[The guidelines for the evaluation and management of insomnias in Japanese primary care].
Insomnia is defined by a repeated difficulty with sleep initiation, duration, consolidation, or quality that occurs despite adequate sleep opportunity, a persistent sleep difficulty, and associated daytime impairment in the International Classification of Sleep Disorders, 2nd edition (ICSD-2). 11 categories describe the most etiologies of insomnia in ICSD-2. Insomnia is primarily diagnosed by clinical evaluation through a careful, detailed medical, psychiatric, and thorough sleep history in primary care. Diagnosing the cause of insomnia is necessary before an appropriate treatment can be proposed. In the treatment of insomnia, the effectiveness of both pharmacotherapy using hypnotics and nonpharmacological therapy(sleep hygiene education, cognitive behavioral therapy) is demonstrated clearly in numerous studies.
Yamadera
Wataru
W
Department of Psychiatry, Jikei University School of Medicine.
Itoh
Hiroshi
H
D017408:Guidelines as Topic; D006801:Humans; D007319:Sleep Initiation and Maintenance Disorders / Q000175:diagnosis* / Q000628:therapy*