Non-pharmacologic treatment of insomnia in primary care settings.
Identifieur interne : 000035 ( Main/Exploration ); précédent : 000034; suivant : 000036Non-pharmacologic treatment of insomnia in primary care settings.
Auteurs : Laura Hrehová [République tchèque] ; Kamal Mezian [République tchèque]Source :
- International journal of clinical practice [ 1742-1241 ] ; 2021.
Abstract
INTRODUCTION
Prevalence of insomnia is higher in females and increases with higher age. Besides primary insomnia, comorbid sleep disorders are also common, accompanying different conditions. Considering the possible adverse effects of commonly used drugs to promote sleep, a non-pharmacologic approach should be preferred in most cases. Although generally considered first-line treatment, the non-pharmacologic approach is often underestimated by both patients and physicians.
OBJECTIVE
To provide primary care physicians an up-to-date approach to the non-pharmacologic treatment of insomnia.
METHODS
PubMed, Web of Science, and Scopus databases were searched for relevant articles about the non-pharmacologic treatment of insomnia up to December 2020. We restricted our search only to articles written in English.
MAIN MESSAGE
Most patients presenting with sleep disorder symptoms can be effectively managed in the primary care setting. Primary care physicians may use pharmacologic and non-pharmacologic approaches, while the latter should be generally considered first-line treatment. A primary care physician may opt to refer the patient to a subspecialist for refractory cases.
CONCLUSIONS
This paper provides an overview of current recommendations and up-to-date evidence for the non-pharmacologic treatment of insomnia. This article emphasizes the importance of cognitive-behavioral therapy for insomnia, likewise, exercise and relaxation techniques. Complementary and alternative approaches are also covered, eg, light therapy, aromatherapy, music therapy, and herbal medicine.
DOI: 10.1111/ijcp.14084
PubMed: 33555081
Affiliations:
Links toward previous steps (curation, corpus...)
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Besides primary insomnia, comorbid sleep disorders are also common, accompanying different conditions. Considering the possible adverse effects of commonly used drugs to promote sleep, a non-pharmacologic approach should be preferred in most cases. Although generally considered first-line treatment, the non-pharmacologic approach is often underestimated by both patients and physicians.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To provide primary care physicians an up-to-date approach to the non-pharmacologic treatment of insomnia.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>PubMed, Web of Science, and Scopus databases were searched for relevant articles about the non-pharmacologic treatment of insomnia up to December 2020. We restricted our search only to articles written in English.</p></div><div type="abstract" xml:lang="en"><p><b>MAIN MESSAGE</b></p><p>Most patients presenting with sleep disorder symptoms can be effectively managed in the primary care setting. Primary care physicians may use pharmacologic and non-pharmacologic approaches, while the latter should be generally considered first-line treatment. A primary care physician may opt to refer the patient to a subspecialist for refractory cases.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>This paper provides an overview of current recommendations and up-to-date evidence for the non-pharmacologic treatment of insomnia. This article emphasizes the importance of cognitive-behavioral therapy for insomnia, likewise, exercise and relaxation techniques. Complementary and alternative approaches are also covered, eg, light therapy, aromatherapy, music therapy, and herbal medicine.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">33555081</PMID><DateRevised><Year>2021</Year><Month>02</Month><Day>22</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1742-1241</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2021</Year><Month>Feb</Month><Day>08</Day></PubDate></JournalIssue><Title>International journal of clinical practice</Title><ISOAbbreviation>Int J Clin Pract</ISOAbbreviation></Journal><ArticleTitle>Non-pharmacologic treatment of insomnia in primary care settings.</ArticleTitle><Pagination><MedlinePgn>e14084</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1111/ijcp.14084</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Prevalence of insomnia is higher in females and increases with higher age. Besides primary insomnia, comorbid sleep disorders are also common, accompanying different conditions. Considering the possible adverse effects of commonly used drugs to promote sleep, a non-pharmacologic approach should be preferred in most cases. Although generally considered first-line treatment, the non-pharmacologic approach is often underestimated by both patients and physicians.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To provide primary care physicians an up-to-date approach to the non-pharmacologic treatment of insomnia.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">PubMed, Web of Science, and Scopus databases were searched for relevant articles about the non-pharmacologic treatment of insomnia up to December 2020. We restricted our search only to articles written in English.</AbstractText><AbstractText Label="MAIN MESSAGE" NlmCategory="RESULTS">Most patients presenting with sleep disorder symptoms can be effectively managed in the primary care setting. Primary care physicians may use pharmacologic and non-pharmacologic approaches, while the latter should be generally considered first-line treatment. A primary care physician may opt to refer the patient to a subspecialist for refractory cases.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This paper provides an overview of current recommendations and up-to-date evidence for the non-pharmacologic treatment of insomnia. This article emphasizes the importance of cognitive-behavioral therapy for insomnia, likewise, exercise and relaxation techniques. Complementary and alternative approaches are also covered, eg, light therapy, aromatherapy, music therapy, and herbal medicine.</AbstractText><CopyrightInformation>© 2021 John Wiley & Sons Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hrehová</LastName><ForeName>Laura</ForeName><Initials>L</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-8173-6487</Identifier><AffiliationInfo><Affiliation>Institute of General Practice, First Faculty of Medicine, Charles University, Prague, Czech Republic.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mezian</LastName><ForeName>Kamal</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Rehabilitation Medicine, First Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2021</Year><Month>02</Month><Day>08</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Int J Clin Pract</MedlineTA><NlmUniqueID>9712381</NlmUniqueID><ISSNLinking>1368-5031</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>12</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2021</Year><Month>02</Month><Day>05</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2021</Year><Month>2</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2021</Year><Month>2</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2021</Year><Month>2</Month><Day>8</Day><Hour>8</Hour><Minute>47</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33555081</ArticleId><ArticleId IdType="doi">10.1111/ijcp.14084</ArticleId></ArticleIdList><ReferenceList><Title>REFERENCES</Title><Reference><Citation>American Academy of Sleep Medicine. 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Contemp Nurse. 1999;8:227-231.</Citation></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>République tchèque</li></country><region><li>Bohême centrale</li></region><settlement><li>Prague</li></settlement></list><tree><country name="République tchèque"><region name="Bohême centrale"><name sortKey="Hrehova, Laura" sort="Hrehova, Laura" uniqKey="Hrehova L" first="Laura" last="Hrehová">Laura Hrehová</name></region><name sortKey="Mezian, Kamal" sort="Mezian, Kamal" uniqKey="Mezian K" first="Kamal" last="Mezian">Kamal Mezian</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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