Evaluation of Insomnia in the Adult Client

Abstract

Insomnia is a prominent public health concern and the second most common complaint in primary care. 1 Schutte-Rodin S Broch L Buysse D Dorsey C Sateia M Clinical guideline for the evaluation and management of chronic insomnia in adults. J Clin Sleep Med. 2008; 4: 487-504 PubMed Google Scholar Insomnia is defined as the subjective perception of daytime function impairment accompanied by difficulty initiating sleep, maintaining sleep, or experiencing non-restorative sleep despite adequate opportunity and conditions. 2 Judd B Sateia M Classification of sleep disorders. Up-To-Date. http://www.uptodate.com/contents/classification-of-sleep-disorders Google Scholar The American Cancer Society conducted a survey of 1.1 million Americans and found that persons who slept around 7 hours per night had the lowest rates of mortality, while men who slept less than 4.5 hours and women who slept less than 3.5 hours had a 15% increase in mortality. 3 Kripke D Garfinkel L Wingard D Klauber M Marler M Mortality associated with sleep duration and insomnia. Arch Gen Psychiatry. 2002; 59: 131-136 Crossref PubMed Scopus (1229) Google Scholar Risk factors for insomnia include advanced age; female gender; psychiatric, medical, sleep, or substance abuse disorders; shift work; and, perhaps, lower socioeconomic status and unemployment. 1 Schutte-Rodin S Broch L Buysse D Dorsey C Sateia M Clinical guideline for the evaluation and management of chronic insomnia in adults. J Clin Sleep Med. 2008; 4: 487-504 PubMed Google Scholar