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Diagnosis and Treatment of Insomnia

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Abstract

Difficulty sleeping is a very common human condition. The results of epidemiological studies have suggested that nearly 20% of the population suffer from it (Karacan et al., 1983). The word insomnia, literally meaning a habitual inability to sleep, is usually used to define the symptom. We may also say that insomnia is the perception or complaint of inadequate or poor-quality sleep, not but abnormality of objective sleep measures themselves. There are those people who have slept for less than 6 hours per night without any perceptions or complaints of poor sleep, while there are those patients who complain of habitual difficulty sleeping although their polygraphic features are normal.

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References

  • Buysse, D.J., Reynolds III, C.F., Monk, T.H., Berman, S.R. and Kupfer, D.J., 1989, The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research, Psychiatry Res 28: 193–213.

    Article  PubMed  CAS  Google Scholar 

  • Campbell, S., Dawson, D. and Anderson, M, 1993, Alleviation of sleep maintenance insomnia with timed exposure to bright light, J Amer Geriat Soc 41: 829–836.

    PubMed  CAS  Google Scholar 

  • Czeisler, C.A., Dumont, M., Duffy, J.F., Steinberg, J.D., Richardson, G.S., Brown, E.N., Sanchez, R., Rios, C.D. and Ronda, J.M, 1992, Association of sleep—wake habits in older people with changes in output of circadian pacemaker, Lancet 340: 933–936.

    Article  PubMed  CAS  Google Scholar 

  • Diagnostic Classification Steering Comitee (Thorpy, M.J., Chairman), 1990, International classification of sleep disorders: Diagnostic and coding manual. Rochester, Minnesota: American Sleep Disorders Association.

    Google Scholar 

  • Garfinkel, D., Laudon, M., Nof, D. and Zisapel, N., 1995, Improvement of sleep quality in elderly people by controlled-release melatonin, Lancet 346: 541–544.

    Article  PubMed  CAS  Google Scholar 

  • Haimov, I., Laudon, M., Zisapel, N., Souroujon, M., Nof, D., Shlitner, A., Herer, P., Tzischinsky, O. and Lavie, P., 1994, Sleep disorders and melatonin rhythms in elderly people, BMJ 309: 6948, 167.

    Article  PubMed  CAS  Google Scholar 

  • Haimov, I., Lavie, P., Laudon, M., Herer, P., Vigder, C. and Zisapel, N., 1995, Melatonin replacement therapy of elderly insomniacs, Sleep 18: 598–603.

    PubMed  CAS  Google Scholar 

  • Hartmann, E., 1988, Insomnia: Diagnosis and treatment, in Sleep disorders: Diagnosis and treatment (Williams, R.L., Karacan, I. and Moore, C.A., eds.), pp. 29–46, Wiley-Interscience Publication, New York.

    Google Scholar 

  • Hohagen, F., Montero, R.F., Weiss, E., Lis, S., Schönbrunn, E., Dressing, H., Riemann, D. and Berger, M., 1994, Treatment of primary insomnia with trimipramine: an alternative to benzodiazepine hypnotics? Eur Arch Psychiatry Clin Neurosci 244: 65–72.

    Article  PubMed  CAS  Google Scholar 

  • Kales, A., 1991, An overview of safety problem of triazolam, Int Drug Ther Newsletter 26: 25–28.

    Google Scholar 

  • Kapuniai, L.E., Andrew, D.J., Crowell, D.H. and Pearce, J.W., 1988, Identifying sleep apnea from self-reports, Sleep 11:430–436.

    PubMed  CAS  Google Scholar 

  • Karacan, I., Thornby, J.I. and Williams, R.L., 1983, Sleep disturbance: A community survey, in Sleep/wake disorders: Natural history, epidemiology, and long-term evolution (Guilleminault, C. and Lugaresi, E., eds.), pp. 37–61, Raven Press, New York.

    Google Scholar 

  • MacFarlane, J.G., Cleghorn, J.M., Brown, G.M. and Streiner, D.L., 1991, The effects of exogenous melatonin on the total sleep time and daytime alertness of chronic insomniacs: a preliminary study, Biol Psychiatry 30: 371–376.

    Article  PubMed  CAS  Google Scholar 

  • Maislin, G., Pack, A.I., Kribbs, N.B., Smith, P.L., Schwartz, A.R., Kline, L.R., Schwab, R.J. and Dinges, D.F., 1995, A survey screen for prediction of apnea, Sleep 18: 158–166.

    PubMed  CAS  Google Scholar 

  • Nofzinger, E.A., Buysse, D.J., Reynolds III, C.F. and Kupfer, D.J., 1993, Sleep disorders related to another mental disorder (nonsubstance/primary): A DSM-IV literature review, J Clin Psychiatry 54: 224–255.

    Google Scholar 

  • Parrino, L., Spaggiari, M.C., Boselli, M., Di Giovanni, G. and Terzano, M.G., 1994, Clinical and polysomnographic effects of trazodone CR in chronic insomnia associated with dysthymia, Psychopharmacology 116: 389–95.

    Article  PubMed  CAS  Google Scholar 

  • Ray, W.A., Griffin, M.R. and Downey, W., 1989, Benzodiazepines of long and short elimination half-life and the risk of hip fracture, JAMA 262: 3303–3307.

    Article  PubMed  CAS  Google Scholar 

  • Schramm, E., Hohagen, F., Grasshoff, U., Riemann, D., Hajak, G., Weess, H.G. and Berger, M., 1993, Test-retest reliability and validity of the Structured Interview for Sleep Disorders According to DSM-III-R, Am J Psychiatry 150: 867–872.

    PubMed  CAS  Google Scholar 

  • Uchiyama, M., Tanaka, K., Isse, K. and Toru, M., 1996, Efficacy of mianserin on symptoms of delirium in the aged: An open trial study, Prog. Neuro-Psychopharmacol and Biol. Psychiat 20: 651–656.

    Article  CAS  Google Scholar 

  • Urata, J., Uchiyama, M., Iyo, M., Enomoto, T., Hayakawa, T., Tomiyama, M., Nakajima, T., Sasaki, H., Shirakawa, S., Wada, K., Fukui, S., Yamadera, H., and Okawa, M., 1996, Effects of small dose of triazolam on P300 and resting EEG, Psychopharmacology 125: 179–184.

    Article  PubMed  CAS  Google Scholar 

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© 1997 Springer Science+Business Media New York

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Uchiyama, M., Ozaki, S. (1997). Diagnosis and Treatment of Insomnia. In: Meier-Ewert, K., Okawa, M. (eds) Sleep—Wake Disorders. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0245-0_8

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  • DOI: https://doi.org/10.1007/978-1-4899-0245-0_8

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-0247-4

  • Online ISBN: 978-1-4899-0245-0

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