Current Pharmacological and Nonpharmacological Options for the Management of Insomnia

Insomnia continues to be a major public health concern and to have a pronounced and detrimental effect on health care costs, productivity, and quality of life. Efficacious pharmacological and nonpharmacological interventions have emerged over the past few decades, giving providers several options fo...

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Bibliographic Details
Published inClinical Medicine Insights: Therapeutics Vol. 2013; no. 5; pp. 151 - 162
Main Authors Pigeon, Wilfred R., Bishop, Todd M., Marcus, Jonathan A.
Format Journal Article Book Review
LanguageEnglish
Published London, England Libertas Academica 06.10.2013
SAGE Publishing
SAGE Publications
Sage Publications Ltd. (UK)
Sage Publications Ltd
Subjects
Care and treatment
Drug therapy
Health aspects
Insomnia
sleep
hypnotics
cognitive-behavioral therapy
pharmacotherapy
non-pharmacological
insomnia
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Summary:Insomnia continues to be a major public health concern and to have a pronounced and detrimental effect on health care costs, productivity, and quality of life. Efficacious pharmacological and nonpharmacological interventions have emerged over the past few decades, giving providers several options for addressing this disruptive condition; these are herein reviewed. Benzodiazepines have long been the pharmacological treatment of choice for insomnia; however, novel hypnotics being developed by the pharmaceutical industry show promise in addressing insomnia with fewer side effects. From the nonpharmacological perspective, several different single-component interventions such as stimulus control have been shown to be effective, although a combination of these approaches (eg, cognitive-behavioral therapy for insomnia) also enjoy strong empirical support. Future research should continue to examine how sequencing of treatment components, treating different patient cohorts, and combinations of pharmacological and non-pharmacological treatments influence patient outcome.
ISSN:1179-559X
1179-559X
DOI:10.4137/CMT.S10239