Sarrais F, de Castro Manglano P
Departamento de Psiquiatría y Psicología Médica, Clínica Universitaria de Navarra, Pamplona.
An Sist Sanit Navar. 2007;30 Suppl 1:121-34.
Insomnia is a common pathology in the general population. It is estimated that 10 to 15 percent of the adult population has chronic insomnia and 25 to 35 percent have suffered occasional or transient insomnia due to stressful situations. The aim of this article is to provide a review of insomnia: causes, differential diagnosis, and different options of treatment. To that end we have made a search in Pubmed with the keywords "insomnia", "sleeplessness", "sleep disorders" and "pharmacological therapy". Insomnia evaluation includes a careful sleep history, personal and family history of mental and organic illness, and a registration of drug and medication intake. Authors agree that treatment should be based primarily on etiology, and secondarily on symptomatology.
失眠是普通人群中的常见病症。据估计，10%至15%的成年人口患有慢性失眠，25%至35%的人因压力情况偶尔或短暂失眠。本文旨在对失眠进行综述：病因、鉴别诊断及不同治疗选择。为此，我们在PubMed上以“失眠”“失眠症”“睡眠障碍”和“药物治疗”为关键词进行了检索。失眠评估包括详细的睡眠史、个人及家族精神和器质性疾病史，以及药物和药物摄入记录。作者们一致认为，治疗应主要基于病因，其次基于症状。
