22 Suppl 2:S379-85.ĭaley M, Morin CM, LeBlanc M, Grégoire JP, Savard J. Zammit GK, Weiner J, Damato N, Sillup GP, McMillan CA. Psychomotor performance deficits and their relation to prior nights' sleep among individuals with primary insomnia. Arlington, VA: American Psychiatric Association 2013.Įdinger JD, Means MK, Carney CE, Krystal AD. Diagnostic and Statistical Manual of Mental Disorders. Princeton, NJ,: The Gallup Organization 1979.Īmerican Psychiatric Association. Sleep Disorders Medicine: Basic Science, Technical Considerations, and Clinical Aspects, 3rd edition, p361. Cambridge University Press, Cambridge UK, 2003, et al.Ĭhokroverty S. Diagnosis and Classification of Insomnia Disorders. Westchester, Ill: American Academy of Sleep Medicine 2005. ICSD2 - International Classification of Sleep Disorders. An american academy of sleep medicine report. Practice parameters for the psychological and behavioral treatment of insomnia: an update. Morgenthaler T, Kramer M, Alessi C, Friedman L, Boehlecke B, Brown T, et al. Standards of Practice Committee of the American Academy of Sleep Medicine. An American Academy of Sleep Medicine report. Practice parameters for the nonpharmacologic treatment of chronic insomnia. 25(5):539-58.Ĭhesson AL Jr, Anderson WM, Littner M, Davila D, Hartse K, Johnson S, et al. Cognitive-behavioral therapy for primary insomnia. Clinical Practice Guideline for the Pharmacologic Treatment of Chronic Insomnia in Adults: An American Academy of Sleep Medicine Clinical Practice Guideline. Sateia MJ, Buysse DJ, Krystal AD, Neubauer DN, Heald JL. Montagna P, Gambetti P, Cortelli P, Lugaresi E. Clinical guideline for the evaluation and management of chronic insomnia in adults. Schutte-Rodin S, Broch L, Buysse D, Dorsey C, Sateia M. A study of 291 patients aged 60 years and older (mean age, 70 years 58% women) with confirmed insomnia disorder and no major depression within the previous 12 months found CBT significantly reduced risk of depression in patients with insomnia. The guideline also encourages these interventions as initial therapy when appropriate. The AASM guideline recommends psychological and behavioral interventions (including, but not limited to, cognitive-behavioral therapy ) as effective in the treatment of chronic comorbid insomnia as well as primary insomnia. In 2017, the AASM released an updated guideline for the pharmacologic treatment of chronic insomnia in adults. In particular, adequate pain control can greatly relieve the insomnia associated with pain syndromes. If the patient has a medical, neurologic, or sleep disorder, treat the disorder. Strategies for achieving these goals will vary depending on the underlying etiology. The American Academy of Sleep Medicine (AASM) guideline states that the 2 primary goals of treatment are to improve sleep quality and to improve related daytime impairments.
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