title: Insomnia: prevalence, consequences and effective treatment.
abstract: Insomnia is common and can have serious consequences, such as increased risk of depression and hypertension. Acute and chronic insomnia require different management approaches. >Chronic insomnia is unlikely to spontaneously remit, and over time will be characterised by cycles of relapse and remission or persistent symptoms. Chronic insomnia is best managed using non-drug strategies such as cognitive behaviour therapy. For patients with ongoing symptoms, there may be a role for adjunctive use of medications such as hypnotics.
authors.affiliation: Melbourne Sleep Disorders Centre, Melbourne, VIC, Australia. david.cunnington@msdc.com.au.
authors.forename: David
authors.initials: D
authors.lastname: Cunnington
authors.forename: Moira F
authors.initials: MF
authors.lastname: Junge
authors.forename: Antonio T
authors.initials: AT
authors.lastname: Fernando
mesh_terms: D000328:Adult; D002908:Chronic Disease; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D003937:Diagnosis, Differential; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000453:epidemiology; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D008403:Mass Screening; D064866:Mindfulness; D012307:Risk Factors; D055502:Secondary Prevention; D007319:Sleep Initiation and Maintenance Disorders / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*
chemical_list: D006993:Hypnotics and Sedatives