
Getting a good night's sleep is important for our health and wellbeing. However, many people experience interrupted sleep or 'broken sleep', where they wake up one or more times during the night. This can be caused by various factors, including stress, anxiety, depression, chronic pain, sleep disorders (e.g., sleep apnea), poor sleep hygiene, and lifestyle habits such as consuming alcohol or caffeine close to bedtime. While brief awakenings between sleep cycles are normal, frequent interruptions can lead to irritability, daytime sleepiness, and more serious long-term health issues such as obesity, heart disease, and an increased risk of accidents and injuries. Understanding the causes of broken sleep can help individuals find ways to improve their sleep quality and overall health.
| Characteristics | Values |
|---|---|
| Definition | Interrupted sleep or fragmented sleep |
| Prevalence | Common |
| Causes | Stress, anxiety, depression, chronic pain, sleep disorders (e.g. sleep apnea), poor sleep hygiene, lifestyle habits, age, alcohol consumption, external noises or disruptions, etc. |
| Symptoms | Tossing and turning, feeling half-asleep, daytime sleepiness, microsleeping, irritability, difficulty concentrating, slower reaction time, increased risk of accidents, etc. |
| Treatment | Self-help strategies: maintaining a regular sleep schedule, reducing blue light exposure, engaging in calming bedtime routines, managing caffeine intake, creating a comfortable sleep environment, improving sleep hygiene, relaxation techniques, etc. Seeking professional help if self-help strategies are ineffective. |
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What You'll Learn
- Sleep disorders, such as insomnia, sleep apnea, and restless leg syndrome, can cause broken sleep
- Stress, anxiety, and depression can lead to broken sleep
- Alcohol consumption and screen time can negatively impact sleep
- Age and lifestyle factors can contribute to interrupted sleep
- Sleep loss can affect concentration, energy levels, and mood

Sleep disorders, such as insomnia, sleep apnea, and restless leg syndrome, can cause broken sleep
Broken sleep refers to disrupted sleep patterns, where an individual may struggle to fall asleep or wake up multiple times throughout the night. Sleep disorders are a common cause of broken sleep, with conditions such as insomnia, sleep apnea, and restless leg syndrome playing a significant role.
Insomnia, the most prevalent sleep disorder, is characterised by the inability to fall asleep or sleep well at night. Individuals with insomnia may spend hours trying to fall asleep or wake up in the middle of the night, unable to drift back to sleep. This disruption in sleep patterns can lead to feelings of frustration and exhaustion.
Sleep apnea is another disorder that can cause broken sleep. This condition affects an individual's breathing during sleep. In cases of obstructive sleep apnea, the muscles in the throat relax, causing the surrounding tissue to press on the windpipe and block airflow. As a result, the brain responds by waking the person up to restore breathing, interrupting their sleep. Central sleep apnea occurs when the brain fails to send signals to keep the breathing-related muscles functioning during sleep. Both types of sleep apnea can prevent restful and healthy sleep, leading to broken sleep patterns.
Additionally, restless leg syndrome (RLS) is a condition that can contribute to broken sleep. RLS causes an overwhelming urge to move the legs, often accompanied by uncomfortable sensations. This urge to move intensifies during periods of rest, including sleep, leading to frequent interruptions throughout the night.
These sleep disorders can disrupt sleep architecture, impacting the quality and quantity of sleep. Individuals with these conditions may experience difficulty falling asleep, frequent awakenings, or non-restorative sleep, resulting in fragmented sleep patterns and daytime fatigue.
If you suspect you are suffering from a sleep disorder, it is important to seek professional help. A healthcare provider can assess your symptoms, provide a diagnosis, and recommend appropriate treatment options to improve your sleep quality.
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Stress, anxiety, and depression can lead to broken sleep
Broken sleep refers to waking up during the night, between sleep cycles. Sleep cycles are around 90-110 minutes long and repeat throughout the night, and it is normal to stir briefly between them. However, broken sleep occurs when you are aware of these awakenings. While broken sleep is usually not a major problem, it can be more damaging if you wake up within a sleep cycle and struggle to fall back asleep.
Stress, anxiety, and depression can all contribute to broken sleep. Anxiety disorders are the most common mental health problem in the United States, and insufficient sleep negatively affects overall health. People with anxiety disorders are more likely to experience sleeping problems when facing stress, and anxiety can also affect rapid eye movement (REM) sleep, causing disturbing dreams or nightmares that wake the sleeper. Chronically high levels of stress hormones before sleep can make it difficult for the body to relax, leading to difficulty falling asleep. Nocturnal panic attacks caused by anxiety can also wake people from sleep. Furthermore, sleep anxiety, or fear about not falling or staying asleep, is a common characteristic of insomnia.
Depression and sleep problems are also closely linked. People with insomnia have a higher risk of developing depression, and among those with depression, 75% have trouble falling or staying asleep. Sleep difficulties may create challenges in regulating emotions, leaving individuals more susceptible to depression. Depression is associated with a reduction in restorative slow-wave sleep, and daily stresses can lead to more nighttime wake-ups and trouble falling back asleep.
Thus, stress, anxiety, and depression are interconnected with broken sleep. Addressing these underlying issues through therapy, improved sleep hygiene, or medication can help alleviate broken sleep patterns.
