Increased Performance of the Hypothalamus in Producing Neurotransmitters in Insomnia through a Combination of Cognitive Therapy and Muscle Relaxation Miftahul Zannah, Siti Sarah Bintang, Elsaria Br. Sembiring, Raynald Ignasius Ginting, Isidorus Jehaman and Sabirin Berampu Faculty of Nursing and Physiotherapy, Institut Kesehatan Medistra Lubuk Pakam, Indonesia isidorusjehaman@yahoo.co.id, sabirinbrampu@yahoo.co.id Keywords: Cognitive Therapy, Muscle relaxation, Hypothalamus and Insomnia. Abstract: Insomnia is problem on sleep that disorder of hyperaurosal. Insomnia is sleep problem that often occurs followed by headache, spasm around the head to the neck. These problems cause by delivery of excitatory neurons that reach muscle is not conveyed properly because transportation of neurotransmitter is not produced well in the hypothalamus. Hypothalamus is in suprachiasmatic nuclei has long relation, some of the relation are the limbic system, pineal gland and brain steam which control the aferen and stage of sleep. Physiotherapy intervention which can give for insomnia is combination of cognitive therapy and muscle relaxation. That methods effective to improve hypothalamus performance in producing neurotransmitter for the best impulse conduction for insomnia. This research is use experimental design with one group pre and post test design. Intervention Cognitive therapy and Muscle Relaxation for 2 weeks with a daily frequency and monitored sleep disorder before and after intervention. It can be seen the p-value = 0,002 that means less than 0,05 (p < 0,05) so zero hypothesis (Ho) is rejected and alternative hypothesis is accepted. So that Combination of Cognitive Therapy and Muscle Relaxation effective to improve the performance of hypothalamus in producing neurotransmitters for insomnia after intervention. 1 INTRODUCTION Insomnia is one of clinical condition between many problems such as phsycology and physic, the problems are difficulties for go to sleep and maintain it. It can be from nonorganic and nonrestorative that show like sleep disorders for one month and siesta time. Sleep disorders nonorganic is primary insomnia, nonrestortive is secondary insomnia and increase impaired emotion regulation resulting from sleep loss may increase the risk of developing emotional disorders by increasing the use of maladaptive emotion regulation strategies (Ranum, 2019). Sleep processing by reticular system just take a few respons from cerebral cortex and from external body. Wake up condition occur when reticular system stimulated with impuls from cerebral cortex, organs and cells of sense in skin formation. Sleep is cause by process active inhibition. There is any old theory about excitatory area in upper brainsteam called activation reticular system that can be exhaustion cause many activities a day. The condition is passive theory of sleep. Sleep is similar to other health behaviours, in that many aspects of sleep are under direct behavioural control (Mead and Irish, 2019). A research by National Sleep Foundation in America found there are 36% young adult in 18-29 years old got difficulties for wake up compared with 20% in 30-64 years old and 9% in over 65 years old. (Magoun, 2014). Poor sleep is a significant public health issue in the United States, with nearly 33% of adults reporting inadequate sleep duration (CDC, 2016) and > 40% feeling fatigued most days (Mead and Irish, 2019). Every years, there are 20%-40% adult got sleep disorder and 17% among it got serious problems. Prevalence of sleep disorder can increase every years, this relevance with increase age and another causes (Judarwanto, 2015). Young adult usually get drowsiness, academic ability, productive creativity and communication were not decrease. Some job or another logic work, Zannah, M., Bintang, S., Sembiring, E., Ginting, R., Jehaman, I. and Berampu, S. Increased Performance of the Hypothalamus in Producing Neurotransmitters in Insomnia through a Combination of Cognitive Therapy and Muscle Relaxation. DOI: 10.5220/0009465700890096 In Proceedings of the International Conference on Health Informatics and Medical Application Technology (ICHIMAT 2019), pages 89-96 ISBN: 978-989-758-460-2 Copyright c  2020 by SCITEPRESS – Science and Technology Publications, Lda. All rights reserved 89