The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023
Summary 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 diar...
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| Veröffentlicht in: | Journal of sleep research 2023-12, Vol.32 (6), p.e14035-n/a |
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| creator | Riemann, Dieter Espie, Colin A. Altena, Ellemarije Arnardottir, Erna Sif Baglioni, Chiara Bassetti, Claudio L. A. Bastien, Celyne Berzina, Natalija Bjorvatn, Bjørn Dikeos, Dimitris Dolenc Groselj, Leja Ellis, Jason G. Garcia‐Borreguero, Diego Geoffroy, Pierre A. Gjerstad, Michaela Gonçalves, Marta Hertenstein, Elisabeth Hoedlmoser, Kerstin Hion, Tuuliki Holzinger, Brigitte Janku, Karolina Jansson‐Fröjmark, Markus Järnefelt, Heli Jernelöv, Susanna Jennum, Poul Jørgen Khachatryan, Samson Krone, Lukas Kyle, Simon D. Lancee, Jaap Leger, Damien Lupusor, Adrian Marques, Daniel Ruivo Nissen, Christoph Palagini, Laura Paunio, Tiina Perogamvros, Lampros Pevernagie, Dirk Schabus, Manuel Shochat, Tamar Szentkiralyi, Andras Van Someren, Eus Straten, Annemieke Wichniak, Adam Verbraecken, Johan Spiegelhalder, Kai |
| description | Summary
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). |
| doi_str_mv | 10.1111/jsr.14035 |
| format | Article |
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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).</description><identifier>ISSN: 0962-1105</identifier><identifier>EISSN: 1365-2869</identifier><identifier>DOI: 10.1111/jsr.14035</identifier><identifier>PMID: 38016484</identifier><language>eng</language><publisher>England: Wiley</publisher><subject>Adult ; Antidepressive Agents - therapeutic use ; Benzodiazepines - therapeutic use ; Cognitive science ; diagnosis ; evidence‐based medicine ; guideline ; Humans ; insomnia ; Melatonin - pharmacology ; Melatonin - therapeutic use ; Sleep ; Sleep Initiation and Maintenance Disorders - drug therapy ; Sleep Initiation and Maintenance Disorders - therapy ; treatment</subject><ispartof>Journal of sleep research, 2023-12, Vol.32 (6), p.e14035-n/a</ispartof><rights>2023 The Authors. published by John Wiley & Sons Ltd on behalf of European Sleep Research Society.</rights><rights>2023 The Authors. Journal of Sleep Research published by John Wiley & Sons Ltd on behalf of European Sleep Research Society.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4325-88298a59d68317dc16d676841ba32bed8d754fec9dbb6f27de818ddc6a4a38ae3</citedby><cites>FETCH-LOGICAL-c4325-88298a59d68317dc16d676841ba32bed8d754fec9dbb6f27de818ddc6a4a38ae3</cites><orcidid>0000-0001-9121-209X ; 0000-0003-1676-629X ; 0000-0003-0877-3529 ; 0000-0002-7722-5780 ; 0000-0002-1294-8734 ; 0000-0002-4371-3567 ; 0000-0003-3150-7755 ; 0000-0001-6875-2215 ; 0000-0002-9970-8791 ; 0000-0002-6804-6967 ; 0000-0002-0633-8104 ; 0000-0001-9809-0275 ; 0000-0002-4133-3464 ; 0000-0002-8496-520X ; 0000-0002-3098-2135 ; 0000-0002-5535-7221 ; 0000-0003-1168-480X ; 0000-0002-1968-6220 ; 0000-0002-7372-8583 ; 0000-0003-2059-1621 ; 0000-0003-3729-0120 ; 0000-0002-8350-951X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjsr.14035$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjsr.14035$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,550,776,780,881,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38016484$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-04730459$$DView record in HAL$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:154721940$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Riemann, Dieter</creatorcontrib><creatorcontrib>Espie, Colin A.</creatorcontrib><creatorcontrib>Altena, Ellemarije</creatorcontrib><creatorcontrib>Arnardottir, Erna Sif</creatorcontrib><creatorcontrib>Baglioni, Chiara</creatorcontrib><creatorcontrib>Bassetti, Claudio L. A.