Despite its prevalence, insomnia remains poorly understood, mainly because of the lack of clear scientific data supporting the many approaches used. Millions of sufferers turn to alcohol, melatonin or over-the-counter sleep aids, despite the risks and lack of empirical evidence supporting the efficacy or safety of these agents. This book is the first of its kind to collate the up-to-date scientific data in order to identify the gaps in our knowledge and improve clinical management. A highly distinguished team of contributors examines the most recent findings and points where research should be heading. They cover the nature and prevalence of insomnia throughout the lifespan; the molecular, neuropharmacological, and neuroanatomical systems of relevance to insomnia, and the impact of related problems (such as shift work, industrial accidents, mood disorders, and other sleep disorders). This is essential reading for all health care professionals engaged in the management of insomnia.
Foreword; Introduction: Clinical work with insomnia state of the art Peter Hauri; Part I. Characterization of Insomnia: 1. Diagnosis and classification of insomnia disorders Daniel J. Buysse; 2. Daytime sequelae of insomnia Jacqueline D. Kloss; 3. Insomnia in psychiatric disorders Martin P. Szuba and Jacqueline D. Kloss; Part II. Treatment of Insomnia: 4. Treating insomnia with behavioral approaches: evidence for efficacy, effectiveness, and practicality Charles M. Morin; 5. The sleep-promoting effects of melatonin Robert L. Sack, Rod J. Hughes, Maria Laura N. Pires and Alfred J. Lewy; 6. Long-term use of hypnotic medications Wallace B. Mendelson; Part III. Special Topics in Insomnia: 7. Insomnia in children and adolescents Jodi Mindell; 8. Insomnia in geriatric populations Jennifer Martin and Sonia Ancoli-Israel; 9. Insomnia due to circadian rhythm disturbances Diane B. Boivin and Francine O. James; Part IV. Neuroanatomical Mechanisms of Insomnia: 10. Molecular approaches to understanding insomnia Allan L. Pack and Miroslaw Mackiewicz; 11. Amygdalar modulation of sleep regulation: implications for insomnia Larry D. Sanford; 12. Hypothalamic pathways and neurotransmitters regulating sleep Clifford B. Saper and Thomas E. Scammell; 13. Summary of the issues and discussion of the future David F. Dinges; Appendices: A. Stimulus control; B. Sleep hygiene; C. Sleep restriction; D. Bibliography for related self-help books; E. Medications used as hypnotic agents; F. Classification; G. Sleep societies; H. Sleep journals; Index.