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Nonpharmacologic Treatment of Insomnia in Primary Care Settings
  • Laura Hrehova,
  • Kamal Mezian
Laura Hrehova
Author Profile
Kamal Mezian
Charles University
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Abstract

Introduction: Prevalence of insomnia is higher in females and increases with higher age. Besides primary insomnia, comorbid sleep disorders are also common, accompanying different conditions. Considering the possible adverse effects of commonly used drugs to promote sleep, a nonpharmacologic approach should be preferred in most cases. Although generally considered first-line treatment, the nonpharmacologic approach is often underestimated by both patients and physicians. Objective: To provide primary care physicians an up-to-date approach to the nonpharmacologic treatment of insomnia. Methods: PubMed, Web of Science, and Scopus databases were searched for relevant articles about the nonpharmacologic treatment of insomnia up to December 2020. We restricted our search only to articles written in English. Main Message: Most patients presenting with sleep disorder symptoms can be effectively managed in the primary care setting. Primary care physicians may use pharmacologic and nonpharmacologic approaches, while the latter should be generally considered first-line treatment. A primary care physician may opt to refer the patient to a sleep medicine specialist for refractory cases. Conclusions: This paper provides an overview of current recommendations and up-to-date evidence for the nonpharmacologic treatment of insomnia. This article emphasizes the importance of cognitive-behavioral therapy for insomnia, likewise, exercise and relaxation techniques. Complementary and alternative approaches are also covered.

Peer review status:ACCEPTED

01 Dec 2020Submitted to International Journal of Clinical Practice
03 Dec 2020Submission Checks Completed
03 Dec 2020Assigned to Editor
04 Dec 2020Reviewer(s) Assigned
22 Dec 2020Review(s) Completed, Editorial Evaluation Pending
25 Dec 20201st Revision Received
26 Dec 2020Assigned to Editor
26 Dec 2020Submission Checks Completed
26 Dec 2020Reviewer(s) Assigned
25 Jan 2021Review(s) Completed, Editorial Evaluation Pending
27 Jan 20212nd Revision Received
29 Jan 2021Submission Checks Completed
29 Jan 2021Assigned to Editor
29 Jan 2021Reviewer(s) Assigned
02 Feb 2021Review(s) Completed, Editorial Evaluation Pending
05 Feb 2021Editorial Decision: Accept