address insomnia and improve the overall well-being of individuals affected by sleep disorders.

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