Jove
Visualize
Contact Us

Related Experiment Videos

Insomnia.

M Eddy1, G S Walbroehl

  • 1Department of Family Medicine, Wright State University School of Medicine, Dayton, Ohio 45408, USA.

American Family Physician
|April 20, 1999
PubMed
Summary
This summary is machine-generated.

Insomnia can be a symptom or a primary disorder. Behavior interventions are recommended first-line treatments for primary insomnia due to their safety and long-term effectiveness over medications.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Ethics of case management: implications for advanced practice nursing.

Clinical nurse specialist CNS·2001
Same author

Above reproach: developing a comprehensive ethics and compliance program.

Frontiers of health services management·2000
Same author

Can peak expiratory flow predict airflow obstruction in children with asthma?

Pediatrics·2000
Same author

Recognition and treatment of obsessive-compulsive disorder.

American family physician·1998
Same author

Homosexuality: is it a choice?

American family physician·1994
Same author

Myocardial infarction and position during sexual intercourse.

American family physician·1994
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Area of Science:

  • Sleep Medicine
  • Psychiatry
  • General Medicine

Background:

  • Insomnia is a prevalent condition with significant medical and psychological consequences.
  • It can manifest as a symptom of underlying conditions or as a primary sleep disorder.
  • Effective management hinges on accurate diagnosis and tailored treatment strategies.

Purpose of the Study:

  • To review the management of insomnia, differentiating between symptomatic and primary forms.
  • To compare the efficacy and safety of various pharmacologic and behavioral treatments.
  • To establish evidence-based recommendations for the first-line treatment of primary insomnia.

Main Methods:

  • Literature review of pharmacologic treatments (e.g., nonprescription drugs, antidepressants, benzodiazepines).

Related Experiment Videos

  • Review of behavioral management methods (e.g., stimulus control, sleep restriction, sleep hygiene education).
  • Comparative analysis of short-term and long-term efficacy and safety profiles.

    • Main Results:

    • Pharmacologic options include over-the-counter drugs, sedating antidepressants, and benzodiazepines.
    • Behavioral interventions such as stimulus control, sleep restriction, and sleep hygiene education are available.
    • Both prescription medications and behavior therapy show similar short-term efficacy.

    Conclusions:

    • Behavioral interventions are recommended as the first-line treatment for primary insomnia.
    • This recommendation is based on their superior safety profile and demonstrated long-term efficacy.
    • Addressing underlying conditions is crucial when insomnia presents as a symptom.