Insomnia includes trouble falling aspeep and staying asleep.
The 3P Model highlights the main causes of insomnia: predisposing, precipitating, and perpetuating factors.
Address perpetuating habits like irregular schedules or using bed for non-sleep activities. Sleep aids can also help with predisposing and precipitating factors, which is why our combined approach is best.
Even if you’re not dealing with insomnia, understanding how it works can still be helpful in optimizing your sleep. The 3P Model of insomnia is a simple framework that can give you insight into what may be affecting your sleep now or in the future, and how to prevent sleep issues from getting worse.
Insomnia includes trouble falling aspeep and staying asleep.
The 3P Model highlights the main causes of insomnia: predisposing, precipitating, and perpetuating factors.
Address perpetuating habits like irregular schedules or using bed for non-sleep activities. Sleep aids can also help with predisposing and precipitating factors, which is why our combined approach is best.
Even if you’re not dealing with insomnia, understanding how it works can still be helpful in optimizing your sleep. The 3P Model of insomnia is a simple framework that can give you insight into what may be affecting your sleep now or in the future, and how to prevent sleep issues from getting worse.
Insomnia is more than just difficulty falling asleep—it can involve a range of symptoms, such as:
Trouble falling asleep or staying asleep
Waking up multiple times during the night
Waking up earlier than planned
Feeling tired and unrested
Difficulty focusing or completing tasks
Experiencing mood issues, like anxiety or irritability
It’s important to understand that insomnia is rarely caused by just one thing. It’s often a combination of factors that, when stacked together, lead to sleep problems. Think of these as layers to a cake that stack up to ultimately impact your ability to fall asleep.
The 3P Model breaks down insomnia into three key factors that can build up over time, leading to sleep problems:
1. Predisposing Factors:
These are factors that make you more vulnerable to insomnia. You might not even realize they’re affecting your sleep until something triggers them. Common predisposing factors include:
Muscle tension
Worrisome or anxious thinking
Poor sleep habits
Aging
Genetics
2. Precipitating Factors:
These are the events or circumstances that can trigger insomnia. These are usually temporary stressors that cause a disruption in your sleep for a short period of time. Examples include:
Major life changes (e.g., a new job, moving, or retirement)
Stressful events like family conflict or grief
Medical issues
A change in your daily schedule
Tip: If stress caused your sleep issues, it might improve on its own once the stressful situation passes. However, for some, these sleep issues continue long after the stressor is gone, often becoming chronic insomnia.
3. Perpetuating Factors:
These are habits and behaviors that continue to interfere with your sleep over time, keeping insomnia going. Some common perpetuating factors include:
Irregular sleep schedule
Spending excessive time in bed
Doing non-sleep activities in bed (like watching TV or working)
Sleeping in after a bad night’s sleep
Drinking too much caffeine or alcohol
Taking long naps during the day
Engaging in stimulating activities close to bedtime (like intense workouts or stressful tasks)
Constant worrying
Sleep Primary Care Resources. (n.d.). Risk Factors and Development of Insomnia [Graphic].Sleep Primary Care Resources. Retrieved December 20, 2024, from https://www.sleepprimarycareresources.org.au/insomnia/risk-factors-and-development.
Action items
Think about your own habits and sleep patterns. Which, if any, of these perpetuating factors might be affecting your sleep? Are there any changes you can make today to address them? Write down any patterns you notice and brainstorm solutions to improve your sleep moving forward.
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