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JAMA Clinical Guidelines Synopsis
February 21, 2017

Management of Chronic Insomnia Disorder in Adults

Author Affiliations
  • 1University of Chicago, Chicago, Illinois
JAMA. 2017;317(7):762-763. doi:10.1001/jama.2016.19004

The diagnostic criteria for chronic insomnia include difficulty falling asleep or staying asleep 3 or more nights per week for at least 3 months with accompanying distress or daytime dysfunction.1 Chronic insomnia occurs in 6% to 10% of the population and is more common in women and older adults.2-4 Chronic insomnia leads to problems with cognition, mood, and fatigue.2 Treatment options for chronic insomnia include behavioral therapy, CBT-I, or pharmacotherapy. Behavioral therapy includes education regarding sleep hygiene and interventions such as stimulus control, sleep restriction, and relaxation training. Cognitive behavioral therapy for insomnia combines cognitive therapy with interventions such as sleep restriction, relaxation training, and stimulus control. This treatment typically requires 5 to 8 sessions and requires patients to maintain sleep logs.

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