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The European Insomnia Guideline : An update on the diagnosis and treatment of insomnia 2023

The European Insomnia Guideline : An update on the diagnosis and treatment of insomnia 2023


Title: The European Insomnia Guideline : An update on the diagnosis and treatment of insomnia 2023
Author: Riemann, Dieter
Espie, Colin A.
Altena, Ellemarije
Arnardóttir, Erna Sif
Baglioni, Chiara
Bassetti, Claudio L.A.
Bastien, Celyne
Berzina, Natalija
Bjorvatn, Bjørn
Dikeos, Dimitris
... 35 more authors Show all authors
Date: 2023-11-28
Language: English
Scope: 2325085
University/Institute: Landspitali - The National University Hospital of Iceland
Department: Department of Engineering
Series: Journal of Sleep Research; 32(6)
ISSN: 0962-1105
DOI: 10.1111/jsr.14035
Subject: Náttúrufræðingar; diagnosis; evidence-based medicine; guideline; insomnia; treatment; Cognitive Neuroscience; Behavioral Neuroscience
URI: https://hdl.handle.net/20.500.11815/4653

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Citation:

Riemann , D , Espie , C A , Altena , E , Arnardóttir , E S , Baglioni , C , Bassetti , C L A , Bastien , C , Berzina , N , Bjorvatn , B , Dikeos , D , Dolenc Groselj , L , Ellis , J G , Garcia-Borreguero , D , Geoffroy , P A , Gjerstad , M , Gonçalves , M , Hertenstein , E , Hoedlmoser , K , Hion , T , Holzinger , B , Janku , K , Jansson-Fröjmark , M , Järnefelt , H , Jernelöv , S , Jennum , P J , Khachatryan , S , Krone , L , Kyle , S D , Lancee , J , Leger , D , Lupusor , A , Marques , D R , Nissen , C , Palagini , L , Paunio , T , Perogamvros , L , Pevernagie , D , Schabus , M , Shochat , T , Szentkiralyi , A , Van Someren , E , van Straten , A , Wichniak , A , Verbraecken , J & Spiegelhalder , K 2023 , ' The European Insomnia Guideline : An update on the diagnosis and treatment of insomnia 2023 ' , Journal of Sleep Research , vol. 32 , no. 6 , e14035 . https://doi.org/10.1111/jsr.14035

Abstract:

Progress in the field of insomnia since 2017 necessitated this update of the European Insomnia Guideline. Recommendations for the diagnostic procedure for insomnia and its comorbidities are: clinical interview (encompassing sleep and medical history); the use of sleep questionnaires and diaries (and physical examination and additional measures where indicated) (A). Actigraphy is not recommended for the routine evaluation of insomnia (C), but may be useful for differential-diagnostic purposes (A). Polysomnography should be used to evaluate other sleep disorders if suspected (i.e. periodic limb movement disorder, sleep-related breathing disorders, etc.), treatment-resistant insomnia (A) and for other indications (B). Cognitive-behavioural therapy for insomnia is recommended as the first-line treatment for chronic insomnia in adults of any age (including patients with comorbidities), either applied in-person or digitally (A). When cognitive-behavioural therapy for insomnia is not sufficiently effective, a pharmacological intervention can be offered (A). Benzodiazepines (A), benzodiazepine receptor agonists (A), daridorexant (A) and low-dose sedating antidepressants (B) can be used for the short-term treatment of insomnia (≤ 4 weeks). Longer-term treatment with these substances may be initiated in some cases, considering advantages and disadvantages (B). Orexin receptor antagonists can be used for periods of up to 3 months or longer in some cases (A). Prolonged-release melatonin can be used for up to 3 months in patients ≥ 55 years (B). Antihistaminergic drugs, antipsychotics, fast-release melatonin, ramelteon and phytotherapeutics are not recommended for insomnia treatment (A). Light therapy and exercise interventions may be useful as adjunct therapies to cognitive-behavioural therapy for insomnia (B).

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Publisher Copyright: © 2023 The Authors. Journal of Sleep Research published by John Wiley & Sons Ltd on behalf of European Sleep Research Society.

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