New guidelines for diagnosis and treatment of insomnia

Arquivos de Neuro-Psiquiatria

Luciano Ribeiro Pinto Jr¹  Rosana Cardoso Alves¹  Eliazor Caixeta¹  John Araujo Fontenelle¹  Andrea Bacellar¹  Dalva Poyares¹  Flavio Aloe¹  Geraldo Rizzo¹  Gisele Minhoto¹  Lia Rita Bittencourt¹  Luiz Ataide Jr¹  Márcia Assis¹  Márcia Pradella-hallinan¹  Maria Christina Ribeiro Pinto¹  Raimundo Nonato D Rodrigues¹  Rosa Hasan¹  Ronaldo Fonseca¹  Stella Tavares¹ 

[1] ,Brazilian Sleep AssociationSão Paulo SP ,Brazil

关键词: insomnia;    diagnosis of insomnia;    treatment of insomnia;    cognitive behavioral therapy;    insônia;    diagnóstico da insônia;    tratamento da insônia;    terapia comportamental cognitiva;   

DOI  :  10.1590/S0004-282X2010000400038

来源: SciELO

【 摘 要 】

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.

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