Management of Chronic Insomnia Disorder in Adults
Authors: Thomas E. Finucane
Journal: Annals of Internal Medicine (2016)

Letters20 December 2016Management of Chronic Insomnia Disorder in AdultsThomas E. Finucane, MDThomas E. Finucane, MDFrom Johns Hopkins Bayview Medical Center, Baltimore, Maryland.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L16-0543 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:In their guideline, Qaseem and colleagues (1) define insomnia as “dissatisfaction with sleep quantity or quality” and note that $30 to $107 billion is spent annually on this dissatisfaction. However, dissatisfaction and sleep disturbance are not closely related. A 1976 study of 122 patients with chronic insomnia compared findings from a sleep laboratory with self-reports the following morning (2). The authors concluded, “Most subjects consistently underestimated the amount of time they slept and overestimated the time it took them to get to sleep in comparison with laboratory data … fewer than 1 patient in 5 with a ...References1. Qaseem A, Kansagara D, Forciea MA, Cooke M, Denberg TD; Clinical Guidelines Committee of the American College of Physicians. Management of chronic insomnia disorder in adults: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2016;165:125-33. [PMID: 27136449]. doi:10.7326/M15-2175 LinkGoogle Scholar2. Carskadon MA, Dement WC, Mitler MM, Guilleminault C, Zarcone VP, Spiegel R. Self-reports versus sleep laboratory findings in 122 drug-free subjects with complaints of chronic insomnia. Am J Psychiatry. 1976;133:1382-8. [PMID: 185919] CrossrefMedlineGoogle Scholar3. Glass J, Lanctôt KL, Herrmann N, Sproule BA, Busto UE. Sedative hypnotics in older people with insomnia: meta-analysis of risks and benefits. BMJ. 2005;331:1169. [PMID: 16284208] CrossrefMedlineGoogle Scholar4. Wilt TJ, MacDonald R, Brasure M, Olson CM, Carlyle M, Fuchs E, et al. Pharmacologic treatment of insomnia disorder: an evidence report for a clinical practice guideline by the American College of Physicians. Ann Intern Med. 2016;165:103-12. [PMID: 27136278]. doi:10.7326/M15-1781 LinkGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Johns Hopkins Bayview Medical Center, Baltimore, Maryland.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L16-0543. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoManagement of Chronic Insomnia Disorder in Adults: A Clinical Practice Guideline From the American College of Physicians Amir Qaseem , Devan Kansagara , Mary Ann Forciea , Molly Cooke , Thomas D. Denberg , and Management of Chronic Insomnia Disorder in Adults Devan Kansagara , Timothy J. Wilt , Melissa Starkey , and Amir Qaseem Metrics Cited byAuriculotherapy for sleep quality in people with primary insomnia 20 December 2016Volume 165, Issue 12Page: 891-892KeywordsDementiaDisclosureDrugsElderlyFatigueInsomniaResearch laboratoriesRisk managementSedativesSleep ePublished: 20 December 2016 Issue Published: 20 December 2016 Copyright & PermissionsCopyright © 2016 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...