Primary care approach in insomnia

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dc.authorscopusid23095569900
dc.authorscopusid7004177011
dc.authorscopusid7801565897
dc.authorscopusid6504646080
dc.contributor.authorÖzer C.
dc.contributor.authorŞahin E.M.
dc.contributor.authorDa?deviren N.
dc.contributor.authorArtürk Z.
dc.date.accessioned2024-06-12T10:28:14Z
dc.date.available2024-06-12T10:28:14Z
dc.date.issued2001
dc.description.abstractAlmost all the people have sleep problems in their lives. Sometimes they are serious and decrease the quality of life. In primary care one third of the patients have difficulties in sleeping and nearly half of these patients are chronically ill. In some patients with insomnia, no etiologic factor can be find but in many cases medical or psychiatric disorders are the cause of insomnia. All physicians must incorporate sleep related questions into the general review of the systems. Patients with sleep disorder will be requested to use sleep diary. In the diary all the day-time and the night-time activities and sleep related factors will be noted. Difficulty falling asleep, difficulty maintaining sleep, waking up too early in the morning, sleep that is not refreshing are the probable symptoms in insomnia. Two general approaches are available in the treatment of primary or persisting insomnia: Behaviour and pharmacologic. Hipnotic medications are effective in inducing, maintaining and consolidating sleep. In patients with insomnia that is associated with psychiatric disorders or history of substance abuse, antidepresssants are to be preferred. Behaviour treatment changes sleep habits, dysfunctional beliefs and reduces autonomic arousal. A few weeks of therapy is necessary before sleep improves with behavior approaches, but the relief continues. Behavior and pharmacologic treatment are compatible and may be combined to maintain relief.en_US
dc.identifier.endpage77en_US
dc.identifier.issn1016-5134
dc.identifier.issue10en_US
dc.identifier.scopus2-s2.0-0035204817en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage73en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/17154
dc.identifier.volume13en_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.relation.ispartofSENDROMen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAntidepressant Agent; Hypnotic Agent; Behavior Therapy; Chronic Disease; Daily Life Activity; Human; Insomnia; Mental Disease; Primary Medical Care; Quality Of Life; Review; Sleep Disorder; Sleep Waking Cycle; Substance Abuseen_US
dc.titlePrimary care approach in insomniaen_US
dc.title.alternativeInsomnide birinci basamak yaklaşimien_US
dc.typeReview Articleen_US

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