Hostname: page-component-8448b6f56d-dnltx Total loading time: 0 Render date: 2024-04-24T23:48:58.027Z Has data issue: false hasContentIssue false
  • English
  • Français

Public health impact and treatment of insomnia

Published online by Cambridge University Press:  16 April 2020

WC Dement  and
R Pelayo
WC Dement
Affiliation:
Stanford University Sleep Disorders Research Center, 701 Welch Road, suite 2226, Palo Alto, CA94304, USA
R Pelayo
Affiliation:
Stanford University Sleep Disorders Research Center, 701 Welch Road, suite 2226, Palo Alto, CA94304, USA
Get access

Summary

A growing number of people are concerned about their sleep in the United States. There are an estimated 40 million US citizens with chronic sleep disorders. The cost to society of sleep disorders has been estimated at greater than $90 billion US dollars. Despite this enormous cost to society, there remains a pervasive lack of attention provided to medical management of this problem. This is compounded by inadequate funding of sleep disorders research. There are treatments available to improve insomnia. These include different behavioral and pharmacologic regimes that can be used separately or in combination. Successful treatment requires thorough knowledge of the differential diagnosis of insomnia. The greatest public health challenge in the management of insomnia is how to develop effective educational programs that will allow the general public to improve their sleep. This will require greater cooperation from primary care providers and the government. Sleep disorders are the most important public health problem not being addressed in the United States.

