Practice Parameters for Using Polysomnography to Evaluate Insomnia: An Update
Abstract
Insomnia is a common and clinically important problem. It may arise directly from a sleep-wake regulatory dysfunction and/or indirectly result from comorbid psychiatric, behavioral, medical, or neurological conditions. As an important public-health problem, insomnia requires accurate diagnosis and effective treatment. Insomnia is primarily diagnosed clinically with a detailed medical, psychiatric, and sleep history. Polysomnography is indicated when a sleep-related breathing disorder or periodic limb movement disorder is suspected, initial diagnosis is uncertain, treatment fails, or precipitous arousals occur with violent or injurious behavior. However, polysomnography is not indicated for the routine evaluation of transient insomnia, chronic insomnia, or insomnia associated with psychiatric disorders.
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Psychological and behavioral interventions are effective in treating chronic primary and comorbid insomnia.
“Psychological and behavioral interventions are effective and recommended in the treatment of chronic primary and comorbid (secondary) insomnia. (Standard)”
From Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults (2008) · cites this paper as [2]
Psychological and behavioral treatments are effective for adults of all ages, including older adults, and chronic hypnotic users.
“These treatments are effective for adults of all ages, including older adults, and chronic hypnotic users. (Standard)”
From Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults (2008) · cites this paper as [2]
Multicomponent therapy without cognitive therapy is effective in treating chronic insomnia.
“Multicomponent therapy (without cognitive therapy) is effective and recommended therapy in the treatment of chronic insomnia. (Guideline)”
From Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults (2008) · cites this paper as [2]
Physical and mental status examination may provide important information regarding comorbid conditions and differential diagnosis.
“Physical and mental status examination may provide important information regarding comorbid conditions and differential diagnosis. (Standard)”
From Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults (2008) · cites this paper as [2]
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- Authors
- Littner, M., Hirshkowitz, M., Kramer, M., Kapen, S., Anderson, W. M., Bailey, D., Berry, R. B., Davila, D., Johnson, S., Kushida, C., Loube, D. I., Wise, M., & Woodson, B. T.
- Affiliations
- University of California, Los Angeles (US)
- Baylor College of Medicine (US)
- Maimonides Medical Center (US)
- Wayne State University (US)
- University of South Florida (US)
- University of Florida Health (US)
- Baptist Health Foundation (US)
- St. Patrick Hospital (US)
- Stanford University (US)
- Swedish Medical Center (US)
- Medical College of Wisconsin (US)
- Venue
- Sleep
- Publisher
- Oxford University Press (OUP)
- Published
- 2003-09-01
- Volume
- 26
- Issue
- 6
- Pages
- 754-760
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- OpenAlex
- W1706222608
- Semantic Scholar
- cc6894189802e15d9d42416eed2bde2fc58b962c
- Cited by
- 306
- References
- 49
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 16 · 2023: 15 · 2022: 18 · 2021: 15 · 2020: 11 · 2019: 11 · 2018: 13 · 2017: 18 · 2016: 21 · 2015: 16 · 2014: 18 · 2013: 20 · 2012: 18
- FWCI
- 11.58
- 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
- Health Sciences › Medicine › Epidemiology › Restless Legs Syndrome Research
- Keywords
- insomnia, polysomnography, sleep-wake regulation, sleep-disordered breathing, periodic limb movement disorder, psychiatric comorbidity, treatment-resistant insomnia, transient insomnia, chronic insomnia
- MeSH terms
- Chronic Disease, Diagnosis, Differential, Humans, Sleep Initiation and Maintenance Disorders, Practice Patterns, Physicians', Sleep Apnea Syndromes, Polysomnography, Evidence-Based Medicine, Sleep Disorders, Circadian Rhythm
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