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Poluektov M.G.
Sechenov First Moscow State Medical University (Sechenov University)
Kotova O.V.
Medical Institute of Peoples’ Friendship University;
International Society for the Study of Stress «Stress under control»
Ostroumova O.D.
Russian Medical Academy of Continuous Professional Education
Ostroumova T.M.
Sechenov First Moscow State Medical University (Sechenov University)
Management of patients with insomnia and polymorbidity. A draft of the clinical guidelines
Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2024;124(5‑2): 39‑52
Views: 946
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To cite this article:
Poluektov MG, Akarachkova ES, Dovgan EV, et al. . Management of patients with insomnia and polymorbidity. A draft of the clinical guidelines. S.S. Korsakov Journal of Neurology and Psychiatry.
2024;124(5‑2):39‑52. (In Russ.)
https://doi.org/10.17116/jnevro202412405239
Insomnia is a serious and widespread public health problem, but is often undetected and patients do not receive needed treatment. Insomnia is often comorbid with other diseases and conditions, such as arterial hypertension, type 2 diabetes mellitus, pain syndromes, anxiety and depressive disorders, etc. A separate problem is drug-induced insomnia, when patients develop symptoms due to other diseases treatments. Insomnia has a negative effect on the prognosis of comorbid diseases, including an increased risk of death, more severe disease, and decreased quality of life. The presence of sleep disorders makes it difficult to effectively treat the underlying disease, so clinical guidelines draft for the evaluation and treatment of insomnia in multimorbid patients is proposed. Diagnostic methods are reviewed and recommendations are given for the treatment of acute and chronic insomnia and features of the treatment of insomnia in multimorbid patients. A clinical algorithm has been proposed to determine treatment tactics in multimorbid patients.
Keywords:
Authors:
Poluektov M.G.
Sechenov First Moscow State Medical University (Sechenov University)
Kotova O.V.
Medical Institute of Peoples’ Friendship University;
International Society for the Study of Stress «Stress under control»
Ostroumova O.D.
Russian Medical Academy of Continuous Professional Education
Ostroumova T.M.
Sechenov First Moscow State Medical University (Sechenov University)
Received:
11.03.2024
Accepted:
20.03.2024
List of references:
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