Traitement de l’insomnie, par quoi commencer ? [Treatment of insomnia, with what to start ?]

Details

Serval ID
serval:BIB_44F7FFE9FAFC
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Traitement de l’insomnie, par quoi commencer ? [Treatment of insomnia, with what to start ?]
Journal
Revue medicale suisse
Author(s)
Grandjean C., Crettol Wavre S., Ansermot N., Vandenberghe F., Sibailly G., Eap C.B.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
05/05/2021
Peer-reviewed
Oui
Volume
17
Number
737
Pages
890-897
Language
french
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Confronted with a complaint of insomnia, several points must be considered before prescribing a specific treatment. In particular, it is necessary to optimize the management of somatic and psychiatric comorbidities that can affect sleep and to review the intake of sleep-disrupting substances and drugs. The current guidelines for insomnia rank treatment options based on the quality of the evidence. They all agree to recommend cognitive behavioural therapy for insomnia as first-line treatment. Pharmacological treatment should only be considered if this therapy fails. We then propose to start with the drugs presenting the best safety profile before prescribing, if necessary, those having better effectiveness evidence but carrying a greater risk of side effects.
Keywords
Cognitive Behavioral Therapy, Comorbidity, Humans, Sleep, Sleep Initiation and Maintenance Disorders/drug therapy
Pubmed
Create date
11/05/2021 12:54
Last modification date
25/05/2021 6:34
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