Bollu Pradeep C, Kaur Harleen
Pradeep C. Bollu, MD, and Harleen Kaur, MBBS, are in the Department of Neurology, University of Missouri - Columbia, Columbia, Missouri.
Mo Med. 2019 Jan-Feb;116(1):68-75.
Insomnia disorder is an economic burden and public health concern affecting up to one-third of the population of the United States. It is mostly seen in older age groups, and often considered a normal aging phenomenon. The diagnosis and treatment of insomnia rely mainly on a thorough sleep history to address the precipitating factors as well as maladaptive behaviors resulting in poor sleep. It is important for clinicians to recognize and manage the symptoms of insomnia to prevent the morbidity associated with it. This review aims to highlight the pathophysiology, associated comorbidities, clinical evaluation and effective management strategies for insomnia disorder.
失眠症是一种经济负担和公共卫生问题，影响着多达三分之一的美国人口。它在老年人群中最为常见，常被视为一种正常的衰老现象。失眠症的诊断和治疗主要依赖于全面的睡眠史，以解决促发因素以及导致睡眠不佳的适应不良行为。临床医生认识并管理失眠症状以预防与之相关的发病率非常重要。本综述旨在强调失眠症的病理生理学、相关合并症、临床评估和有效管理策略。
