1-5 The patient evaluation of comorbid conditions should exclude: Insomnia may be a condition in and of itself or a symptom of another underlying medical or behavioral condition. The diagnosis of insomnia is usually based on patient self-reporting. British Association for Psychopharmacology (2019) 5.Agency for Healthcare Research and Quality (AHRQ) (US Department of Health and Human Services) (2017) 3.American College of Physicians (ACP) (2016) 2.American Academy of Sleep Medicine (AASM) (2017) 1.Several groups have published guidelines for the management of insomnia, including: Insomnia can be treated with pharmacologic and nonpharmacologic approaches, individually or in combination. Guideline Recommendations for the Treatment of Insomnia 1-7 Older adults more often have difficulty maintaining sleep (wake time after sleep onset ), whereas younger adults report more difficulty falling asleep (sleep onset latency ). This article will discuss chronic insomnia primarily.Ĭhronic insomnia is associated with numerous adverse effects (AEs) on a person’s well-being, including fatigue, poor cognitive function, mood disturbance, and distress or interference with personal functioning. Insomnia can occur over either a short period of time (acute) or a longer period (chronic). Insomnia is pervasive in the United States and other Western societies. 1-5 It impairs daytime well-being and subjective abilities and functioning. Insomnia is a condition of unsatisfactory sleep in terms of sleep onset, sleep maintenance, or early waking. This article will review the available pharmacotherapeutic options for treating insomnia. However, several other agents are in later stages of development. To date, only suvorexant and lemborexant have been approved for the treatment of insomnia. More recently, orexin inhibitors have been introduced that may have fewer adverse effects, including the development of dependence. Benzodiazepines and nonbenzodiazepine GABA-A receptor agonists are the traditional medications used to treat insomnia. When cognitive behavioral therapy is not enough, medications can help patients overcome the barriers and learned behaviors that prevent a good night’s sleep. Cognitive behavioral therapy is the core treatment for insomnia. Hufford serves on the editorial boards of several journals, including Alternative Therapies in Health & Medicine and Explore.Up to 10% of the US adult population will experience chronic insomnia, with women and elderly individuals at particularly high risk. He also is a professor in the departments of Neural and Behavioral Sciences and Family and Community Medicine. Hufford, Ph.D., is university professor and chair of the Medical Humanities Department at Pennsylvania State University's College of Medicine. He holds appointments as a clinical assistant professor of medicine and as adjunct professor of journalism at New York University.ĭavid J. He is author or co-author of four books, including The Common Symptom Answer Guide, and has written for publications including the Boston Globe, The Lancet, and USA Today. Ivan Oransky, M.D., is the deputy editor of The Scientist. Formerly assistant health and fitness editor at Cooking Light magazine, her professional passion is learning and writing about health. Michele Price Mann is a freelance writer who has written for such publications as Weight Watchers and Southern Living magazines. She is the author of four books, including Living Well With Allergies. Linnea Lundgren has more than 12 years experience researching, writing, and editing for newspapers and magazines. She is the co-author of three books on women's health. Her work has been published in magazines such as Shape, Fit Pregnancy, Woman's Day, Reader's Digest, Eating Well, and Health. Alice Lesch Kelly is a health writer based in Boston. The author of four books, Gower is also a contributing editor for Health magazine. ABOUT THE AUTHORS: Timothy Gower is a freelance writer and editor whose work has appeared in many publications, including Reader's Digest, Prevention, Men's Health, Better Homes and Gardens, The New York Times, and The Los Angeles Times.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |