Management of Chronic Insomnia Disorder in Adults

The February 21, 2017 issue of the Journal of the American Medical Association (JAMA) had an excellent article on Chronic Insomnia Disorder in Adults by Lisa Medalie, PsyD, CBSM and Adam S. Cifu, MD. Here is an abstract of the article. You can access the full article by clicking HERE – but you will have to register for the journal to obtain the full text.

The diagnostic criteria for chronic insomnia include difficulty falling asleep or staying asleep 3 or more nights per week for at least 3 months with accompanying distress or daytime dysfunction.1 Chronic insomnia occurs in 6% to 10% of the population and is more common in women and older adults.2– 4 Chronic insomnia leads to problems with cognition, mood, and fatigue.2 Treatment options for chronic insomnia include behavioral therapy, CBT-I, or pharmacotherapy. Behavioral therapy includes education regarding sleep hygiene and interventions such as stimulus control, sleep restriction, and relaxation training. Cognitive behavioral therapy for insomnia combines cognitive therapy with interventions such as sleep restriction, relaxation training, and stimulus control. This treatment typically requires 5 to 8 sessions and requires patients to maintain sleep logs.
Medalie L, Cifu AS. Management of Chronic Insomnia Disorder in Adults. JAMA. 2017;317(7):762-763. doi:10.1001/jama.2016.19004
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