Keywords

insomniasleep disorderspublic healthepidemiologytherapeuticshypnotics
Type
Research Article
Information
European Psychiatry , Volume 12 , Issue S1 , 1997 , pp. 31S - 39S
Copyright
Copyright © Elsevier, Paris 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Atlas Task Force Recording and scoring leg movements Sleep 16 8 1993 748759Google Scholar
Bartholini, CGrowing aspects of hypnotic drugs In: Sauvanet, IPImidiazopyridincs in Sleep Disorders 1988 Raven Press New York19Google Scholar
Besset, A, Tafti, M, Villemin, E, Borderies, P, Billiard, M. Effects of zolpidem on the architecture and cyclical structure of sleep in poor sleepers Drugs Exp Clin Res 2 4 1995 161169Google Scholar
Bliwise, DL. Treating insomnia: pharmacological and nonpharmacological approaches J Psychoactive Drugs 23 4 1991 335341CrossRefGoogle ScholarPubMed
Brooks, JO3d Friedman, L, Bliwise, DL, Yesavage, JA. Use of the wrist actigraph to study insomnia in older adults Sleep 16 2 1993 151155CrossRefGoogle ScholarPubMed
Chambers, MJ. Actigraphy and insomnia: a closer look Sleep 7 5 1994 405408CrossRefGoogle Scholar
Czeisler, CA, Allan, JS, Stogatz, et alBright light resets the human circadian pacemaker independent of the sleepwake cycle Science 233 1986 667671CrossRefGoogle Scholar
Diagnostic Classification Steering Committee Thorpy, MJInternational Classification of Sleep Disorders: Diagnostic and Coding Manual 1990 American Sleep Disorders Association Rochester, Minnesota ChairmanGoogle Scholar
Ferber, RASolve your Child's Sleep Problem 1985 Simon and Schuster New YorkGoogle Scholar
Gallup Organization Sleep in America: a National Survey of US Adults Princeton, NJ 1991Google Scholar
Gallup Organization Doctors' (300) Experience and Behavior with Insomnia Patients 1993 The Gallup Organization 197Google Scholar
Gallup Organization Sleep in America: 1995 November, 1995 The Gallup OrganizationGoogle Scholar
Gillin, JC, Spinweber, CL, Johnson, LC. Rebound insomnia: a critical review J Clin Psychopharmacol 9 1989 161172CrossRefGoogle ScholarPubMed
Guilleminault, C, Clerk, A, Black, Jet alNon-drug treatment trials in psychophysiologic insomnia Arch Intern Med 155 8 1995 838844CrossRefGoogle Scholar
Haimov, I, Lavie, P, Laudon, Met alMelatonin replacement therapy of elderly insomniacs Sleep 18 7 1995 598603CrossRefGoogle ScholarPubMed
Hauri, PJ, Wisbey, J. Wrist actigraphy in insomnia Sleep 15 4 1992 293301CrossRefGoogle ScholarPubMed
Hohagen, F, Rink, K, Kappler, Cet alPrevalence and treatment of insomnia in general practice. A longitudinal study Euro Arch Psychiatry Clin Neurosci 242 6 1993 329336CrossRefGoogle ScholarPubMed
Jan, JE, Espezel, H, Appleton, RE. The treatment of sleep disorders with melatonin Dev Med Child Neurol 36 2 1994 97107CrossRefGoogle ScholarPubMed
Kaplan, PW, Allen, RP, Buchholz, DW, Walters, JK. A double-blind, placebo-controlled study of the treatment of periodic limb movements in sleep using carbidopa/levodopa and propoxyphene Sleep 16 8 1993 717723CrossRefGoogle ScholarPubMed
Medical Letter The Melatonin 37 962 1995 111112Google Scholar
Merlotti, L, Roehrs, T, Zorick, F, Roth, T. Rebound insomnia: duration of use and individual differences J Clin Psychopharm 11 6 1991 368373CrossRefGoogle ScholarPubMed
Morin, CM, Culbert, JP, Schwartz, SM. Nonpharmacological interventions for insomnia: a meta-analysis of treatment efficacy Am J Psychiatry 151 1994 11721180Google ScholarPubMed
National Commission on Sleep Disorders Research Dement, WCWake up America 1993 National Institute of Health Washington, DC ChairmanGoogle Scholar
O'Keeffe, ST, Noel, J, Lavan, JN. Restless legs syndrome in the elderly Postgrad Med J 69 815 1993 701703CrossRefGoogle ScholarPubMed
Oboler, SK, Prochazka, AV, Meyer, TJ. Leg symptoms in outpatient veterans West J Med 155 3 1991 256259Google ScholarPubMed
Ohayon, M, Caulet, M. Insomnia and psychotropic drug consumption Prog Neuropsychopharmacol Biol Psychiatry 19 3 1995 421431CrossRefGoogle ScholarPubMed
Partinen, MEpidemiology of sleep disorders In: Kryger, M, Roth, T, Dement, WCPrincipals and Practice of Sleep Medicine 1994 WB Saunders Philadelphia426436Google Scholar
Pillitteri, JL, Kozlowski, LT, Person, DC, Spear, ME. Over-the-counter sleep aids: widely used but rarely studied J Subst Abuse 6 3 1994 315323CrossRefGoogle ScholarPubMed
Practice parameters for the use of actigraphy in the clinical assessment of sleep disorders Sleep 18 1995 285287 4CrossRefGoogle Scholar
Practice parameters for the use of polysomnography in the evaluation of insomnia Sleep 18 1995 5557 1CrossRefGoogle Scholar
Radecki, SE, Brunton, SA. Management of insomnia in office-based practice. National prevalence and therapeutic patterns Arch Family Med 2 11 1993 11291134CrossRefGoogle ScholarPubMed
Reite, M, Buysse, D, Reynolds, C, Mendelson, W. The use of polysomnography in the evaluation of insomnia. Standards of Practice Committee, American Sleep Disorders Association Sleep 18 1995 5870 1CrossRefGoogle Scholar
Roehrs, T, Merlotti, L, Zorick, F, Roth, T. Rebound insomnia in normals and patients with insomnia after abrupt and tapered discontinuation Psychopharmacology 108 1992 6771CrossRefGoogle ScholarPubMed
Rosekind, MR. The epidemiology and occurrence of insomnia J Clin Psychiatry 53 suppl 1992 46Google ScholarPubMed
Roth, T, Roehrs, T, Vogel, G. Zolpidem in the treatment of transient insomnia: a double-blind, randomized comparison with placebo Sleep 18 4 1995 246251CrossRefGoogle ScholarPubMed
Sadeh, A, Hauri, PJ, Kripke, DF, Lavie, P. The role of actigraphy in the evaluation of sleep disorders Sleep 18 4 1995 288302CrossRefGoogle ScholarPubMed
Shorr, RI, Bauwens, SF. Diagnosis and treatment of outpatient insomnia by psychiatric and nonpsychiatric physicians Am J Med 193 1 1992 7882CrossRefGoogle Scholar
Sloan, EP, Hauri, P, Bootzin, R, Morin, C, Stevenson, M, Shapiro, CM. The nuts and bolts of behavioral therapy for insomnia J Psychosom Res 37 suppl 1 1993 1937CrossRefGoogle ScholarPubMed
Spielman, AJ, Saskin, P, Thorpy, MJ. Treatment of chronic insomnia by restriction of time in bed Sleep 10 1 1987 4556Google ScholarPubMed
Stoller, MK. Economic effects of insomnia Clin Ther 16 1994 873896Google ScholarPubMed
Young, T, Palta, M, Dempsey, Jet alOccurrence of sleep disordered breathing among middle-aged adults N Engl J Med 328 1993 12301235CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.