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Titolo:
The diagnosis and management of insomnia in clinical practice: a practicalevidence-based approach
Autore:
Holbrook, AM; Crowther, R; Lotter, A; Cheng, CC; King, D;
Indirizzi:
St Josephs Hosp, Ctr Evaluat Med, Hamilton, ON L8N 4A6, Canada St Josephs Hosp Hamilton ON Canada L8N 4A6 , Hamilton, ON L8N 4A6, Canada McMaster Univ, Hamilton, ON L8N 4A6, Canada McMaster Univ Hamilton ON Canada L8N 4A6 iv, Hamilton, ON L8N 4A6, Canada
Titolo Testata:
CANADIAN MEDICAL ASSOCIATION JOURNAL
fascicolo: 2, volume: 162, anno: 2000,
pagine: 216 - 220
SICI:
0820-3946(20000125)162:2<216:TDAMOI>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
PSYCHOTROPIC-DRUG USE; BENZODIAZEPINE USE; SLEEP DISORDERS; OLDER ADULTS; HIP FRACTURE; RISK; THERAPY; PREVALENCE; METAANALYSIS; RESTRICTION;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
78
Recensione:
Indirizzi per estratti:
Indirizzo: Holbrook, AM St Josephs Hosp, Ctr Evaluat Med, 50 Charlton Ave E, Hamilton, ON L8N 4A6,Canada St Josephs Hosp 50 Charlton Ave E Hamilton ON Canada L8N 4A6
Citazione:
A.M. Holbrook et al., "The diagnosis and management of insomnia in clinical practice: a practicalevidence-based approach", CAN MED A J, 162(2), 2000, pp. 216-220

Abstract

INSOMNIA, OR THE DISSATISFACTION WITH THE QUANTITY, quality or timing of sleep, is a common complaint. Because the definition of "normal" sleep is not well established, the estimates of the prevalence and severity of insomnia vary widely. Insomnia is often secondary to underlying psychiatric and medical conditions, and these should be evaluated and treated as a first measure. Nonpharmacological interventions for insomnia including sleep hygiene manoeuvres and exercise are recommended, although the success of these interventions has not been well documented. Benzodiazepines have been the pharmacologic agents of choice for the treatment of insomnia, but there is reason to exercise caution with their use; their overall benefit compared with placebo appears to be minor, and they are often associated with adverse cognitive effects. Unfortunately, no other class of drugs has proven to be superior to the benzodiazepines in terms of benefit:risk ratio. Given the importance of sleep for health and normal daily functioning the diagnosis, prognosis and treatment of insomnia should be a research priority.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 10/07/20 alle ore 18:05:54