Joe has recently started having a great deal of difficulty falling asleep.In addition,he frequently wakes up during the night and has trouble falling back to sleep once awakened.At this point we can conclude that Joe's sleep problems are influenced by

Question

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Since Joe's sleep problems involve both difficulty falling asleep as well as frequent waking during the night, it is likely that there are multiple factors contributing to these issues. Medical conditions and psychological concerns can both be contributing factors to sleep disturbances, and so it is likely that Joe's sleep problems are influenced by either medical or psychological conditions, or even both. It is also possible that genetics may play a role, but this is less likely to be the sole cause of Joe's sleep difficulties.

Joe Has Recently Started Having a Great Deal of Difficulty