Managing Chronic Insomnia

Target Audience: All clinicians

Background

Chronic insomnia is defined as insomnia that occurs for at least 3 nights weekly for ≥3 months, it must cause clinically significant functional distress or impairment and must not be linked to another medical or mental disorder. A new guideline from the ACP is based on a systematic review of randomized trials and provides recommendations on managing chronic insomnia.

Key Points

• Options to manage insomnia include psychological, pharmacological, or combination therapy.

  • Psychological therapy includes sleep hygiene, stimulus control, sleep restriction, relaxation training, and cognitive-behavioral therapy (CBT). Moderate-quality evidence demonstr…