WHO Guide to Mental and Neurological Health in Primary Care
Homepage Diagnostic checklists Interactive Summary Cards Downloads About this site

WHO Collaborating Centre

Homepage :: Adult disorders :: Sleep problems :: Insomnia :: General management and advice to patient and family

General management and advice to patient and family

(ref 218-220)

  • Encourage the patient to practise good sleep hygiene:
    - Keep to regular hours for going to bed and getting up in the morning, including at weekends
    - Make plans or think about problems before retiring to bed
    - Keep a pen and pad next to the bed for writing down troublesome thoughts which can then be reviewed
    - Avoid caffeine and alcohol in the evenings
    - Avoid daytime naps.

  • Daytime exercise can help the patient to sleep regularly, but evening exercise may contribute to insomnia.
  • Behavioural treatment is safer and more effective than medication (eg cognitive therapy, stimulus control, sleep restriction, relaxation). (see Learning to relax)
  • Self-help leaflets, books and groups may be useful. (see Sleep problems)
  • Sleep diaries are often useful in assessment and monitoring of progress. (see Sleep problems)

References

218 Kupfer DJ, Reynolds CF. Management of insomnia. N Engl J Med 1997, 336: 341-346.

219 Ancoli-Israel S. Insomnia in the elderly: a review for the primary-care practitioner. Sleep 2000, 23(Suppl 1): S23-S30.

220 Edinger JD, Wohlgemuth WK. The significance and management of persistent primary insomnia: the past, present and future of behavioural insomnia therapies. Sleep Med Rev 1999, 3: 101-118.

Last edited: 26/1/2004


PREVIOUS 1 2 3 4 5 6 NEXT
(Page 4 of 6 in this chapter).

2003-4 World Health Organization - UK Collaborating Centre