Expert Opinions and Consensus Recommendations for the Evaluation and Management of Insomnia in Clinical Practice: Joint Statements of Five Italian Scientific Societies

Frontiers in Psychiatry
Laura PalaginiGiovanni Biggio

Abstract

Insomnia is the most commonly reported sleep problem in industrialized countries worldwide being present in about 36.8% of the general population. In Italy, such a percentage seems to be even higher. Although insomnia can be an independent disorder, it is most frequently observed as a comorbid condition and may precipitate, exacerbate, or prolong a broad range of comorbid conditions including physical and mental illnesses. Evaluating and targeting insomnia in the Italian clinical practice should be a priority. The present expert options and recommendations development process was based on the RAND/UCLA Appropriateness Method for conceptualizing, designing, and carrying out the appropriateness of procedures for the diagnosis and treatment. Only available options in Italy were taken into considerations. We evaluated 12 international guidelines and 12 most recent systematic reviews for insomnia evaluation and treatment produced in the last 10 years. Our findings suggested that symptoms of insomnia must always be assessed in the Italian clinical practice by evaluating nocturnal and daytime symptoms, comorbid conditions and lifestyle. In a patient with chronic insomnia with and without comorbidity, insomnia treatment should be alway...Continue Reading

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Citations

Nov 19, 2020·Clinical Interventions in Aging·Nandu GoswamiDaniel Cardinali
Feb 26, 2021·High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension·Rita Del PintoUNKNOWN Italian Society of Hypertension (SIIA)
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Nov 6, 2020·Progress in Neuro-psychopharmacology & Biological Psychiatry·Pierre A Geoffroy, Laura Palagini
Jul 31, 2021·Sleep Medicine Clinics·Erna Sif ArnardottirMaría Óskarsdóttir
Aug 14, 2021·European Geriatric Medicine·Karolina PiotrowiczJerzy Gąsowski
Sep 4, 2020·Climacteric : the Journal of the International Menopause Society·P ProserpioR E Nappi

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Methods Mentioned

BETA
pharmacotherapy

Software Mentioned

Consensus
PRISMA
Studio Morfeo

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