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Dieter Wilhelm Riemann, Colin Alexander Espie, Ellemarije Altena, Erna Sif Arnardóttir, Chiara Baglioni, Claudio L. Bassetti, Célyne Bastien, Natālija Bērziņa-Novikova, Bjørn Bjorvatn, Dimitris G. Dikeos and 35 more
Progress in the field of insomnia since 2017 necessitated this update of the European Insomnia Guideline. Recommendations for the diagnostic procedure for insomnia and its comorbidities are: clinical interview (encompassing sleep and medical history); the use of sleep questionnaires and diaries (and physical examination and additional measures where indicated) (A). Actigraphy is not recommended for the routine evaluation of insomnia (C), but may be useful for differential-diagnostic purposes (A). Polysomnography should be used to evaluate other sleep disorders if suspected (i.e. periodic limb movement disorder, sleep-related breathing disorders, etc.), treatment-resistant insomnia (A) and for other indications (B). Cognitive-behavioural therapy for insomnia is recommended as the first-line treatment for chronic insomnia in adults of any age (including patients with comorbidities), either applied in-person or digitally (A). When cognitive-behavioural therapy for insomnia is not sufficiently effective, a pharmacological intervention can be offered (A). Benzodiazepines (A), benzodiazepine receptor agonists (A), daridorexant (A) and low-dose sedating antidepressants (B) can be used for the short-term treatment of insomnia (≤ 4 weeks). Longer-term treatment with these substances may be initiated in some cases, considering advantages and disadvantages (B). Orexin receptor antagonists can be used for periods of up to 3 months or longer in some cases (A). Prolonged-release melatonin can be used for up to 3 months in patients ≥ 55 years (B). Antihistaminergic drugs, antipsychotics, fast-release melatonin, ramelteon and phytotherapeutics are not recommended for insomnia treatment (A). Light therapy and exercise interventions may be useful as adjunct therapies to cognitive-behavioural therapy for insomnia (B).
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Riemann, D. W., Espie, C. A., Altena, E., Arnardóttir, E. S., Baglioni, C., Bassetti, C. L., Bastien, C., Bērziņa-Novikova, N., Bjorvatn, B., Dikeos, D. G., Dolenc‐Grošelj, L., Ellis, J. G., Garcı́a-Borreguero, D., Geoffroy, P. A., Gjerstad, M. D., Gonçalves, M., Hertenstein, E., Hoedlmoser, K., Hion, T., … Spiegelhalder, K. (2023). The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023. Journal of Sleep Research, 32(6), e14035. https://doi.org/10.1111/jsr.14035
Riemann, Dieter Wilhelm, et al. "The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023." Journal of Sleep Research, vol. 32, no. 6, 2023, pp. e14035, https://doi.org/10.1111/jsr.14035.
Riemann, Dieter Wilhelm, Colin Alexander Espie, Ellemarije Altena, Erna Sif Arnardóttir, Chiara Baglioni, Claudio L. Bassetti, Célyne Bastien, et al. "The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023." Journal of Sleep Research 32, no. 6 (2023): e14035. https://doi.org/10.1111/jsr.14035.
Riemann D. W., Espie C. A., Altena E. [и др.] The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023 // Journal of Sleep Research. — 2023. — Vol. 32, № 6. — P. e14035. — URL: https://doi.org/10.1111/jsr.14035
@article{riemann2023european,
title = {{The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023}},
author = {Dieter Wilhelm Riemann and Colin Alexander Espie and Ellemarije Altena and Erna Sif Arnardóttir and Chiara Baglioni and Claudio L. Bassetti and Célyne Bastien and Natālija Bērziņa-Novikova and Bjørn Bjorvatn and Dimitris G. Dikeos and Leja Dolenc‐Grošelj and Jason Gordon Ellis and Diego Garcı́a-Borreguero and Pierre A. Geoffroy and Michaela Dreetz Gjerstad and Marta Gonçalves and Elisabeth Hertenstein and Kerstin Hoedlmoser and Tuuliki Hion and Brigitte Holzinger and Karolína Janků and Markus Jansson‐Fröjmark and Heli Järnefelt and Susanna Jernelöv and Poul Jennum and Samson G. Khachatryan and Lukas B. Krone and Simon David Kyle and Jaap Lancee and Damien Léger and Adrian Lupusor and Daniel Ruivo Marques and Christoph Nissen and Laura Palagini and Tiina Paunio and Lampros Perogamvros and Dirk Pevernagie and Manuel Schabus and Tamar Shochat and András Szentkirályi and Eus J.W. Van Someren and Annemieke van Straten and Adam Wichniak and Johan A. Verbraecken and Kai Spiegelhalder},
journal = {Journal of Sleep Research},
year = {2023},
volume = {32},
number = {6},
pages = {e14035},
doi = {10.1111/jsr.14035},
url = {https://doi.org/10.1111/jsr.14035}
}TY - JOUR AU - Riemann, Dieter Wilhelm AU - Espie, Colin Alexander AU - Altena, Ellemarije AU - Arnardóttir, Erna Sif AU - Baglioni, Chiara AU - Bassetti, Claudio L. AU - Bastien, Célyne AU - Bērziņa-Novikova, Natālija AU - Bjorvatn, Bjørn AU - Dikeos, Dimitris G. AU - Dolenc‐Grošelj, Leja AU - Ellis, Jason Gordon AU - Garcı́a-Borreguero, Diego AU - Geoffroy, Pierre A. AU - Gjerstad, Michaela Dreetz AU - Gonçalves, Marta AU - Hertenstein, Elisabeth AU - Hoedlmoser, Kerstin AU - Hion, Tuuliki AU - Holzinger, Brigitte AU - Janků, Karolína AU - Jansson‐Fröjmark, Markus AU - Järnefelt, Heli AU - Jernelöv, Susanna AU - Jennum, Poul AU - Khachatryan, Samson G. AU - Krone, Lukas B. AU - Kyle, Simon David AU - Lancee, Jaap AU - Léger, Damien AU - Lupusor, Adrian AU - Marques, Daniel Ruivo AU - Nissen, Christoph AU - Palagini, Laura AU - Paunio, Tiina AU - Perogamvros, Lampros AU - Pevernagie, Dirk AU - Schabus, Manuel AU - Shochat, Tamar AU - Szentkirályi, András AU - Someren, Eus J.W. Van AU - Straten, Annemieke van AU - Wichniak, Adam AU - Verbraecken, Johan A. AU - Spiegelhalder, Kai TI - The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023 JO - Journal of Sleep Research VL - 32 IS - 6 SP - e14035 PY - 2023 DA - 2023/11/28 DO - 10.1111/jsr.14035 UR - https://doi.org/10.1111/jsr.14035 ER -
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