Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
A psychiatric perspective on insomnia
Autore:
McCall, WV;
Indirizzi:
Wake Forest Univ, Bowman Gray Sch Med, Dept Psychiat & Behav Med, Winston Salem, NC 27157 USA Wake Forest Univ Winston Salem NC USA 27157 , Winston Salem, NC 27157 USA
Titolo Testata:
JOURNAL OF CLINICAL PSYCHIATRY
, volume: 62, anno: 2001, supplemento:, 10
pagine: 27 - 32
SICI:
0160-6689(2001)62:<27:APPOI>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
EPWORTH SLEEPINESS SCALE; QUALITY-OF-LIFE; DEPRESSED-PATIENTS; DOUBLE-BLIND; MAJOR DEPRESSION; TREATMENT EFFICACY; UNITED-STATES; DRUG-USE; ZOLPIDEM; PLACEBO;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
70
Recensione:
Indirizzi per estratti:
Indirizzo: McCall, WV Wake Forest Univ, Bowman Gray Sch Med, Dept Psychiat & Behav Med, 300 S Hawthorne Rd, Winston Salem, NC 27157 USA Wake Forest Univ 300 S Hawthorne Rd Winston Salem NC USA 27157
Citazione:
W.V. McCall, "A psychiatric perspective on insomnia", J CLIN PSY, 62, 2001, pp. 27-32

Abstract

Insomnia is a cardinal symptom for many psychiatric disorders, especially depressive disorders. Treatment of the underlying psychiatric disorder may be sufficient to relieve the accompanying insomnia. If the insomnia fails to respond, then consideration should be given to the possibility of inadequate treatment of the primary psychiatric disorder, iatrogenic insomnia, insomnia related to a medical disorder, or learned/habit insomnia. Persistent insomnia should be aggressively pursued, since it has been associated with a variety of adverse outcomes in samples of depressed patients. The physician should always inquire about and encourage healthy sleeping behaviors, even if hypnotic medication is contemplated. Benzodiazepines and nonbenxodiazepine benzodiazepine receptor agonists (BzRAs) have the best evidence for efficacy as hypnotics, although sedating antidepressants are popularly prescribed. Although all benzodiazepine hypnotics and nonbenzodiazepine BzRAs are comparably efficacious in inducing sleep, they vary markedly in their potential for residual side effects.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/01/20 alle ore 19:36:22