The significance and management of persistent primary insomnia: the past, present and future of behavioral insomnia therapies.

Abstract:

:Persistent primary insomnia (PPI) is a prevalent and potentially serious condition that compromises the functioning, health status, and quality of lives of millions of individuals around the world. This condition is typically perpetuated by a host of psychological and behavioral mechanisms that often require behavioral interventions. Nonetheless, all too commonly, practitioners underestimate the seriousness of this condition or rely too heavily on symptom focused sedative hypnotic therapy for its treatment. Herein we briefly review the epidemiology of PPI and consider the inadequacies of sedative hypnotics for treating this disorder. Subsequently, we provide rationale for the use of behavioral interventions with this condition and we describe the gradual evolution of the currently available behavioral insomnia treatments and consider promising recent developments such as the emergence of cognitive-behavioral and specially tailored, patient-specific approaches. In closing, we consider the potential usefulness of a combined pharmacological/behavioral intervention for PPI and present a number of important research questions to address in future studies of the behavioral insomnia therapies.

journal_name

Sleep Med Rev

journal_title

Sleep medicine reviews

authors

Edinger JD,Wohlgemuth WK

doi

10.1016/s1087-0792(99)90018-7

subject

Has Abstract

pub_date

1999-06-01 00:00:00

pages

101-18

issue

2

eissn

1087-0792

issn

1532-2955

pii

S1087079299900187

journal_volume

3

pub_type

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