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

被引：175

作者：

Riemann, Dieter ^{[1
,2
,51
]}

Espie, Colin A. ^{[3
]}

Altena, Ellemarije ^{[4
]}

Arnardottir, Erna Sif ^{[5
,6
]}

Baglioni, Chiara ^{[7
]}

Bassetti, Claudio L. A. ^{[8
]}

Bastien, Celyne ^{[9
]}

Berzina, Natalija ^{[10
]}

Bjorvatn, Bjorn ^{[10
]}

Dikeos, Dimitris ^{[11
]}

Groselj, Leja Dolenc ^{[12
]}

Ellis, Jason G. ^{[12
]}

Garcia-Borreguero, Diego ^{[13
]}

Geoffroy, Pierre A. ^{[14
]}

Gjerstad, Michaela ^{[15
]}

Goncalves, Marta ^{[16
]}

Hertenstein, Elisabeth ^{[17
]}

Hoedlmoser, Kerstin ^{[18
]}

Hion, Tuuliki ^{[19
]}

Holzinger, Brigitte ^{[20
]}

Janku, Karolina ^{[21
]}

Jansson-Frojmark, Markus ^{[22
,23
,24
]}

Jarnefelt, Heli ^{[25
]}

Jernelov, Susanna ^{[22
,23
,24
]}

Jennum, Poul Jorgen ^{[26
]}

Khachatryan, Samson ^{[27
]}

Krone, Lukas ^{[3
,8
,17
]}

Kyle, Simon D. ^{[3
]}

Lancee, Jaap ^{[28
]}

Leger, Damien ^{[29
]}

Lupusor, Adrian ^{[30
]}

Marques, Daniel Ruivo ^{[31
,32
]}

Nissen, Christoph ^{[33
]}

Palagini, Laura ^{[34
]}

Paunio, Tiina ^{[35
,36
,37
,38
]}

Perogamvros, Lampros ^{[33
]}

Pevernagie, Dirk ^{[39
]}

Schabus, Manuel ^{[18
]}

Shochat, Tamar ^{[40
]}

Szentkiralyi, Andras ^{[41
]}

Van Someren, Eus ^{[42
,43
,44
]}

van Straten, Annemieke ^{[45
,46
]}

Wichniak, Adam ^{[47
,48
]}

Verbraecken, Johan ^{[49
,50
]}

Spiegelhalder, Kai ^{[1
]}

机构：

[1] Univ Freiburg, Dept Clin Psychol & Psychophysiol, Fac Med, Med Ctr,Ctr Mental Hlth Dept, Freiburg, Germany

[2] Univ Freiburg, Fac Med, Ctr Basics NeuroModulat NeuroModulBasics, Freiburg, Germany

[3] Univ Oxford, Nuffield Dept Clin Neurosci, Sleep & Circadian Neurosci Inst, Oxford, England

