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 |
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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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