The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023

Article Article scientifique Revue de la littérature The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023 eng 2023-11-28 2023-12 author Riemann Dieter 0000-0002-1968-6220 Department of Clinical Psychology and Psychophysiology, Centre for Mental Health (Department), Medical Center – University of Freiburg, Faculty of Medicine University of Freiburg Freiburg Germany author Espie Colin A. 0000-0002-1294-8734 Sleep and Circadian Neuroscience Institute, Nuffield Department of Clinical Neuroscience at the University of Oxford Oxford UK author Altena Ellemarije Université de Bordeaux Bordeaux France author Arnardottir Erna Sif 0000-0003-0877-3529 Reykjavik University Sleep Institute, School of Technology, Reykjavik University Reykjavik Iceland author Baglioni Chiara 0000-0003-3150-7755 Human Sciences Department University of Rome Guglielmo Marconi Rome Rome Italy author Bassetti Claudio L. A. Department of Neurology, Inselspital University of Bern Berne Switzerland author Bastien Celyne École de Psychologie Université Laval Québec Québec Canada author Berzina Natalija Psychiatric Practice Riga Latvia author Bjorvatn Bjørn Department of Global Public Health and Primary Care University of Bergen Bergen Norway author Dikeos Dimitris First Department of Psychiatry, Medical School National and Kapodistrian University of Athens Athens Greece author Dolenc Groselj Leja 0000-0002-8350-951X Institute of Clinical Neurophysiology University Medical Center Ljubljana Ljubljana Slovenia author Ellis Jason G. 0000-0002-8496-520X Northumbria Sleep Research Laboratory Northumbria University Newcastle UK author Garcia‐Borreguero Diego Sleep Research Institute Madrid Spain author Geoffroy Pierre A. 0000-0001-9121-209X Department of Psychiatry Paris Cite University Paris France author Gjerstad Michaela Stavanger University Hospital Stavanger Norway author Gonçalves Marta Centro de Medicina de Sono Hospital Cuf Porto Portugal author Hertenstein Elisabeth University Hospital of Psychiatry and Psychotherapy University of Bern Bern Switzerland 412870 Département de psychiatrie (PSYAT) author Hoedlmoser Kerstin Centre for Cognitive Neurosciences University of Salzburg Salzburg Austria author Hion Tuuliki East‐Viru Central Hospital Kohtla‐Järve Estonia author Holzinger Brigitte Institute for Consciousness and Dream Research Vienna Austria author Janku Karolina 0000-0002-6804-6967 Center for Sleep and Chronobiology Research, National Institute of Mental Health Klecany Czech Republic author Jansson‐Fröjmark Markus 0000-0003-2059-1621 Division of Psychology, Department of Clinical Neuroscience Karolinska Institutet Stockholm Sweden author Järnefelt Heli Finnish Institute of Occupational Health Helsinki Finland author Jernelöv Susanna 0000-0002-0633-8104 Division of Psychology, Department of Clinical Neuroscience Karolinska Institutet Stockholm Sweden author Jennum Poul Jørgen Department of Clinical Medicine University of Copenhagen Kobenhavn Denmark author Khachatryan Samson 0000-0002-3098-2135 Department of Neurology and Neurosurgery Armenian National Institute of Health Yerevan Armenia author Krone Lukas 0000-0002-5535-7221 Sleep and Circadian Neuroscience Institute, Nuffield Department of Clinical Neuroscience at the University of Oxford Oxford UK author Kyle Simon D. Sleep and Circadian Neuroscience Institute, Nuffield Department of Clinical Neuroscience at the University of Oxford Oxford UK author Lancee Jaap 0000-0002-7722-5780 Department of Clinical Psychology University of Amsterdam Amsterdam The Netherlands author Leger Damien 0000-0003-1168-480X Université Paris Cité, APHP, Hôtel Dieu de Paris, Centre du Sommeil et de la Vigilance Paris France author Lupusor Adrian Functional Neurology, Institute of Neurology and Neurosurgery Chisinau Moldova author Marques Daniel Ruivo 0000-0003-3729-0120 Department of Education and Psychology University of Aveiro Aveiro Portugal author Nissen Christoph 0000-0001-9809-0275 Department of Psychiatry University Hospital Geneve Geneve Switzerland 974582 Département de psychiatrie (PSYAT) author Palagini Laura 0000-0003-1676-629X Psychiatry Unit, Department of Clinical and Experimental Medicine, School of Medicine University of Pisa Pisa Italy author Paunio Tiina Department of Psychiatry and SleepWell Research Program, Faculty of Medicine