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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Abstract 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.
AbstractList 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.
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. A Associação Brasileira de Sono reuniu especialistas em medicina do sono com o objetivo de desenvolver novas diretrizes no diagnóstico e tratamento das insônias. Nós consideramos quatro níveis de evidência: padrão, recomendado, opcional e não recomendado. Os tópicos abordados foram: conceito, avaliação clínica e psicossocial, indicação da polissonografia, tratamento farmacológico, terapia comportamental cognitiva, comorbidades e insônia na infância. Para o diagnóstico da insônia, foi recomendada uma avaliação psicossocial e a realização da polissonografia, enquanto que no que se refere ao tratamento, foi estabelecido como padrão a indicação da terapia comportamental cognitiva, e, quanto ao tratamento farmacológico, foi indicado o uso do zolpidem como hipnótico padrão, e sendo recomendado o zopiclone, a trazodona e a doxepina.
Author Tavares, Stella
Pradella-Hallinan, Márcia
Ataide, Jr, Luiz
Hasan, Rosa
Rodrigues, Raimundo Nonato D
Fonseca, Ronaldo
Rizzo, Geraldo
Pinto, Jr, Luciano Ribeiro
Aloe, Flavio
Pinto, Maria Christina Ribeiro
Bacellar, Andrea
Caixeta, Eliazor
Alves, Rosana Cardoso
Fontenelle, John Araujo
Bittencourt, Lia Rita
Minhoto, Gisele
Poyares, Dalva
Assis, Márcia
AuthorAffiliation School of Medicine Science
Universidade de Caxias do Sul
Moinhos de Vento Hospital
Universidade Federal de Minas Gerais
Hospital São Lucas
Universidade Federal de São Paulo
AuthorAffiliation_xml – name: Hospital São Lucas
– name: Universidade de Caxias do Sul
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  email: luciano@psicobio.epm.br
  organization: Brazilian Sleep Association, São Paulo, SP, Brazil. luciano@psicobio.epm.br
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  givenname: Rosana Cardoso
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/20730332$$D View this record in MEDLINE/PubMed
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Issue 4
Keywords cognitive behavioral therapy
diagnosis of insomnia
tratamento da insônia
insônia
terapia comportamental cognitiva
diagnóstico da insônia
treatment of insomnia
insomnia
Language English
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Snippet The Brazilian Sleep Association brought together specialists in sleep medicine, in order to develop new guidelines on the diagnosis and treatment of insomnias....
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SubjectTerms 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
Title New guidelines for diagnosis and treatment of insomnia
URI https://www.ncbi.nlm.nih.gov/pubmed/20730332
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Volume 68
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