New guidelines for diagnosis and treatment of insomnia

The Brazilian Sleep Association brought together specialists in sleep medicine, in order to develop new guidelines on the diagnosis and treatment of insomnias. The following subjects were discussed: concepts, clinical and psychosocial evaluations, recommendations for polysomnography, pharmacological...

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Published inArquivos de neuro-psiquiatria Vol. 68; no. 4; pp. 666 - 675
Main Authors Pinto, Jr, Luciano Ribeiro, Alves, Rosana Cardoso, Caixeta, Eliazor, Fontenelle, John Araujo, Bacellar, Andrea, Poyares, Dalva, Aloe, Flavio, Rizzo, Geraldo, Minhoto, Gisele, Bittencourt, Lia Rita, Ataide, Jr, Luiz, Assis, Márcia, Pradella-Hallinan, Márcia, Pinto, Maria Christina Ribeiro, Rodrigues, Raimundo Nonato D, Hasan, Rosa, Fonseca, Ronaldo, Tavares, Stella
Format Journal Article
LanguageEnglish
Published Brazil Academia Brasileira de Neurologia - ABNEURO 01.08.2010
Subjects
Acute Disease
Antidepressive Agents - therapeutic use
Brazil
Chronic Disease
Cognitive Behavioral Therapy
Humans
Hypnotics and Sedatives - therapeutic use
NEUROSCIENCES
PSYCHIATRY
Sleep Initiation and Maintenance Disorders - diagnosis
Sleep Initiation and Maintenance Disorders - therapy
Societies, Medical
cognitive behavioral therapy
diagnosis of insomnia
tratamento da insônia
insônia
terapia comportamental cognitiva
diagnóstico da insônia
treatment of insomnia
insomnia
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Summary:The Brazilian Sleep Association brought together specialists in sleep medicine, in order to develop new guidelines on the diagnosis and treatment of insomnias. The following subjects were discussed: concepts, clinical and psychosocial evaluations, recommendations for polysomnography, pharmacological treatment, behavioral and cognitive therapy, comorbidities and insomnia in children. Four levels of evidence were envisaged: standard, recommended, optional and not recommended. For diagnosing of insomnia, psychosocial and polysomnographic investigation were recommended. For non-pharmacological treatment, cognitive behavioral treatment was considered to be standard, while for pharmacological treatment, zolpidem was indicated as the standard drug because of its hypnotic profile, while zopiclone, trazodone and doxepin were recommended.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Instructional Material/Guideline-2
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ISSN:0004-282X
1678-4227
1678-4227
0004-282X
DOI:10.1590/S0004-282X2010000400038