Clinical Handbook of Insomnia
Expanding on the critical contributions of previous editions, this updated and comprehensive resource covers the latest diagnostic criteria of insomnia. The book is thematically divided into two parts. The first section consists of chapters on nomenclatur
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Hrayr P. Attarian Editor
Clinical Handbook of Insomnia Third Edition
CURRENT CLINICAL NEUROLOGY Daniel Tarsy, MD, SERIES EDITOR
More information about this series at http://www.springer.com/series/7630
Hrayr P. Attarian Editor
Clinical Handbook of Insomnia Third Edition
Editor Hrayr P. Attarian Sleep Disorders Center, Department of Neurology Northwestern University Feinberg School of Medicine Chicago, IL, USA
Current Clinical Neurology ISBN 978-3-319-41398-3 ISBN 978-3-319-41400-3 DOI 10.1007/978-3-319-41400-3
(eBook)
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Preface
Insomnia is the second most common complaint, after pain, in the primary care setting. Chronic insomnia, as defined by the 2015 edition International Classification of Sleep Disorders (ICSD 3), affects 9–12 % of the population, is a risk factor for significant psychiatric morbidity, and is associated with higher mortality in men. Insomnia also leads to overutilization of health care services, decreased productivity in the workplace, more accidents, and more absenteeism from work. All this costs about $100 billion annually. Hence, persistent insomnia is both a public health and an economic problem. Chronic insomnia is a complex illness with many comorbidities each, naturally, requiring a different method of evaluation and treatment. Patients with insomnia frequently self-treat with alcohol or over-the-counter medications. There is very little scientific evidence for the efficacy of these medications in insomnia and there is growing evidence of significant long-term adverse effects with their use. Additionally, those taking these medications may suffer impaired daytime functioning caused by lingering feelings of sedation. Newer data also p
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