Management of Chronic Insomnia Disorder in Adults: A Clinical Practice Guideline From the American College of Physicians.
By A. Qaseem, D. Kansagara, M. Forciea, M. Cooke, Thomas D. Denberg. Annals of Internal Medicine, 2016
1,441 citations recorded by the source corpus.
DESCRIPTION The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations on the management of chronic insomnia disorder in adults. METHODS This guideline is based on a systematic review of randomized, controlled trials published in English from 2004 through September 2015. Evaluated outcomes included global outcomes assessed by questionnaires, patient-reported sleep outcomes, and harms. The target audience for this guideline includes all clinicians, and the target patient population includes adults with chronic insomnia disorder. This guideline grades the evidence and recommendations by using the ACP grading system, which is based on the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach. RECOMMENDATION 1 ACP recommends that all adult patients receive cognitive behavioral therapy for insomnia (CBT-I) as the initial treatment for chronic insomnia disorder. (Grade: strong recommendation, moderate-quality evidence). RECOMMENDATION 2 ACP recommends that clinicians use a shared decision-making approach, including a discussion of the benefits, harms, and costs of short-term use of medications, to decide whether to add pharmacological therapy in adults with chronic insomnia disorder in whom cognitive behavioral therapy for insomnia (CBT-I) alone was unsuccessful. (Grade: weak recommendation, low-quality evidence).
Subfields: Applied Psychology, Cognitive Neuroscience, Experimental and Cognitive Psychology
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Citations in the corpus
- Clinical Practice Guideline for the Pharmacologic Treatment of Chronic Insomnia in Adults: An American Academy of Sleep Medicine Clinical Practice Guideline (2017, neutral): “Patient-reported data were collected for nights 1, 15, 29, 43, and 44.”
- The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023 (2023, background): “This antagonism seems to have been reconciled over the last decade (see guidelines/summaries by Quaseem et al., 2016; Wilson et al., 2019; Edinger et al., 2021), and is reflected by the wide authorship of this guideline.”
- Major depressive disorder: hypothesis, mechanism, prevention and treatment (2024, background): “282,285 CBT-I can also lead to sustained remission of insomnia-related disorders, and continuous treatment of insomnia with CBT-I can also reduce the occurrence and recurrence of MDD. 286 Circadian rhythm support (CRS) can strengthen the circadian rhythm by means of scheduled bright light exposure,…”