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Advancement in the contemporary clinical diagnosis and treatment strategies of insomnia disorder.

Sleep medicine
March 1, 2022
Soumi Paul et al. (6 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the role of mindfulness-based practices as a complementary alternative medicine (CAM) in the treatment of insomnia disorder.

Results Summary

The study found that mindfulness-based practices, along with other CAMs, proved supportive in treating insomnia disorder, though accessibility and qualified facilitators remain limitations.

Population

Patients with insomnia disorder, including chronic, short-term, and other subtypes.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
cognitive-behavioral therapy for insomnia (CBTI)
decrease
insomnia disorder
patients with insomnia disorder
-
recommended treatment strategies include
#1
pharmacotherapy
decrease
insomnia disorder
patients with insomnia disorder
-
recommended treatment strategies include
#2
phytocompounds
decrease
drawbacks of existing treatments
-
-
investigation of phytocompounds subdued these drawbacks of existing treatments
#3
some compounds
decrease
insomnia
-
-
showed anti-insomniac potential
#4
mindfulness-based practices
decrease
insomnia disorder
-
-
proved supportive in insomnia disorder treatment
#5
acupuncture
decrease
insomnia disorder
-
-
proved supportive in insomnia disorder treatment
#6
listening to music
decrease
insomnia disorder
-
-
proved supportive in insomnia disorder treatment
#7
Yogasanas
decrease
insomnia disorder
-
-
proved supportive in insomnia disorder treatment
#8
Pranayama
decrease
insomnia disorder
-
-
proved supportive in insomnia disorder treatment
#9
digital cognitive behavioral therapy for insomnia (dCBTI) during bedtime
decrease
insomnia disorder
-
-
proved supportive in insomnia disorder treatment
#10
Abstract

This review is intended to provide an updated summary of, but not limited to, classification, etiopathogenesis, diagnosis, and treatment strategies for insomnia disorder. The severity of insomnia symptoms irrespective of co-existing primary medical condition/s in the studied patients classified insomnia as 'insomnia disorder' to prioritize the clinical attention on insomnia (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition). The frequency and duration of symptoms further divided insomnia into chronic, short-term, and other insomnia disorder (International Classification of Sleep Disorders, Third Edition). This disorder is a phenomenal state of hyperarousal developed and perpetuated by environmental, behavioral, cognitive, genetic, socioeconomic, preexisting medical factors. Overarching physiological, cortical, behavioral, and cognition changes in hyperarousal manifest insomnia disorder. It, sometimes, leads to the co-occurrence of other chronic medical condition/s. The contemporary diagnosis of insomnia disorder needs to consider modified diagnostic criteria, growing evidence on insomnia disorder symptoms, associated factors, co-existing medical condition/s (if any) to identify the subjective severity of insomnia disorder and design a treatment plan. The recommended treatment strategies include cognitive-behavioral therapy for insomnia (CBTI) and pharmacotherapy. However, CBTI lacks accessibility, qualified facilitators, and pharmacotherapy has limitations like side effects, physiological tolerance/dependence. The investigation of phytocompounds subdued these drawbacks of existing treatments as some compounds showed anti-insomniac potential. Furthermore, complementary alternative medicines (CAMs) like mindfulness-based practices, acupuncture, listening to music, Yogasanas, Pranayama, digital cognitive behavioral therapy for insomnia (dCBTI) during bedtime proved supportive in insomnia disorder treatment.

Medical Subject Headings (MeSH)
Chronic DiseaseCognitionCognitive Behavioral TherapyDiagnostic and Statistical Manual of Mental DisordersHumansSleep Initiation and Maintenance DisordersTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality60/10
Citation Metrics
Total Citations5
Citations/Year1.7
Relative Citation Ratio0.77
NIH Percentile40.9%
Research Impact Scores
APT Score0.25
Weight Score2.12
Normalized Score0.62
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