Management of Chronic Insomnia Disorder in Adults

Publication Date: July 1, 2016
Last Updated: March 14, 2022

Recommendations

ACP recommends that all adult patients receive cognitive behavioral therapy for insomnia (CBT-I) as the initial treatment for chronic insomnia disorder. (, )
565
ACP recommends that clinicians use a shared decision-making approach, including a discussion of the benefits, harms, and costs of short-term use of medications, to decide whether to add pharmacological therapy in adults with chronic insomnia disorder in whom cognitive behavioral therapy for insomnia (CBT-I) alone was unsuccessful. (, )
565

Recommendation Grading

Overview

Title

Management of Chronic Insomnia Disorder in Adults

Authoring Organization

American College of Physicians

Publication Month/Year

July 1, 2016

Last Updated Month/Year

January 16, 2024

Supplemental Implementation Tools

Document Type

Guideline

External Publication Status

Published

Country of Publication

US

Document Objectives

The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations on the management of chronic insomnia disorder in adults.

Target Patient Population

Patients with chronic insomnia disorder

Inclusion Criteria

Female, Male, Adolescent, Adult, Older adult

Health Care Settings

Ambulatory, Outpatient

Intended Users

Nurse, nurse practitioner, physician, physician assistant

Scope

Assessment and screening, Diagnosis, Management

Diseases/Conditions (MeSH)

D012890 - Sleep, D000070263 - Sleep Hygiene, D012893 - Sleep Wake Disorders, D056508 - Sleep Medicine Specialty, D020919 - Sleep Disorders, Intrinsic, D020178 - Sleep Disorders, Circadian Rhythm

Keywords

Insomnia, sleep wake disorders, chronic insomnia