失眠症
医学
社会经济地位
慢性失眠
精神科
睡眠障碍
临床心理学
环境卫生
人口
作者
David J. Kupfer,Charles F. Reynolds
标识
DOI:10.1056/nejm199701303360506
摘要
Insomnia is a common symptom, and clinicians need a diagnostic approach that allows them to choose from among many different types of therapy. This review focuses on the practical management of insomnia in adults1 and on the scientific basis of current treatments.2,3 Reports of insomnia tend to increase with age4 and are more prevalent among women,5 even though laboratory studies show that older men have more disrupted sleep.6,7 People who are divorced, widowed, or separated report having insomnia more often than married people; lower socioeconomic status is also a correlate of insomnia.8 The course of insomnia can vary . . .
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