Journal List > Ewha Med J > v.36(2) > 1058578

Choi and Lim: Current Clinical Practice of Insomnia


Insomnia is one of the most common sleep disorders, which is leading to significant clinical distress and impairment of daytime functioning and decreasing quality of life. This article reviews the current clinical treatment options of insomnia. Non-pharmacological treatment including stimulus control, sleep restriction, cognitive therapy, relaxation training, and education of sleep hygiene should be considered first for treatment of insomnia. Psychological and behavioral interventions tend to have longer-lasting treatment benefits, while drugs show immediate improvement of sleep disturbance. In pharmacotherapy, benzodiazepine receptor agonist, melatonin receptor antagonist, and 'off-label' drugs to treat insomnia are reviewed.

Figures and Tables

Table 1
Diagnostic and Statistical Manual of Mental Disorder (DSM)-5 criteria of insomnia disorder

Adapted from American Psychiatric Association [9].

Table 2
Evaluation of insomnia [11]
Table 3
Medications used in the treatment of insomnia


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