Management of chronic insomnia disorder in adults: a clinical practice guideline from the American College of Physicians

Qaseem A, Kansagara D, Forciea MA, Cooke M, Denberg TD · Annals of Internal Medicine 165(2):125–133 · 2016

Key finding

Strong recommendation: all adults with chronic insomnia receive CBT-I as initial treatment.

Citation

Authors: Qaseem A, Kansagara D, Forciea MA, Cooke M, Denberg TD
Published in: Annals of Internal Medicine 165(2):125–133
Year: 2016
Topic: Insomnia, RLS & instruments

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Insomnia, RLS and circadian disorders

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Horne & Östberg morningness-eveningness questionnaireThe 5-item rMEQ chronotype scale used in the Check tab.A new method for measuring daytime sleepinessThe 8-item Epworth scale; ≥11 suggests excessive daytime sleepiness.Validation of the Insomnia Severity Index as an outcome measure for insomnia…The 7-item ISI; ≥15 indicates clinical insomnia.Restless legs syndrome/Willis-Ekbom disease diagnostic criteriaThe four essential criteria plus 'not solely accounted for by another condition' used in the RLS screen.European guideline for the diagnosis and treatment of insomniaCBT-I is first-line treatment; hypnotics only short term.

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Educational summary of published research, not medical advice. Screening scores are not diagnoses. If a score is elevated or you feel unwell, talk to a clinician.