Insomnia
摘要
This chapter reviews the diagnostic criteria for insomnia disorder as well as its prevalence, risk factors, and disparities. Chapter presents three brief screening tools: Insomnia Severity Index (ISI), Athens Insomnia Scale (AIS), and Pittsburgh Sleep Quality Index (PSQI) and addresses key considerations for their use in clinical practice. The non-pharmacological conceptualization section includes holistic framing of sleep management, expectation management and guidance for discussing medication use. Non-pharmacological interventions focus on strategies for effective utilization of symptom tracking, sleep consolidation techniques, and education. Integrative medicine interventions focus on mind-body, lifestyle medicine, and herbs, botanical and supplement interventions. Case vignette is used to illustrate presented concepts. Chapter concludes with Clinical Pearls, Frequently Asked Questions, and Resources. A concise list of patient instructions for sleep improvement is included. Sample of diary entries is provided to illustrate the review process.