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Society guideline links: Insomnia in adults

Society guideline links: Insomnia in adults

Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately. (See "Society guideline links: Insomnia in children" and "Society guideline links: Parasomnias, hypersomnias, and circadian rhythm disorders" and "Society guideline links: Restless legs syndrome".)

International

World Sleep Society (WSS): Endorsement of European guideline for the diagnosis and treatment of insomnia (2021)

Deprescribing antipsychotics for behavioural and psychological symptoms of dementia and insomnia – Evidence-based clinical practice guideline (2018)

Canada

Choosing Wisely Canada: Don't routinely prescribe benzodiazepines or other sedative-hypnotics for promotion of sleep without first a trial of non-pharmacologic interventions (2021)

Choosing Wisely Canada: Don't use benzodiazepines and other sedative-hypnotics in older adults as first choice for insomnia, agitation or delirium (2021)

Choosing Wisely Canada: Question the use of antipsychotics as a first-line intervention to treat primary insomnia in any age group (2020)

United States

American Academy of Sleep Medicine (AASM): Clinical practice guideline on behavioral and psychological treatments for chronic insomnia disorder in adults (2021)

Choosing Wisely: Don't offer hypnotics as the only initial therapy for chronic insomnia in adults. Use cognitive-behavioral therapy for insomnia (CBT-I), whenever possible, and use medications only when necessary (2014, updated 2021)

Choosing Wisely: Don't perform polysomnography in chronic insomnia patients unless there is concern for a comorbid sleep disorder (2014, updated 2021)

Department of Veterans Affairs (VA)/Department of Defense (DoD): Clinical practice guideline for the management of chronic insomnia disorder and obstructive sleep disorder (2019)

AASM: Clinical practice guideline for the use of actigraphy for the evaluation of sleep disorders and circadian rhythm sleep-wake disorders (2018)

AASM: Clinical practice guideline for the pharmacologic treatment of chronic insomnia in adults (2017)

AASM and Sleep Research Society (SRS): Joint consensus statement on the recommended amount of sleep for a healthy adult (2015)

American Thoracic Society (ATS): An official statement on the importance of healthy sleep – Recommendations and future priorities (2015)

Choosing Wisely: Don't use benzodiazepines or other sedative-hypnotics in older adults as first choice for insomnia, agitation or delirium (2013, revised 2015)

Choosing Wisely: Don't routinely order sleep studies (polysomnogram) to screen for/diagnose sleep disorders in workers suffering from chronic fatigue/insomnia (2014)

Choosing Wisely: Don't routinely prescribe antipsychotic medications as a first-line intervention for insomnia in adults (2013, updated 2014)

AASM: Clinical guideline for the evaluation and management of chronic insomnia in adults (2008)

Europe

European Academy of Neurology (EAN)/European Respiratory Society (ERS)/European Stroke Organization (ESO)/European Sleep Research Society (ESRS): Statement on the impact of sleep disorders on risk and outcome of stroke (2020)

ESRS: European guideline for the diagnosis and treatment of insomnia (2017)

United Kingdom

National Institute for Health and Care Excellence (NICE): Medical technologies guidance on Sleepio to treat insomnia and insomnia symptoms (2022)

British Association for Psychopharmacology (BAP): Consensus statement on evidence-based treatment of insomnia, parasomnias and circadian rhythm disorders, update (2019)

Australia-New Zealand

Australasian Sleep Association (ASA): Position statement regarding the use of psychological/behavioral treatments in the management of insomnia in adults (2017)

Choosing Wisely Australia: Do not prescribe benzodiazepines or other sedative-hypnotics to older adults as first choice for insomnia, agitation or delirium (2016)

Japan

[In Japanese] Choosing Wisely Japan: Treating sleep disorders – Antipsychotics not always best (2016)

Topic 113803 Version 13.0