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Overview: Management of Chronic Insomnia in Adults

To view the full newsletter "Management of Chronic Insomnia in Adults," prescribing information and CME self-assessment, visit AMA Therapeutic Insights (free for both AMA members and non-members).

Insomnia is the most common sleep complaint in the general population. Surveys have shown that up to 30 percent to 48 percent of the population report isolated insomnia symptoms.

In "Management of Chronic Insomnia in Adults" physicians will:

  • Discover that comorbid insomnia represents 90 percent of insomnia cases
  • Read short case studies focusing specifically on circadian rhythm sleep disorders, restless leg syndrome and psychophysiological insomnia
  • View the percentage of patients diagnosed/treated and diagnosed/untreated for the condition
  • Review cognitive and behavioral therapies
  • Learn about the primary pharmacological therapy options
  • Find out how a prescription of ramelteon (Rozerem) compares to a prescription for a class of agents that includes zolpidem (Ambien)
  • View national prescribing patterns for insomnia and compare to your state's prescribing. How do the two compare?

Sample from "Management of Chronic Insomnia in Adults."

Patients Diagnosed with Insomnia—Treated with Pharmacologic Therapy by Class
Figure 1. Patients Diagnosed with Insomnia—Treated with Pharmacologic Therapy by Class

Sample case study from "Management of Chronic Isomnia in Adults"

A 26-year-old woman's acute insomnia began after her baby was born. When the baby started sleeping through the night, her own sleep should also have improved. However, she developed dysfunctional cognitions regarding sleep (i.e., worry over sleep loss, rumination about daytime deficits, performance anxiety about sleep, fear of losing control and learned helplessness). She also developed poor sleep habits as a consequence of her efforts to compensate for sleep loss and fatigue (i.e., excessive caffeine intake, exercise and heavy meals close to bedtime, stimulating activities before bedtime such as using the computer and staying in bed when she cannot sleep). Because of these perpetuating factors she developed psychophysiological insomnia. What is your approach?

To view the full newsletter and receive CME credit, visit AMA Therapeutic Insights (available to all physicians, not just AMA members).