University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland; Public Health and Welfare, Finnish Institute for Health and Welfare Helsinki Finland author Perogamvros Lampros Department of Psychiatry University Hospital Geneve Geneve Switzerland 718036 Département de psychiatrie (PSYAT) author Pevernagie Dirk 0000-0002-7372-8583 Department of Internal Medicine and Pediatrics Ghent University Ghent Belgium author Schabus Manuel Centre for Cognitive Neurosciences University of Salzburg Salzburg Austria author Shochat Tamar 0000-0002-4371-3567 The Cheryl Spencer Institute of Nursing Research University of Haifa Haifa Israel author Szentkiralyi Andras Institute of Epidemiology and Social Medicine University of Münster Münster Germany author Van Someren Eus 0000-0002-9970-8791 Department of Sleep and Cognition Netherlands Institute for Neuroscience, Royal Netherlands Academy of Arts and Sciences Amsterdam The Netherlands author van Straten Annemieke 0000-0001-6875-2215 Department of Clinical, Neuro‐ and Developmental Psychology & Amsterdam Public Health Research Institute Vrije Universiteit Amsterdam Amsterdam The Netherlands author Wichniak Adam Sleep Medicine Center and Third Department of Psychiatry, Institute of Psychiatry and Neurology Warsaw Poland author Verbraecken Johan Multidisciplinary Sleep Disorders Centre Antwerp University Hospital and University of Antwerp Antwerp Belgium author Spiegelhalder Kai 0000-0002-4133-3464 Department of Clinical Psychology and Psychophysiology, Centre for Mental Health (Department), Medical Center – University of Freiburg, Faculty of Medicine University of Freiburg Freiburg Germany e14035 10.1111/jsr.14035 38016484 0962-1105 https://onlinelibrary.wiley.com/doi/10.1111/jsr.14035 Progress in the field of insomnia since 2017 necessitated this update of the European Insomnia Guideline. Recommendations for the diagnostic procedure for insomnia and its comorbidities are: clinical interview (encompassing sleep and medical history); the use of sleep questionnaires and diaries (and physical examination and additional measures where indicated) (A). Actigraphy is not recommended for the routine evaluation of insomnia (C), but may be useful for differential‐diagnostic purposes (A). Polysomnography should be used to evaluate other sleep disorders if suspected (i.e. periodic limb movement disorder, sleep‐related breathing disorders, etc.), treatment‐resistant insomnia (A) and for other indications (B). Cognitive‐behavioural therapy for insomnia is recommended as the first‐line treatment for chronic insomnia in adults of any age (including patients with comorbidities), either applied in‐person or digitally (A). When cognitive‐behavioural therapy for insomnia is not sufficiently effective, a pharmacological intervention can be offered (A). Benzodiazepines (A), benzodiazepine receptor agonists (A), daridorexant (A) and low‐dose sedating antidepressants (B) can be used for the short‐term treatment of insomnia (≤ 4 weeks). Longer‐term treatment with these substances may be initiated in some cases, considering advantages and disadvantages (B). Orexin receptor antagonists can be used for periods of up to 3 months or longer in some cases (A). Prolonged‐release melatonin can be used for up to 3 months in patients ≥ 55 years (B). Antihistaminergic drugs, antipsychotics, fast‐release melatonin, ramelteon and phytotherapeutics are not recommended for insomnia treatment (A). Light therapy and exercise interventions may be useful as adjunct therapies to cognitive‐behavioural therapy for insomnia (B). Diagnosis Evidence-based medicine Guideline Insomnia Treatment Dewey 616.89 60 Département de psychiatrie 225 false Journal of sleep research 32 6 25fe18bd-aff0-4800-b841-6b2ced962113 Article (Published version) Public Journal of Sleep Research - 2023 - .pdf 2325360 application/pdf CC BY-4.0 4caf17d08d4a6d057121636551ba56b8fbabda9e8a170338bba20e5e966a0570 8ea8cbbe-28a3-43d5-abe6-a840a547af44 Supplemental data Public jsr14035-sup-0001-tables1.docx 31768 application/vnd.openxmlformats-officedocument.wordprocessingml.document TABLE S1. Digital CBT-I applications without RCT evidence at present. 7fc9583f794046f78a8795194b9dc975fe93e08c57fcb26f8d94038745b36056 openAccess Faculté de médecine / Section de médecine clinique / Département de psychiatrie

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