Primary Insomnia

By | May 31, 2017

How To Treat Insomnia How To Treat Insomnia Naturally

how to treat insomnia naturally without medication.

Computerized CBT for insomnia in a primary care setting

Computerized CBT for treating insomnia ina primary care setting Norah Vincent, Ph.D. Overview of TalkInsomnia: Costs Treatments for insomniaEffectiveness Good candidatesImpact on comorbid conditions Patient acceptanceDelivery in primary care setting Abnormal Sleep: Insomnia DisorderDifficulty with falling asleep, staying asleep, awakening too early, or nonrestorative sleep*Daytime impairment

*Associated with twice as many healthcarevisits relative to other symptoms Edinger et al. (2004). Research DiagnosticCriteria for Insomnia Disorder. Prevalence of Insomnia40% difficulty sleeping 9% (US, NZ, UK, CD)69% in primary care 19%Only 52% of patients discuss Focus Group Data:Patients: need to convince physician of seriousnessopen to behavioral treatment even if medication user

Physicians:assess underlying cause expect resistance to discontinuing with medicationsManagement of insomnia Considered symptom rather than disorder quot;I didn't get a chance to ask him last night(one of those nights when we were both out and too tired to talk when we got homequot; (senioroncologist) quot; wasn't able to think of anything that fullyfit the situation (mind you he's been pretty exhausted most of this week)quot; (radiologist) Costs of InsomniaDirect

Treatmentsbehavioral pharmacologicaltransportation to health setting Costs of Disturbed SleepTotal direct costs of insomnia to USA $13.9 (1995) and $15.4 billion (1990)health care services $11.9 billion prescription medications $1.97 billion 20% of nursing home admissions are due tocaregivers primary difficulty with elder's sleep2727Sanford (1975). Br Med J 3, 471473. Cost of InsomniaMembership of insurance plans in USA

138 829 adults with insomnia vs matched controlsample Direct (outpatient, emergency, drugs)Indirect (absenteeism, shortterm disability) Cost StudyConclusions: Costs were $1253 greater for those with insomnia(6 month) Cost StudyMembers of insurance plan (150 000 covered) in midwestern USA1254 with Insomnia diagnosis vs 1175 (randomly selected controls)Divided sample based on severity Insurance Study: Costs of InsomniaAnnual direct costs

subthreshold $912moderatesevere $1254 no insomnia control $643 Costs were 75% larger for group with moderatesevereinsomnia relative to controls Costs of InsomniaPhysician consultation 1012 per year (mild to moderate insomnia)vs 5 (good sleepers) ization rates: 21.9% (severe) vs 12%(good sleepers) Costs of InsomniaIndirect Losses related to disorderCognition

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