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  1. Insomnia is considered a disorder only when it causes a significant amount of distress or anxiety, or when it results in daytime impairment. The International Classification of Sleep Disorders, 2 nd Edition, documents the following types of insomnia: • Adjustment insomnia: This is also called acute insomnia or short-term insomnia.

  2. The AASM has published a new clinical practice guideline for the pharmacologic treatment of chronic insomnia in adults. These new recommendations are based on a systematic review of the literature on individual drugs commonly used to treat insomnia, and were developed using the GRADE methodology. The recommendations in this guideline define ...

  3. An insomnia disorder is defined as a persistent difficulty with sleep initiation, duration, or consolidation that occurs despite adequate opportunity and circumstances for sleep and results in concern, dissatisfaction, or perceived daytime impairment, such as fatigue, decreased mood or irritability, general malaise, or cognitive impairment.

  4. Adjust sleep environment. Initiate daytime behaviour modifications. Optimize management of comorbid medical and psychiatric conditions. 1. Address and optimize the management of any underlying medical, psychiatric or environmental causes. Comorbid conditions associated with insomnia are very common.

  5. Assessment of insomnia in clinical practice. Objective vs. subjective sleep discrepancies. Evidence-based management of insomnia disorder. Appraising insomnia in context. Sleep complaint (nature/patterning) Impact of sleep disturbance. Mental health (relationship?) Physical health (relationship?) Behaviour (napping, caffeine, alcohol)

  6. Insomnia is the most common sleep disorder. It is defined by self-reported difficulties initiating sleep, maintaining sleep, and/or waking too early on ≥3 nights/week, with associated daytime feeling or functional impairment.

  7. 9 Σεπ 2019 · A subtype of insomnia with objectively short sleep has been described and stands out for its probable association with increased morbidity. These individuals meet criteria for chronic insomnia and, by objective measure, sleep on average less than six hours per night.

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