Abstract
The assessment of insomnia is not markedly different from the assessment of sleep disorders in general, and a good insomnia history will necessarily include a good sleep history, psychiatric history and medical history. However, it is also possible to take a brief history that will ascertain the cardinal features of the disorder and allow one to formulate a management plan. In this chapter I will examine the aspects of history taking that are specifically important in insomnia patients, when to order investigations, what investigations are useful and the limitations of those investigations. I will conclude with a suggested formula for conceptualizing the patient’s insomnia and organizing the information you have gleaned so that the appropriate treatments can be selected.
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References
American Academy of Sleep Medicine. International classification of sleep disorders. Darien, IL: American Academy of Sleep Medicine; 2014. https://doi.org/10.1111/febs.12678.
Baglioni C, Battagliese G, Feige B, Spiegelhalder K, Nissen C, Voderholzer U, et al. Insomnia as a predictor of depression: a meta-analytic evaluation of longitudinal epidemiological studies. J Affect Disord. 2011;135(1–3):10–9. https://doi.org/10.1016/j.jad.2011.01.011.
Bazalakova M, Benca RM. Wake-promoting medications: efficacy and adverse effects. In: Kryger MH, editor. Principles and practice of sleep medicine. Amsterdam: Elsevier; 2017. p. 462–479.e5. https://doi.org/10.1016/B978-0-323-24288-2.00044-1.
Chin JM, Merves ML, Goldberger B a, Sampson-Cone A, Cone EJ. Caffeine content of brewed teas. J Anal Toxicol. 2008;32(8):702–4. https://doi.org/10.1093/jat/32.8.702.
Horne J a, Ostberg O. A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. Int J Chronobiol. 1976;4(2):97–110. https://doi.org/10.1177/0748730405285278.
Littner M, Hirshkowitz M, Kramer M, Kapen S, Anderson WM, Bailey D, et al. Standards of Practice Committee. Practice parameters for using polysomnography to evaluate insomnia: an update. Sleep. 2003;26(6):754–60. http://www.ncbi.nlm.nih.gov/pubmed/14572131
Mitchell DC, Knight CA, Hockenberry J, Teplansky R, Hartman TJ. Beverage caffeine intakes in the U.S. Food Chem Toxicol. 2014;63:136–42. https://doi.org/10.1016/j.fct.2013.10.042.
Nishino S, Mignot E. Wake-promoting medications: basic mechanisms and pharmacology. In: Kryger MH, editor. Principles and practice of sleep medicine. Amsterdam: Elsevier; 2017. p. 462–479.e5. https://doi.org/10.1016/B978-0-323-24288-2.00043-X.
Schutte-rodin S, Broch L, Ph D, Buysse D, Dorsey C, Ph D, Sateia M. Clinical guideline for the evaluation and management of chronic insomnia in adults. J Clin Sleep Med. 2017;13(5):307–49. http://www.aasmnet.org/Resources/clinicalguidelines/040515.pdf
Stores G, Crawford C. Medical student education in sleep and its disorders. J R Coll Phys Lond. 1998;32(2):149–53. http://www.ncbi.nlm.nih.gov/pubmed/9597633
Tryon WW. Issues of validity in actigraphic sleep assessment. Sleep. 2004;27(1):158–65. http://www.ncbi.nlm.nih.gov/pubmed/14998254
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Selsick, H. (2018). Insomnia Assessment. In: Selsick, H. (eds) Sleep Disorders in Psychiatric Patients. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54836-9_7
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DOI: https://doi.org/10.1007/978-3-642-54836-9_7
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