# GEO EN — MHR-076

```json
{
  "schema_version": "uw.editorial_geo.v1",
  "catalog_id": "MHR-076",
  "article_index": "MHR-076",
  "language": "en",
  "headline": "Sleeping little: unable, short of time, or not feeling a need?",
  "description": "Distinguishing missing time, difficulty sleeping and unusual changes in sleep need, describing daytime effects and choosing suitable assistance.",
  "master_filename": "ARTICLE_EN.md",
  "master_sha256": "e6354935e9db45dc6bbd95373d358156cb94dabb94505ca158042bad68c44c06",
  "short_answer": "Distinguishing missing time, difficulty sleeping and unusual changes in sleep need, describing daytime effects and choosing suitable assistance.",
  "claims": [
    {
      "id": "C01",
      "article_sections": [
        "I. One quantity does not tell the whole story"
      ],
      "text": "Sleep quantity alone distinguishes neither opportunity, ability, nor changed need.",
      "limitations": "Questions rather than three diagnoses.",
      "source_ids": [],
      "type": "editorial_distinction"
    },
    {
      "id": "C02",
      "article_sections": [
        "II. Missing time requires a real change in the schedule"
      ],
      "text": "Workday and non-workday schedules matter in assessment.",
      "limitations": "No universal schedule or permission to miss shifts.",
      "source_ids": [
        "S1",
        "S2"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C03",
      "article_sections": [
        "III. Transferring an action differs from transferring coordination"
      ],
      "text": "An action can transfer while coordination stays with the resting person.",
      "limitations": "Editorial organisational example, not a medical care protocol.",
      "source_ids": [],
      "type": "editorial_distinction"
    },
    {
      "id": "C04",
      "article_sections": [
        "IV. Opportunity without sleep does not end in a discipline verdict"
      ],
      "text": "Sleep characteristics and daytime impact can support assessment.",
      "limitations": "No mandatory diary or independent disease elimination.",
      "source_ids": [
        "S2"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C05",
      "article_sections": [
        "V. Not feeling a need matters alongside other changes"
      ],
      "text": "Decreased sleep need is assessed within mood, energy, activity and history.",
      "limitations": "Short sleep alone diagnoses no mania; no required waiting period.",
      "source_ids": [
        "S3"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C06",
      "article_sections": [
        "V. Not feeling a need matters alongside other changes"
      ],
      "text": "New sudden confusion requires urgent medical attention.",
      "limitations": "No full emergency list or individual triage.",
      "source_ids": [
        "S7"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C07",
      "article_sections": [
        "VII. Suitable help follows the task as well as the word sleep"
      ],
      "text": "Professional CBT-I requires selection and possible adaptation.",
      "limitations": "Adult VA/DoD scope; no home sleep restriction.",
      "source_ids": [
        "S5"
      ],
      "type": "source_bounded_information"
    },
    {
      "id": "C08",
      "article_sections": [
        "VIII. Time for rest need not reward a correct life"
      ],
      "text": "Ancient texts offer bounded ethical comparisons.",
      "limitations": "No sleep biology or evidence of treatment efficacy.",
      "source_ids": [
        "S4",
        "S6"
      ],
      "type": "source_bounded_information"
    }
  ],
  "questions": [],
  "retrieval_limits": [
    "Adults 18+; no individual diagnosis",
    "Current danger or urgent medical need takes precedence",
    "No self-exposure, recovered-memory instruction, medication change or compulsory calming",
    "Language is not jurisdiction; no foreign emergency numbers",
    "Author review only; no production acceptance, import, index or publication"
  ],
  "sources": [
    {
      "id": "S1",
      "author": "NHS",
      "title": "Insomnia",
      "url": "https://www.nhs.uk/conditions/insomnia/",
      "role": "Varied circumstances, impact, seeking assessment; do not drive while sleepy",
      "limitations": "No universal home schedule, medicine choice or clearance"
    },
    {
      "id": "S2",
      "author": "NHLBI",
      "title": "Insomnia — Diagnosis",
      "url": "https://www.nhlbi.nih.gov/health/insomnia/diagnosis",
      "role": "Schedule, daytime impact, health and breathing observations for assessment",
      "limitations": "No self-diagnostic checklist, required diary or adopted diagnostic threshold"
    },
    {
      "id": "S3",
      "author": "NIMH",
      "title": "Bipolar Disorder",
      "url": "https://www.nimh.nih.gov/health/publications/bipolar-disorder",
      "role": "Decreased need for sleep within mood, energy and activity changes; broader assessment; discuss treatment",
      "limitations": "No diagnosis from short sleep, copied thresholds, drug regimen or guarantee"
    },
    {
      "id": "S4",
      "author": "Ecclesiastes3:1–8, KJV",
      "title": "Complete selected passage",
      "url": "https://www.biblegateway.com/passage/?search=Ecclesiastes%203%3A1-8&version=KJV",
      "role": "Poetic distinction of different times; two short quotations",
      "limitations": "Own RU/TH renderings; no sleep biology, diagnosis, waiting demand or global rights conclusion"
    },
    {
      "id": "S5",
      "author": "VA/DoD",
      "title": "2025 Chronic Insomnia Disorder and OSA — Provider Summary",
      "url": "https://www.healthquality.va.gov/guidelines/CD/insomnia/I-OSA-CPG_2025-Provider-Summary_final_20250422.pdf",
      "role": "Professional CBT-I recommendation; adaptation or delay; patient-centred decisions",
      "limitations": "Adult VA/DoD scope; no individual protocol or universal contraindication; not full guideline or underlying trials"
    },
    {
      "id": "S6",
      "author": "Laozi / James Legge",
      "title": "Tao Teh King, chapter64",
      "url": "https://www.gutenberg.org/cache/epub/216/pg216-images.html",
      "role": "Ethical analogy about care with completion and limits of forceful interference",
      "limitations": "No medical protocol, care instruction or nervous-system mechanism; no global licence conclusion"
    },
    {
      "id": "S7",
      "author": "NHS",
      "title": "Sudden confusion",
      "url": "https://www.nhs.uk/symptoms/confusion/",
      "role": "New sudden confusion requires urgent medical attention",
      "limitations": "No full emergency triage or exported UK number"
    }
  ],
  "schema_org": {
    "@context": "https://schema.org",
    "@type": "Article",
    "identifier": "UW:MHR-076:en",
    "headline": "Sleeping little: unable, short of time, or not feeling a need?",
    "inLanguage": "en",
    "author": [
      {
        "@type": "Person",
        "name": "Andrey Zarinsh"
      },
      {
        "@type": "Person",
        "name": "Maria Evilkut"
      }
    ]
  }
}
```