Artigo

New guidelines for diagnosis and treatment of insomnia

Andrea barcellar, Dalva Poyares, Flavio Aloe, Gisele minhoto, Lia Rita bittencourt, Luiz Ataide jr, márcia Assis, Márcia Pradella-Hallinan, Maria Christina Ribeiro Ribeiro Pinto, Raimundo Nonato D. Rodrigues, Rosa Hasan, Ronaldo Fonseca, Stella Tavares, GERALDO NUNES VIEIRA RIZZO, Luciano Ribeiro Pinto Jr, Rosana Cardoso Alves, Eliazor caixeta, John Araújo Fontenelle

http://www.scielo.br/revistas/anp/paboutj.htm, v. 4, n. 68, p. 666-675, 2010.

Motivo: Produção Corpo Clínico

Setor HMV: Centro de Neurologia e Neurocirurgia, Neurologia

Área da saúde: Medicina - Neurocirurgia, Medicina - Neurologia

Resumo: The Brazilian Sleep Association brought together specialists in sleep medicine, in order to develop new guidelines on the diagnosis and treatment of insomnias. The following subjects were discussed: concepts, clinical and psychosocial evaluations, recommendations for polysomnography, pharmacological treatment, behavioral and cognitive therapy, comorbidities and insomnia in children. Four levels of evidence were envisaged: standard, recommended, optional and not recommended. For diagnosing of insomnia, psychosocial and polysomnographic investigation were recommended. For non-pharmacological treatment, cognitive behavioral treatment was considered to be standard, while for pharmacological treatment, zolpidem was indicated as the standard drug because of its hypnotic profile, while zopiclone, trazodone and doxepin were recommended. Key words: insomnia, diagnosis of insomnia, treatment of insomnia, cognitive behavioral therapy.

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