Algorithms for the assessment and management of insomnia in primary care

Insomnia is a leading cause of sleep disturbance in primary care practice affecting >30% of people in the United States and can result in psychological and physiological consequences. We aim for a focused discussion of some of the underpinnings of insomnia and practical tips for management (eg, a...

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Bibliographic Details
Published in:Patient preference and adherence 2009-11, Vol.3 (default), p.9-20
Main Authors: Hilty, Donald, Young, Julie S, Bourgeois, James A, Klein, Sally, Hardin, Kimberly A
Format: Article
Language:English
Subjects:
Algorithms
anxiety
depression
disorder
Expert Opinion
Insomnia
Primary care
Sleep
Citations: Items that cite this one
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Summary:Insomnia is a leading cause of sleep disturbance in primary care practice affecting >30% of people in the United States and can result in psychological and physiological consequences. We aim for a focused discussion of some of the underpinnings of insomnia and practical tips for management (eg, algorithms). A PubMed search was conducted using English language papers between 1997-2007, with the terms "sleep," "insomnia"; "primary care" and "clinics"; "comorbid conditions"; "treatment" and "management." Sleep, psychiatric and medical disorders significantly affect sleep, causing patient suffering, potentially worsening of other disorders and increasing the use of primary care services. We provide an outline for practical assessment and treatment of insomnia in primary care, including the strengths and weaknesses of medications.
ISSN:1177-889X
1177-889X
DOI:10.2147/PPA.S2670