Abstract
Insomnia is a common complaint of patients presenting to primary care physician and sleep medicine experts. Approximately 10-20% of the general population worldwide has reported symptoms of chronic insomnia of which 25% have primary insomnia. Insomnia is more prevalent among females and the elderly subjects (over 65 years). Pharmacotherapy for insomnia is mainly focused on hypnotics such as benzodiazepine receptor agonists (BzRAs), antihistamine drugs, tricyclic antidepressants like doxepin, and a melatonin receptor agonist (ramelteon). However, these very often used medications are shown to have potential untoward effects outweighing their benefits in many instances. Once the underlying disorder affecting sleep is appropriately addressed, cognitive behavioral therapy, singly or combined with drug therapy, is demonstrated to be amongst the most efficacious treatment strategies in some cases with refractory insomnia.
Highlights
Sleep logsSleep logs, when completed properly, are useful in the assessment of insomnia and in its management and monitoring progress
Insomnia is a common complaint of patients presenting to primary care physician and sleep medicine experts
Insomnia which is resulted from problems with sleep initiation and maintenance is considered as one of the most prevalent health issue and a widely encountered challenge in clinical practice [4,5,6]
Summary
Sleep logs, when completed properly, are useful in the assessment of insomnia and in its management and monitoring progress. Sleep logs provide information on sleep patterns of patients in their own environments. They assist to assess the impact of therapeutic interventions, help to monitor progress over a period of time and help patients to realize that insomnia may not be as frequent or as severe as they had thought (e.g. paradoxical insomnia) [17]
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