Sleep Medicine: Insomnia and Sleep.

Pradeep C Bollu, Harleen Kaur

Journal: Missouri medicine 2019;116(1):68-75

PMID: 30862990

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Abstract

Insomnia disorder is an economic burden and public health concern affecting up to one-third of the population of the United States. It is mostly seen in older age groups, and often considered a normal aging phenomenon. The diagnosis and treatment of insomnia rely mainly on a thorough sleep history to address the precipitating factors as well as maladaptive behaviors resulting in poor sleep. It is important for clinicians to recognize and manage the symptoms of insomnia to prevent the morbidity associated with it. This review aims to highlight the pathophysiology, associated comorbidities, clinical evaluation and effective management strategies for insomnia disorder.

Address: Pradeep C. Bollu, MD, and Harleen Kaur, MBBS, are in the Department of Neurology, University of Missouri - Columbia, Columbia, Missouri.

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MeSH Terms: Central Nervous System Depressants, Comorbidity, GABA-A Receptor Agonists, Histamine Agonists, Humans, Hypnotics and Sedatives, Life Style, Muscle Relaxants, Central, Orexin Receptor Antagonists, Risk Factors, Sleep Aids, Pharmaceutical, Sleep Initiation and Maintenance Disorders