Maintenance Treatment of Insomnia: What Can We Learn From the Depression Literature?

Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, United States
American Journal of Psychiatry (Impact Factor: 12.3). 02/2004; 161(1):19-24. DOI: 10.1176/appi.ajp.161.1.19
Source: PubMed


Insomnia and depression are common problems with profound public health consequences. When left untreated, both conditions have high rates of persistence and recurrence. Maintenance treatment for depression is fairly well established, but there is no evidence-based consensus regarding the safety and efficacy of maintenance therapy for insomnia. Consequently, long-term treatment of insomnia is driven primarily by the individual choices of patients and their clinicians. This article compares and contrasts the current state of research in the maintenance therapy of depression and insomnia and highlights gaps in the insomnia literature.

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    • "pproximately 40% had resumed regular use ( Belanger et al . , 2005 ; Morin et al . , 2005a ) , which suggests some people have enduring problems with sleep which benefit from treatment . Insomnia may have some similarities with depression , in that both represent long - term disorders in which maintenance treatment may be needed in many patients ( Jindal et al . , 2004 ) . A related issue is whether early intervention at the onset of insomnia might reduce the likeli - hood of it persisting . There is very little evidence available on this , and it must be seen as a research priority . Placebo - controlled trials of hypnotic treatment for durations longer than 3 weeks that can more definitely assess sa"
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    Journal of Psychopharmacology 11/2010; 24(11):1577-601. DOI:10.1177/0269881110379307 · 3.59 Impact Factor
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    • "Unfortunately, insomnia often goes unrecognized and untreated (Jindal et al., 2004; Rosenberg, 2006). "
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