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Previous Volume 336:341-346 January 30, 1997 Number 5 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Insomnia is a common symptom, and clinicians need a diagnostic approach that allows them to choose from among many different types of therapy. This review focuses on the practical management of insomnia in adults¹ and on the scientific basis of current treatments.^2,3 Reports of insomnia tend to increase with age⁴ and are more prevalent among women,⁵ even though laboratory studies show that older men have more disrupted sleep.^6,7 People who are divorced, widowed, or separated report having insomnia more often than married people; lower socioeconomic status is also a correlate of insomnia.⁸ The course of insomnia can vary over time,^9,10 . . . [Full Text of this Article]

Insomnia: Symptom versus Syndrome

Evaluation: Principles and Pitfalls

Management

Educational and Behavioral Intervention

Pharmacotherapeutic Management

Conclusions

Source Information

From the Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, 3811 O'Hara St., Pittsburgh, PA 15213-2593, where reprint requests should be addressed to Dr. Kupfer.

References

Related Letters:

Insomnia
Lobo B. L., Greene W. L.
Extract | Full Text  
N Engl J Med 1997; 336:1919-1920, Jun 26, 1997. Correspondence

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