title: The evaluation and management of insomnia.
abstract: Insomnia is a highly prevalent malady and adversely affects many dimensions of daily human function. Although its pathophysiology is poorly understood, it seems to arise in the context of heightened arousal in neurophysiologic and psychological systems. Because it often coexists with a wide variety of medical and psychiatric conditions, the first task in the management of this condition is to identify comorbid disorders through a comprehensive evaluation. Once identified, specific treatments can be tailored to the underlying conditions. Effective cognitive/behavioral and pharmacologic management techniques are available for primary insomnia.
authors.affiliation: Department of Psychiatry and Human Behavior, Jefferson Sleep Disorders Center, Thomas Jefferson University, 211 South Ninth Street, Suite 500, Philadelphia, PA 19107, USA. Karl.Doghramji@jefferson.edu
authors.forename: Karl
authors.initials: K
authors.lastname: Doghramji
mesh_terms: D001143:Arousal / Q000502:physiology; D015897:Comorbidity; D006801:Humans; D029424:Pulmonary Disease, Chronic Obstructive / Q000453:epidemiology; D012890:Sleep / Q000187:drug effects; D007319:Sleep Initiation and Maintenance Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*