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Contempo Updates
May 21, 2003

Assessment and Management of Insomnia

Author Affiliations

Author Affiliations: Departments of Psychiatry (Dr Schenck) and Neurology (Dr Mahowald), Minnesota Regional Sleep Disorders Center, Hennepin County Medical Center and University of Minnesota Medical School, Minneapolis; and Department of Psychiatry, Oregon Health Sciences University, Portland (Dr Sack).


Contempo Updates Section Editor: Sarah Pressman Lovinger, MD, Fishbein Fellow.

JAMA. 2003;289(19):2475-2479. doi:10.1001/jama.289.19.2475

Insomnia is a common treatable disorder of insufficient or poor-quality sleep, with adverse daytime consequences.1 Insomnia presents as trouble falling asleep (long-sleep latency), trouble staying asleep (excessive or prolonged awakenings), or feeling nonrestored from sleep. Insomnia can be a primary disorder emerging in childhood or later, a conditioned (psychophysiological) disorder, or comorbid with a psychiatric, medical, or other sleep disorder.1 Insomnia can be transient (related to stress, illness, travel) or chronic (occurring nightly for >6 months). Persistent untreated insomnia is a strong risk factor for major depression.2 Insomnia must be distinguished from sleep-state misperception and short sleep states without symptoms.1

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