[4] Univ Bordeaux, Bordeaux, France

[5] Reykjavik Univ, Reykjavik Univ Sleep Inst, Sch Technol, Reykjavik, Iceland

[6] Natl Univ Hosp Iceland, Landspitali, Reykjavik, Iceland

[7] Univ Rome Guglielmo Marconi Rome, Human Sci Dept, Rome, Italy

[8] Univ Bern, Dept Neurol, Inselspital, Bern, Switzerland

[9] Univ Laval, Ecole Psychol, Quebec City, PQ, Canada

[10] Univ Bergen, Dept Global Publ Hlth & Primary Care, Bergen, Norway

[11] Natl & Kapodistrian Univ Athens, Med Sch, Dept Psychiat 1, Athens, Greece

[12] Northumbria Univ, Northumbria Sleep Res Lab, Newcastle Upon Tyne, England

[13] Sleep Res Inst, Madrid, Spain

[14] Paris Cite Univ, Dept Psychiat, Paris, France

[15] Stavanger Univ Hosp, Stavanger, Norway

[16] Hosp Cuf, Ctr Med Sono, Porto, Portugal

[17] Univ Bern, Univ Hosp Psychiat & Psychotherapy, Bern, Switzerland

[18] Univ Salzburg, Ctr Cognit Neurosci, Salzburg, Austria

[19] East Viru Cent Hosp, Kohtla Jarve, Estonia

[20] Inst Consciousness & Dream Res, Vienna, Austria

[21] Natl Inst Mental Hlth, Ctr Sleep & Chronobiol Res, Klecany, Czech Republic

[22] Karolinska Inst, Dept Clin Neurosci, Div Psychol, Stockholm, Sweden

[23] Karolinska Inst, Ctr Psychiat Res, Dept Clin Neurosci, Stockholm, Sweden

[24] Stockholm Hlth Care Serv, Stockholm, Sweden

[25] Finnish Inst Occupat Hlth, Helsinki, Finland

[26] Univ Copenhagen, Dept Clin Med, Copenhagen, Denmark

[27] Armenian Natl Inst Hlth, Dept Neurol & Neurosurg, Yerevan, Armenia

[28] Univ Amsterdam, Dept Clin Psychol, Amsterdam, Netherlands

[29] Univ Paris Cite, Ctr Sommeil & Vigilance, APHP, AP HP, Paris, France

[30] Inst Neurol & Neurosurg, Funct Neurol, Kishinev, Moldova

[31] Univ Aveiro, Dept Educ & Psychol, Aveiro, Portugal

[32] Univ Coimbra, Fac Psychol & Educ Sci, CINEICC Ctr Res Neuropsychol & Cognit Behav Interv, Coimbra, Portugal

[33] Univ Hosp Geneve, Dept Psychiat, Geneva, Switzerland

[34] Univ Pisa, Dept Clin & Expt Med, Sch Med, Psychiat Unit, Pisa, Italy

[35] Univ Helsinki, Fac Med, Dept Psychiat, Helsinki, Finland

[36] Univ Helsinki, Fac Med, SleepWell Res Program, Helsinki, Finland

[37] Univ Helsinki, Cent Hosp, Helsinki, Finland

[38] Finnish Inst Hlth & Welf, Publ Hlth & Welf, Helsinki, Finland

[39] Univ Ghent, Dept Internal Med & Pediat, Ghent, Belgium

[40] Univ Haifa, Cheryl Spencer Inst Nursing Res, Haifa, Israel

[41] Univ Munster, Inst Epidemiol & Social Med, Munster, Germany

[42] Royal Netherlands Acad Arts & Sci, Netherlands Inst Neurosci, Dept Sleep & Cognit, Amsterdam, Netherlands

[43] Vrije Univ Amsterdam, Ctr Neurogenom & Cognit Res, Dept Integrat Neurophysiol, Amsterdam UMC,Amsterdam Neurosci, Amsterdam, Netherlands

[44] Vrije Univ Amsterdam, Ctr Neurogenom & Cognit Res, Dept Psychiat, Amsterdam UMC,Amsterdam Neurosci, Amsterdam, Netherlands

[45] Vrije Univ Amsterdam, Dept Clin, Neuroand Dev Psychol, Amsterdam, Netherlands

[46] Vrije Univ Amsterdam, Amsterdam Publ Hlth Res Inst, Amsterdam, Netherlands

[47] Inst Psychiat & Neurol, Sleep Med Ctr, Warsaw, Poland

[48] Inst Psychiat & Neurol, Dept Psychiat 3, Warsaw, Poland

[49] Drie Eikenstr 655, B-2650 Antwerp, Belgium

[50] Univ Antwerp, Antwerp, Belgium

来源：

JOURNAL OF SLEEP RESEARCH | 2023年 / 32卷 / 06期

关键词：

diagnosis; evidence-based medicine; guideline; insomnia; treatment; COGNITIVE-BEHAVIORAL THERAPY; SLEEP RESTRICTION THERAPY; PLACEBO-CONTROLLED TRIAL; EXOGENOUS MELATONIN; BENZODIAZEPINE USE; PSYCHOLOGICAL TREATMENTS; SEVERITY INDEX; OLDER-ADULTS; NONPHARMACOLOGICAL INTERVENTIONS; COMPARATIVE EFFICACY;

D O I：

10.1111/jsr.14035

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

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).

引用

页数：36

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