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Alcohol consumption and screen time can negatively impact sleep
Broken sleep is a common problem, with almost two-thirds of UK adults suffering from disrupted sleep. Sleep maintenance insomnia is different from standard broken sleep, which involves waking and then falling back to sleep. Insomnia is characterised by an inability to fall asleep or sleep well at night.
Alcohol consumption and screen time are two factors that can contribute to broken sleep and insomnia. Firstly, let's explore the impact of alcohol consumption on sleep. While some people rely on alcohol to help them fall asleep, their sleep quality may suffer as a result. Alcohol is a sedative, so it can make you fall asleep quicker, but it will negatively affect the rest of your night. Research has shown that higher alcohol intake is associated with poor sleep quality over time. Alcohol can cause sleep disruptions later in the night, leading to repeated wakings and low-quality sleep. Long-term alcohol use can result in chronic sleep problems and disorders like sleep apnea.
Now, let's turn our attention to screen time and its impact on sleep. Blue light emitted from electronic devices such as smartphones, computers, tablets, and televisions can disrupt the sleep-wake cycle by stimulating the brain and reducing melatonin production. This is a sleep hormone that makes us feel sleepy. The National Sleep Foundation's 2022 Sleep in America® Poll found that 58% of people look at screens within an hour before bedtime. Interactive use of devices, such as playing games or scrolling social media, can also keep the brain alert and prevent relaxation before bed. The sounds and bright colours from these devices can also disrupt sleep, as they engage the mind and make it difficult to wind down.
To improve sleep quality, it is recommended to reduce alcohol consumption and limit screen time, especially within two hours of bedtime. Creating a sleep-friendly environment involves making the bedroom dark, quiet, and free of electronic devices.
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Age and lifestyle factors can contribute to interrupted sleep
Broken sleep is a common problem, with two-thirds of UK adults suffering from disrupted sleep. It occurs when you are aware of waking up during the night, sometimes within a sleep cycle, which can be more damaging to our sleep. While it is normal to stir briefly between sleep cycles, broken sleep can be caused by sleep disorders such as sleep apnoea or insomnia.
Lifestyle factors that can cause interrupted sleep include stress, excessive alcohol or caffeine consumption, and the use of electronic devices before bed. Alcohol can be disruptive, affecting the quality of your sleep for the rest of the night, while the blue light emitted by electronic devices can reduce the ease of falling asleep. Shift work, being a student, and exposure to excessive night-time light pollution can also disrupt sleep patterns.
Additionally, certain life circumstances can contribute to sleep problems, such as being a parent to a young child or serving as a caregiver to a family member with a chronic illness. These responsibilities can result in multiple awakenings during the night and increased stress and worry, making it harder to fall back asleep.
Optimizing your sleep routine and environment can help prevent sleep interruptions. This includes maintaining a consistent bedtime routine, reducing alcohol consumption, and limiting the use of electronic devices before bed. By addressing these age and lifestyle factors, individuals can improve their sleep continuity and overall sleep quality.
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Sleep loss can affect concentration, energy levels, and mood
Sleep loss can have a significant impact on concentration, energy levels, and mood. When an individual experiences sleep loss, their mental sharpness, focus, and attention span are all negatively affected, often resulting in difficulty concentrating. This can impair their ability to perform well at work or school, making it challenging to stay on task or absorb new information effectively.
Sleep loss can also leave individuals feeling physically and mentally exhausted. The body requires adequate rest to restore energy levels, and when this process is disrupted, people may struggle to summon the physical and mental stamina needed to get through the day. This depletion of energy can hinder productivity, motivation, and overall quality of life.
Mood alterations are another notable consequence of sleep loss. Sleep-deprived individuals often experience irritability, anxiety, and depression. The link between sleep loss and mood disorders is bidirectional: stress and anxiety can cause sleep loss, and the resulting sleep loss can, in turn, exacerbate these emotional challenges. This vicious cycle can significantly impact overall well-being and quality of life.
The impact of sleep loss extends beyond concentration, energy levels, and mood. It can also increase the risk of accidents and injuries, as individuals may experience slower reaction times and impaired decision-making abilities. Furthermore, sleep loss has been linked to various health problems, including obesity, diabetes, and heart disease.
Addressing sleep loss is crucial for mitigating these adverse effects. Strategies such as stress management through relaxation techniques, maintaining a regular sleep schedule, reducing exposure to blue light before bedtime, and creating a comfortable sleep environment can all contribute to improved sleep continuity and overall well-being.
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Frequently asked questions
Broken sleep is when you are aware of waking up during the night. Normal sleep cycles are around 90-110 minutes long and repeat across the night, and everyone usually stirs briefly between each sleep cycle.
Effects of broken sleep include daytime sleepiness, cognitive decline, mood disturbances, and health risks.
Factors unique to the individual’s situation can interrupt sleep, like age, stress, and lifestyle. Other causes include the consumption of alcohol and caffeine, and the use of electronic devices before bed.
To prevent broken sleep, you can avoid consuming alcohol and caffeine, and avoid using electronic devices before bed. You can also establish a regular bedtime routine, such as taking a warm bath, listening to soothing music, or reading.
Broken sleep is normal, especially short awakenings between sleep cycles. However, if sleeping problems become a regular occurrence, it may be a sign of a sleep disorder such as insomnia, hypersomnia, sleep apnea, or parasomnias.











































