During this meeting, the following subjects were considered: concepts, clinical and psychosocial evaluations, recommendations for polysomnography, pharmacological treatment, behavioral and cognitive therapy, comorbidities and insomnia in children.īased on searches in the literature for articles, reviews and meta-analyses, five levels of evidence were put forward as recommendations for managing insomnia: The meeting aimed to provide new guidelines for diagnosing and treating insomnia. In November 2008, the Brazilian Sleep Society brought together doctors who specialize in sleep medicine, in São Paulo. It therefore generates a high cost for society. Insomnia, as a symptom, syndrome or disease, has serious social and professional consequences, affecting daily activities and rendering individuals incapable of performing their tasks. Palavras-chave: insônia, diagnóstico da insônia, tratamento da insônia, terapia comportamental cognitiva.Įven today, insomnia remains a clinical entity that is difficult to diagnose and complex to treat, demanding an approach with appropriate strategy and planning. Para o diagnóstico da insônia, foi recomendada uma avaliação psicossocial e a realização da polissonografia, enquanto que no que se refere ao tratamento, foi estabelecido como padrão a indicação da terapia comportamental cognitiva, e, quanto ao tratamento farmacológico, foi indicado o uso do zolpidem como hipnótico padrão, e sendo recomendado o zopiclone, a trazodona e a doxepina. Os tópicos abordados foram: conceito, avaliação clínica e psicossocial, indicação da polissonografia, tratamento farmacológico, terapia comportamental cognitiva, comorbidades e insônia na infância. Nós consideramos quatro níveis de evidência: padrão, recomendado, opcional e não recomendado. Key words: insomnia, diagnosis of insomnia, treatment of insomnia, cognitive behavioral therapy.Ī Associação Brasileira de Sono reuniu especialistas em medicina do sono com o objetivo de desenvolver novas diretrizes no diagnóstico e tratamento das insônias. For non-pharmacological treatment, cognitive behavioral treatment was considered to be standard, while for pharmacological treatment, zolpidem was indicated as the standard drug because of its hypnotic profile, while zopiclone, trazodone and doxepin were recommended. For diagnosing of insomnia, psychosocial and polysomnographic investigation were recommended. Four levels of evidence were envisaged: standard, recommended, optional and not recommended. The following subjects were discussed: concepts, clinical and psychosocial evaluations, recommendations for polysomnography, pharmacological treatment, behavioral and cognitive therapy, comorbidities and insomnia in children. Brazilian Sleep AssociationĠ1329-010 São Paulo SP - Brazilian Sleep Association brought together specialists in sleep medicine, in order to develop new guidelines on the diagnosis and treatment of insomnias. XIState University, São Paulo SP, Brazil. IXSão Lucas Hospital, Curitiba PR, Brazil. VIICatolic University, Curitiba PR, Brazil. VIMoinhos de Vento Hospital, Porto Alegre RS, Brazil. IIISchool of Medicine Science, MG, Brazil. IFederal University, São Paulo SP, Brazil. Rodrigues X Rosa Hasan II Ronaldo Fonseca XI Stella Tavares I VIII Márcia Assis IX Márcia Pradella-Hallinan I Maria Christina Ribeiro Pinto I Raimundo Nonato D. I Rosana Cardoso Alves II Eliazor Caixeta III John Araujo Fontenelle IV Andrea Bacellar V Dalva Poyares I Flavio Aloe II Geraldo Rizzo VI Gisele Minhoto VII Lia Rita Bittencourt I Luiz Ataide Jr. Novas diretrizes no diagnóstico e tratamento das insônias New guidelines for diagnosis and treatment of insomnia
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |