New guidelines for diagnosis and treatment of insomnia

被引：18

作者：

Pinto, Luciano Ribeiro, Jr. ^{[1
]}

Alves, Rosana Cardoso ^{[2
]}

Caixeta, Eliazor ^{[3
]}

Fontenelle, John Araujo ^{[4
]}

Bacellar, Andrea ^{[5
]}

Poyares, Dalva ^{[1
]}

Aloe, Flavio ^{[2
]}

Rizzo, Geraldo ^{[6
]}

Minhoto, Gisele ^{[7
]}

Bittencourt, Lia Rita ^{[1
]}

Ataide, Luiz, Jr. ^{[8
]}

Assis, Marcia ^{[9
]}

Pradella-Hallinan, Marcia ^{[1
]}

Ribeiro Pinto, Maria Christina ^{[1
]}

Rodrigues, Raimundo Nonato D. ^{[10
]}

Hasan, Rosa ^{[2
]}

Fonseca, Ronaldo ^{[11
]}

Tavares, Stella ^{[1
]}

机构：

[1] Univ Fed Sao Paulo, Brazilian Sleep Assoc, Sao Paulo, Brazil

[2] Univ Sao Paulo, Sao Paulo, Brazil

[3] Sch Med Sci, Belo Horizonte, MG, Brazil

[4] Fed Univ, Natal, RN, Brazil

[5] Carlos Bacelar Clin, Rio De Janeiro, Brazil

[6] Moinhos de Vento Hosp, Porto Alegre, RS, Brazil

[7] Catolic Univ, Curitiba, Parana, Brazil

[8] Univ Fed Pernambuco, Recife, PE, Brazil

[9] Sao Lucas Hosp, Curitiba, Parana, Brazil

[10] Univ Brasilia, Brasilia, DF, Brazil

[11] State Univ, Sao Paulo, Brazil

来源：

ARQUIVOS DE NEURO-PSIQUIATRIA | 2010年 / 68卷 / 04期

关键词：

insomnia; diagnosis of insomnia; treatment of insomnia; cognitive behavioral therapy; COGNITIVE-BEHAVIORAL THERAPY; RHYTHM SLEEP DISORDERS; PRACTICE PARAMETERS; NONPHARMACOLOGIC TREATMENT; TREATING INSOMNIA; GABA(A) RECEPTORS; DOSE-RESPONSE; DOUBLE-BLIND; RISK-FACTOR; LONG-TERM;

D O I：

10.1590/S0004-282X2010000400038

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

The Brazilian Sleep Association brought together specialists in sleep medicine, in order to develop new guidelines on the diagnosis and treatment of insomnias. The following subjects were discussed: concepts, clinical and psychosocial evaluations, recommendations for polysomnography, pharmacological treatment, behavioral and cognitive therapy, comorbidities and insomnia in children. Four levels of evidence were envisaged: standard, recommended, optional and not recommended. For diagnosing of insomnia, psychosocial and polysomnographic investigation were recommended. For non-pharmacological treatment, cognitive behavioral treatment was considered to be standard, while for pharmacological treatment, zolpidem was indicated as the standard drug because of its hypnotic profile, while zopiclone, trazodone and doxepin were recommended.

引用

页码：666 / 675

页数：10

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