Manifestations and management of chronic insomnia in adults.

@article{Buscemi2005ManifestationsAM,
  title={Manifestations and management of chronic insomnia in adults.},
  author={Nina Buscemi and B. Vandermeer and Carol Friesen and Liza Bialy and Michelle Tubman and Maria B. Ospina and Terry P Klassen and Manisha Witmans},
  journal={Evidence report/technology assessment},
  year={2005},
  volume={125},
  pages={
          1-10
        }
}
Insomnia, or inability to sleep, is the most commonly reported sleep problem in the industrialized world. Estimates suggest that between 40 and 70 million Americans are affected by either intermittent or chronic sleep problems, representing approximately 20 percent of the population. The Sleep in America Poll, conducted by the National Sleep Foundation, revealed that almost 50 percent of people surveyed had complaints of frequent insomnia, but only 6 percent were formally diagnosed. Moreover… 
Management of Chronic Insomnia: Individualized Assessment and Interventions to Ensure a Safe Sleep
  • Medicine, Psychology
  • 2007
TLDR
According to this definition, sleep problems reported by a parent with a newborn or an apartment dweller with noisy overhead neighbors do not constitute insomnia, because the infant and neighbor have deprived the patient of adequate opportunities and appropriate circumstances for sleep.
Clinical guideline for the evaluation and management of chronic insomnia in adults.
TLDR
This clinical guideline is to provide clinicians with a practical framework for the assessment and disease management of chronic adult insomnia, using existing evidence-based insomnia practice parameters where available, and consensus-based recommendations to bridge areas where such parameters do not exist.
INSOMNIA CAN BE AN ACUTE EXPERIENCE OR A CHRONIC DISORDER, CHARACTERIZED BY DIFFICULTY IN FALLING ASLEEP AND/OR REMAINING ASLEEP
TLDR
It is found that insomnia patients had more emergency room visits, more calls to the doctor, and more use of over-thecounter drugs than noninsomnia patients, and health-related quality of life was also lower for insomnia patients.
Therapeutic effectiveness and patient acceptance of a vestibular nerve activation intervention in chronic insomnia
TLDR
There is an increasing need for an alternative treatment for insomnia symptoms, and one promising approach to managing chronic insomnia is non-invasive mechanical vestibular nerve stimulation, which has been demonstrated to affect sleep.
Insomnia and Clinical Sleep Disturbance
TLDR
Insomnia is defined as a person’s dissatisfaction with the quality or quantity of their sleep, which causes the individual distress and/or other symptoms of impairment, such as feelings of fatigue, excessive daytime sleepiness, and decreased motivation to keep up normally planned activities.
New Approaches in Managing Chronic Insomnia
TLDR
To achieve optimal patient outcomes, physicians differentiate acute from chronic insomnia and distinguish primary insomnia from sleep disorders that occur with comorbid conditions, most notably psychiatric illnesses such as circadian rhythm disturbances.
ERROR 404 – Sleep not found
TLDR
Cognitive behavioural therapy for insomnia (CBT-I) is the mainstay of treatment and is a safe and effective approach and the key challenge of CBT-I is the lack of clinicians to implement it.
Integrating Modern Concepts of Insomnia and its Contemporary Treatment into Primary Care
TLDR
The management of insomnia should consider the extent of impairment associated with the disorder, as well as duration, causes, and comorbidities, and new drugs available that target this system are warranted.
...
...

References

SHOWING 1-10 OF 328 REFERENCES
Characteristics of insomnia in the United States: results of the 1991 National Sleep Foundation Survey. I.
The National Sleep Foundation in conjunction with the Gallup Organization conducted telephone interviews with a sample of Americans (N = 1000) to examine the prevalence and nature of difficulty with
Clinical and socioeconomic correlates of insomnia.
  • J. Walsh
  • Psychology, Medicine
    The Journal of clinical psychiatry
  • 2004
TLDR
Chronic insomnia is a common problem, often associated with negative waking mood or function and, in some cases, with increased daytime sleepiness and accident risk.
Prevalence of insomnia and associated factors in South Korea.
Insomnia and global sleep dissatisfaction in Finland
TLDR
A deterioration of sleep in summer or winter was associated with more complaints of sleep dissatisfaction and the prevalence of DSM‐IV insomnia diagnosis was 1.5 to two times higher in Finland than other European countries studied with the same methodology.
Place of chronic insomnia in the course of depressive and anxiety disorders.
Prevalence of insomnia in elderly general practice attenders and the current treatment modalities
TLDR
A significant association was found between insomnia and mental disorders, i.e., depression and organic brain syndrome according to the diagnosis of the general physician and in about half of the cases the primary care physician was not aware that the elderly patient suffered from severe insomnia.
Familial incidence of insomnia
TLDR
The present findings suggest that a positive family history of insomnia may be a potential risk factor for insomnia, but it is unclear whether this reflects a genetic predisposition or a social learning phenomenon.
Medical and socio-professional impact of insomnia.
TLDR
The study showed that insomnia has socio-professional consequences and is correlated with lower medical status.
Assessment and treatment of insomnia (including a case control study of patients with Primary Insomnia).
TLDR
There are significant differences in both descriptive and objective EEG data between those with Primary Insomnia and controls and it is recommended that hypnotic treatments should be used for no more than one month.
...
...