</creatorcontrib><creatorcontrib>Bastien, Celyne</creatorcontrib><creatorcontrib>Berzina, Natalija</creatorcontrib><creatorcontrib>Bjorvatn, Bjørn</creatorcontrib><creatorcontrib>Dikeos, Dimitris</creatorcontrib><creatorcontrib>Dolenc Groselj, Leja</creatorcontrib><creatorcontrib>Ellis, Jason G.</creatorcontrib><creatorcontrib>Garcia‐Borreguero, Diego</creatorcontrib><creatorcontrib>Geoffroy, Pierre A.</creatorcontrib><creatorcontrib>Gjerstad, Michaela</creatorcontrib><creatorcontrib>Gonçalves, Marta</creatorcontrib><creatorcontrib>Hertenstein, Elisabeth</creatorcontrib><creatorcontrib>Hoedlmoser, Kerstin</creatorcontrib><creatorcontrib>Hion, Tuuliki</creatorcontrib><creatorcontrib>Holzinger, Brigitte</creatorcontrib><creatorcontrib>Janku, Karolina</creatorcontrib><creatorcontrib>Jansson‐Fröjmark, Markus</creatorcontrib><creatorcontrib>Järnefelt, Heli</creatorcontrib><creatorcontrib>Jernelöv, Susanna</creatorcontrib><creatorcontrib>Jennum, Poul Jørgen</creatorcontrib><creatorcontrib>Khachatryan, Samson</creatorcontrib><creatorcontrib>Krone, Lukas</creatorcontrib><creatorcontrib>Kyle, Simon D.</creatorcontrib><creatorcontrib>Lancee, Jaap</creatorcontrib><creatorcontrib>Leger, Damien</creatorcontrib><creatorcontrib>Lupusor, Adrian</creatorcontrib><creatorcontrib>Marques, Daniel Ruivo</creatorcontrib><creatorcontrib>Nissen, Christoph</creatorcontrib><creatorcontrib>Palagini, Laura</creatorcontrib><creatorcontrib>Paunio, Tiina</creatorcontrib><creatorcontrib>Perogamvros, Lampros</creatorcontrib><creatorcontrib>Pevernagie, Dirk</creatorcontrib><creatorcontrib>Schabus, Manuel</creatorcontrib><creatorcontrib>Shochat, Tamar</creatorcontrib><creatorcontrib>Szentkiralyi, Andras</creatorcontrib><creatorcontrib>Van Someren, Eus</creatorcontrib><creatorcontrib>Straten, Annemieke</creatorcontrib><creatorcontrib>Wichniak, Adam</creatorcontrib><creatorcontrib>Verbraecken, Johan</creatorcontrib><creatorcontrib>Spiegelhalder, Kai</creatorcontrib><title>The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023</title><title>Journal of sleep research</title><addtitle>J Sleep Res</addtitle><description>Summary
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). 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A. ; Bastien, Celyne ; Berzina, Natalija ; Bjorvatn, Bjørn ; Dikeos, Dimitris ; Dolenc Groselj, Leja ; Ellis, Jason G. ; Garcia‐Borreguero, Diego ; Geoffroy, Pierre A. ; Gjerstad, Michaela ; Gonçalves, Marta ; Hertenstein, Elisabeth ; Hoedlmoser, Kerstin ; Hion, Tuuliki ; Holzinger, Brigitte ; Janku, Karolina ; Jansson‐Fröjmark, Markus ; Järnefelt, Heli ; Jernelöv, Susanna ; Jennum, Poul Jørgen ; Khachatryan, Samson ; Krone, Lukas ; Kyle, Simon D. ; Lancee, Jaap ; Leger, Damien ; Lupusor, Adrian ; Marques, Daniel Ruivo ; Nissen, Christoph ; Palagini, Laura ; Paunio, Tiina ; Perogamvros, Lampros ; Pevernagie, Dirk ; Schabus, Manuel ; Shochat, Tamar ; Szentkiralyi, Andras ; Van Someren, Eus ; Straten, Annemieke ; Wichniak, Adam ; Verbraecken, Johan ; Spiegelhalder, Kai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4325-88298a59d68317dc16d676841ba32bed8d754fec9dbb6f27de818ddc6a4a38ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Antidepressive Agents - therapeutic use</topic><topic>Benzodiazepines - therapeutic use</topic><topic>Cognitive science</topic><topic>diagnosis</topic><topic>evidence‐based medicine</topic><topic>guideline</topic><topic>Humans</topic><topic>insomnia</topic><topic>Melatonin - pharmacology</topic><topic>Melatonin - therapeutic use</topic><topic>Sleep</topic><topic>Sleep Initiation and Maintenance Disorders - drug therapy</topic><topic>Sleep Initiation and Maintenance Disorders - therapy</topic><topic>treatment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Riemann, Dieter</creatorcontrib><creatorcontrib>Espie, Colin A.