Chronic Insomnia

David N Neubauer; Kelleen N Flaherty

doi:10.1055/s-0029-1237125

Seminars in Neurology, Inhaltsverzeichnis

Semin Neurol 2009; 29(4): 340-353
DOI: 10.1055/s-0029-1237125

Chronic Insomnia

David N. Neubauer¹ , Kelleen N. Flaherty²

¹Johns Hopkins Sleep Disorders Center, Johns Hopkins Bayview Medical Center and Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, Maryland
²Biomedical Writing Programs, University of the Sciences in Philadelphia, Philadelphia, Pennsylvania

Abstract

ABSTRACT

Chronic insomnia afflicts millions of people in the United States. It is associated with decreased quality of life, accidents, several comorbid conditions, increased morbidity, and substantial direct and indirect costs. Chronic insomnia is a multifactorial and individualized disorder. Its etiology may be cognitive or physiologic in nature (or both), and is more often than not associated with a comorbid condition, complicating its recognition, evaluation, and treatment. Effective nonpharmacotherapeutic (cognitive–behavioral therapy for insomnia) and pharmacotherapeutic (hypnotic medications) treatment modalities are available. Treatment of chronic insomnia can make a significant improvement in quality of life, and may also be associated with an improvement in comorbid conditions.

KEYWORDS

Chronic insomnia - sleep - comorbidity - cognitive–behavioral therapy - hypnotic

Volltext

Referenzen

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David N NeubauerM.D.

Associate Director, Johns Hopkins Sleep Disorders Center, Johns Hopkins Bayview Medical Center

4940 Eastern Avenue, Box 151, Baltimore, MD 21224

eMail: neubauer@jhmi.edu