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Minerva Psichiatrica 2007 December;48(4):411-29

Copyright © 2007 EDIZIONI MINERVA MEDICA

language: Italian

Clinical, diagnostic and therapeutic classification of insomnia

Parrino L., De Paolis F., Milioli G., Covati K., Terzano M. G.

Centro di Medicina del Sonno Clinica Neurologica Università degli Studi di Parma, Parma


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Insomnia is not a single disturbance but a manifold manifestation of clinical disorders with different features of onset, evolution, etiology and therapeutic approaches The insomniac patient complains of difficulty falling and/or maintaining sleep, early morning awakening or simply of non restorative sleep. Each of these subjective disturbances correlate with a neurophysiological marker detectable on the polysomnographic recording indicating a non-exclusive psychiatric nature of insomnia. On the basis of the pathogenetic factors, insomnia is classified as primary and secondary and specific therapeutic approaches are indicated for each clinical entity. Besides the rules of sleep hygiene, a number of hypnotic-sedative agents with specific kinetic and dynamic profiles are available for the transient and chronic variants of insomnia. The concomitant administration of cognitive behavioural therapy represents a promising perspective.

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