European guideline for the diagnosis and treatment of insomnia

Autor: Chiara Baglioni, Erna S. Arnardottir, Marta Gonçalves, Dirk Pevernagie, Damien Leger, Kai Spiegelhalder, Colin A. Espie, Adam Wichniak, Jason Ellis, Hans G. Weeß, Christoph Nissen, Claudio L. Bassetti, Bjørn Bjorvatn, Johan Verbraecken, Liborio Parrino, Tiina Paunio, Marielle Zoetmulder, Barbara Strazisar, Diego Garcia-Borreguero, Poul Jennum, Dieter Riemann, Irina Zavalko, Michaela D. Gjerstad, Elisabeth Hertenstein, Markus Jansson-Fröjmark, Oana Claudia Deleanu, Leja Dolenc Groselj
Rok vydání: 2017
Předmět:
Light therapy
Adult
Complementary Therapies
Male
Periodic limb movement disorder
medicine.medical_specialty
Cognitive Neuroscience
medicine.medical_treatment
Polysomnography
Sleep state misperception
Histamine Antagonists
Comorbidity
03 medical and health sciences
Behavioral Neuroscience
Benzodiazepines
0302 clinical medicine
Sleep Initiation and Maintenance Disorders
mental disorders
medicine
Insomnia
Humans
030212 general & internal medicine
Psychiatry
Melatonin
medicine.diagnostic_test
Cognitive Behavioral Therapy
business.industry
General Medicine
Evidence-based medicine
Guideline
Phototherapy
medicine.disease
Antidepressive Agents
Cognitive behavioral therapy
Europe
Physical therapy
Female
Human medicine
medicine.symptom
business
Sleep
030217 neurology & neurosurgery
Antipsychotic Agents
Zdroj: Journal of sleep research
ISSN: 1365-2869
0962-1105
Popis: This European guideline for the diagnosis and treatment of insomnia was developed by a task force of the European Sleep Research Society, with the aim of providing clinical recommendations for the management of adult patients with insomnia. The guideline is based on a systematic review of relevant meta-analyses published till June 2016. The target audience for this guideline includes all clinicians involved in the management of insomnia, and the target patient population includes adults with chronic insomnia disorder. The GRADE (Grading of Recommendations Assessment, Development and Evaluation) system was used to grade the evidence and guide recommendations. The diagnostic procedure for insomnia, and its co-morbidities, should include a clinical interview consisting of a sleep history (sleep habits, sleep environment, work schedules, circadian factors), the use of sleep questionnaires and sleep diaries, questions about somatic and mental health, a physical examination and additional measures if indicated (i.e. blood tests, electrocardiogram, electroencephalogram; strong recommendation, moderate-to high-quality evidence). Polysomnography can be used to evaluate other sleep disorders if suspected (i.e. periodic limb movement disorder, sleep-related breathing disorders), in treatment-resistant insomnia, for professional at-risk populations and when substantial sleep state misperception is suspected (strong recommendation, high-quality evidence). Cognitive behavioural therapy for insomnia is recommended as the first-line treatment for chronic insomnia in adults of any age (strong recommendation, high-quality evidence). A pharmacological intervention can be offered if cognitive behavioural therapy for insomnia is not sufficiently effective or not available. Benzodiazepines, benzodiazepine receptor agonists and some antidepressants are effective in the short-term treatment of insomnia (
Databáze: OpenAIRE
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