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

Détails

ID Serval
serval:BIB_44F7FFE9FAFC
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Traitement de l’insomnie, par quoi commencer ? [Treatment of insomnia, with what to start ?]
Périodique
Revue medicale suisse
Auteur(s)
Grandjean C., Crettol Wavre S., Ansermot N., Vandenberghe F., Sibailly G., Eap C.B.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Statut éditorial
Publié
Date de publication
05/05/2021
Peer-reviewed
Oui
Volume
17
Numéro
737
Pages
890-897
Langue
français
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
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.
Mots-clé
Cognitive Behavioral Therapy, Comorbidity, Humans, Sleep, Sleep Initiation and Maintenance Disorders/drug therapy
Pubmed
Création de la notice
11/05/2021 11:54
Dernière modification de la notice
25/05/2021 5:34
Données d'usage