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Insomnia in Patients with Comorbid Medical Problems

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Clinical Handbook of Insomnia

Part of the book series: Current Clinical Neurology ((CCNEU))

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Abstract

Almost every medical disease can be associated with insomnia. Insomnia may result directly from the pathophysiology of the illness, as a consequence of pain or other disease symptoms, as an unintended side effect of treatment, or as a manifestation of the anxiety and uncertainty attached to the diagnosis. Improving sleep quality often requires optimally managing other disease symptoms and selecting medications that minimize adverse side effects. Importantly, many medical conditions and medications alter the risks and symptoms of intrinsic sleep disorders that can present as insomnia and sleep fragmentation. Conversely some hypnotics can affect medical conditions. As patients with medical comorbidities tend to be older and take multiple medications, they are also at an increased risk for adverse drug reactions. Non-pharmacologic treatments for insomnia should be given special consideration in this population.

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Paul, R., Anafi, R.C. (2017). Insomnia in Patients with Comorbid Medical Problems. In: Attarian, H. (eds) Clinical Handbook of Insomnia. Current Clinical Neurology. Springer, Cham. https://doi.org/10.1007/978-3-319-41400-3_11

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