Evaluation of Chronic Insomnia
Abstract
Insomnia is a condition which affects millions of individuals, giving rise to emotional distress, daytime fatigue, and loss of productivity. Despite its prevalence, it has received scant clinical attention. An adequate evaluation of persistent insomnia requires detailed historical information as well as medical, psychological and psychiatric assessment. Use of a classification system for sleep disorders and familiarity with major diagnostic groups will facilitate the clinician's evaluation and treatment. Thorough assessment also requires attention to the unique aspects of presentation and specific set of etiologies which are associated with particular age groups.
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Sleep logs, questionnaires for sleep quality, sleepiness, psychological assessment and quality of life, and in some cases actigraphy, aid differential diagnosis of insomnia.
“differential diagnosis is further aided by the use of sleep logs, questionnaires for sleep quality, sleepiness, psychological assessment and quality of life (Table 8), and in some cases, actigraphy. 21-23”
From Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults (2008) · cites this paper as [21]
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- Authors
- Sateia, M. J., Doghramji, K., Hauri, P. J., & Morin, C. M.
- Affiliations
- Dartmouth–Hitchcock Medical Center (US)
- Thomas Jefferson University (US)
- Mayo Clinic (US)
- Université Laval (CA)
- Venue
- Sleep
- Publisher
- Oxford University Press (OUP)
- Published
- 2000-01
- Volume
- 23
- Issue
- 2
- Pages
- 1-66
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- OpenAlex
- W146822938
- Cited by
- 466
- References
- 0
- Citations by year
- 2026: 6 · 2025: 10 · 2024: 15 · 2023: 11 · 2022: 13 · 2021: 11 · 2020: 15 · 2019: 13 · 2018: 8 · 2017: 20 · 2016: 11 · 2015: 20 · 2014: 21 · 2013: 11 · 2012: 23
- FWCI
- 26.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- SLEEP (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- chronic insomnia, sleep disorder classification, medical assessment, psychological assessment, psychiatric assessment, insomnia etiology, daytime fatigue, emotional distress, productivity loss
- MeSH terms
- Adult, Child, Chronic Disease, Cognition, Fatigue, Gastroesophageal Reflux, Humans, Disorders of Excessive Somnolence, Sleep Initiation and Maintenance Disorders, MMPI, Neuropsychological Tests, Pain, Psychomotor Performance, Respiration Disorders, Restless Legs Syndrome, Prevalence
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