[Insomnia in the general practitioner's office: from diagnosis to initial interventions].
Insomnia is the most frequent type of sleeping disorder and - following pain - the second most common symptom reported in the general practitioner's office. The prevalence of insomnia increases with age. Untreated, insomnia is regarded as risk factor for other comorbid somatic and mental disorders. Therefore, it is important to make a thorough diagnostic and differential diagnostic assessment. Particularly interventions aiming at improving sleep hygiene and therapy using sleep restriction can help alleviate insomnia. Pharmacologically, herbal drugs and antidepressants with sleep inducing effects can be used, for short-term treatment also benzodiazepine/gaba-ergic agonists.
Praxis für Psychotherapie und Coaching, Zürich und Zentrum für Zahnmedizin, Klinik für Kaufunktionsstörungen, Schmerzsprechstunde, Universität Zürich.
Isabelle
I
Sommer
Department of Psychiatry, Behavioural and Clinical Neuroscience Institute, University of Cambridge.
Annette
A
Brühl
Klinik für Psychiatrie und Psychotherapie, Universitätsspital Zürich.
Aba
A
Delsignore
Klinik für Psychiatrie und Psychotherapie, Universitätsspital Zürich.
Steffi
S
Weidt
D001521:Behavior Therapy; D015984:Causality; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D003430:Cross-Sectional Studies; D058006:General Practice; D006801:Humans; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic; D011619:Psychotropic Drugs / Q000627:therapeutic use; D007319:Sleep Initiation and Maintenance Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*
D011619:Psychotropic Drugs
Hypnotika; Insomnie; Schlafhygiene; hygiène du sommeil; hypnotics; hypnotiques; insomnia; insomnie; sleep hygiene