Algorithms for the assessment and management of insomnia in primary care

Donald Hilty, Julie S. Young, James A. Bourgeois, Sally Klein, Kimberly A Hardin

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Insomnia is a leading cause of sleep disturbance in primary care practice affecting >30% of people in the United States and can result in psychological and physiological consequences. We aim for a focused discussion of some of the underpinnings of insomnia and practical tips for management (eg, algorithms). A PubMed search was conducted using English language papers between 1997-2007, with the terms "sleep," "insomnia"; "primary care" and "clinics"; "comorbid conditions"; "treatment" and "management." Sleep, psychiatric and medical disorders significantly affect sleep, causing patient suffering, potentially worsening of other disorders and increasing the use of primary care services. We provide an outline for practical assessment and treatment of insomnia in primary care, including the strengths and weaknesses of medications.

Original languageEnglish (US)
Pages (from-to)9-20
Number of pages12
JournalPatient Preference and Adherence
Volume3
DOIs
StatePublished - Apr 9 2009

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Sleep Initiation and Maintenance Disorders
sleep
Primary Health Care
Sleep
management
Psychological Stress
PubMed
Psychiatry
English language
medication
Language
Psychology
cause
Therapeutics

Keywords

  • Anxiety
  • Depression
  • Disorder
  • Insomnia
  • Primary care
  • Sleep

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)
  • Medicine (miscellaneous)
  • Health Policy
  • Pharmacology, Toxicology and Pharmaceutics (miscellaneous)

Cite this

Algorithms for the assessment and management of insomnia in primary care. / Hilty, Donald; Young, Julie S.; Bourgeois, James A.; Klein, Sally; Hardin, Kimberly A.

In: Patient Preference and Adherence, Vol. 3, 09.04.2009, p. 9-20.

Research output: Contribution to journalArticle

Hilty, Donald ; Young, Julie S. ; Bourgeois, James A. ; Klein, Sally ; Hardin, Kimberly A. / Algorithms for the assessment and management of insomnia in primary care. In: Patient Preference and Adherence. 2009 ; Vol. 3. pp. 9-20.
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