</creatorcontrib><creatorcontrib>Altena, Ellemarije</creatorcontrib><creatorcontrib>Arnardottir, Erna Sif</creatorcontrib><creatorcontrib>Baglioni, Chiara</creatorcontrib><creatorcontrib>Bassetti, Claudio L. 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A.</au><au>Bastien, Celyne</au><au>Berzina, Natalija</au><au>Bjorvatn, Bjørn</au><au>Dikeos, Dimitris</au><au>Dolenc Groselj, Leja</au><au>Ellis, Jason G.</au><au>Garcia‐Borreguero, Diego</au><au>Geoffroy, Pierre A.</au><au>Gjerstad, Michaela</au><au>Gonçalves, Marta</au><au>Hertenstein, Elisabeth</au><au>Hoedlmoser, Kerstin</au><au>Hion, Tuuliki</au><au>Holzinger, Brigitte</au><au>Janku, Karolina</au><au>Jansson‐Fröjmark, Markus</au><au>Järnefelt, Heli</au><au>Jernelöv, Susanna</au><au>Jennum, Poul Jørgen</au><au>Khachatryan, Samson</au><au>Krone, Lukas</au><au>Kyle, Simon D.</au><au>Lancee, Jaap</au><au>Leger, Damien</au><au>Lupusor, Adrian</au><au>Marques, Daniel Ruivo</au><au>Nissen, Christoph</au><au>Palagini, Laura</au><au>Paunio, Tiina</au><au>Perogamvros, Lampros</au><au>Pevernagie, Dirk</au><au>Schabus, Manuel</au><au>Shochat, Tamar</au><au>Szentkiralyi, Andras</au><au>Van Someren, Eus</au><au>Straten, Annemieke</au><au>Wichniak, Adam</au><au>Verbraecken, Johan</au><au>Spiegelhalder, Kai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023</atitle><jtitle>Journal of sleep research</jtitle><addtitle>J Sleep Res</addtitle><date>2023-12</date><risdate>2023</risdate><volume>32</volume><issue>6</issue><spage>e14035</spage><epage>n/a</epage><pages>e14035-n/a</pages><issn>0962-1105</issn><eissn>1365-2869</eissn><abstract>Summary
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).</abstract><cop>England</cop><pub>Wiley</pub><pmid>38016484</pmid><doi>10.1111/jsr.14035</doi><tpages>36</tpages><orcidid>https://orcid.org/0000-0001-9121-209X</orcidid><orcidid>https://orcid.org/0000-0003-1676-629X</orcidid><orcidid>https://orcid.org/0000-0003-0877-3529</orcidid><orcidid>https://orcid.org/0000-0002-7722-5780</orcidid><orcidid>https://orcid.org/0000-0002-1294-8734</orcidid><orcidid>https://orcid.org/0000-0002-4371-3567</orcidid><orcidid>https://orcid.org/0000-0003-3150-7755</orcidid><orcidid>https://orcid.org/0000-0001-6875-2215</orcidid><orcidid>https://orcid.org/0000-0002-9970-8791</orcidid><orcidid>https://orcid.org/0000-0002-6804-6967</orcidid><orcidid>https://orcid.org/0000-0002-0633-8104</orcidid><orcidid>https://orcid.org/0000-0001-9809-0275</orcidid><orcidid>https://orcid.org/0000-0002-4133-3464</orcidid><orcidid>https://orcid.org/0000-0002-8496-520X</orcidid><orcidid>https://orcid.org/0000-0002-3098-2135</orcidid><orcidid>https://orcid.org/0000-0002-5535-7221</orcidid><orcidid>https://orcid.org/0000-0003-1168-480X</orcidid><orcidid>https://orcid.org/0000-0002-1968-6220</orcidid><orcidid>https://orcid.org/0000-0002-7372-8583</orcidid><orcidid>https://orcid.org/0000-0003-2059-1621</orcidid><orcidid>https://orcid.org/0000-0003-3729-0120</orcidid><orcidid>https://orcid.org/0000-0002-8350-951X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0962-1105 |
| ispartof | Journal of sleep research, 2023-12, Vol.32 (6), p.e14035-n/a |
| issn | 0962-1105 1365-2869 |
| language | eng |
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| source | Wiley Free Content; MEDLINE; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; SWEPUB Freely available online |
| subjects | Adult Antidepressive Agents - therapeutic use Benzodiazepines - therapeutic use Cognitive science diagnosis evidence‐based medicine guideline Humans insomnia Melatonin - pharmacology Melatonin - therapeutic use Sleep Sleep Initiation and Maintenance Disorders - drug therapy Sleep Initiation and Maintenance Disorders - therapy treatment |
| title | The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023 |
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