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Nervenheilkunde 2018; 37(03): 191-198
DOI: 10.1055/s-0038-1642094
Übersichtsartikel
Schattauer GmbH

Insomnie und andere Schlafstörungen

Klassifikation, Diagnostik und TherapieInsomnia and other sleep disordersclassification, diagnosis and therapy
M. Gahr
1   Klinik für Psychiatrie und Psychotherapie III, Universitätsklinikum Ulm
› Institutsangaben
Weitere Informationen
Korrespondenzadresse
Priv.-Doz. Dr. Maximilian Gahr, MA
Klinik für Psychiatrie und Psychotherapie III Universitätsklinikum Ulm
Leimgrubenweg 12–14, 89075 Ulm
Telefon: 0731/50061552   
Fax: 0731/50061502   

Publikationsverlauf

eingegangen am: 01. Dezember 2017

angenommen am: 15. Dezember 2017

Publikationsdatum:
02. April 2018 (online)

 
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Zusammenfassung

Beeinträchtigungen des Schlafs gehören zu den sehr häufig berichteten Symptomen. Schlafstörungen können Ursache und Folge von zahlreichen körperlichen Erkrankungen und psychischen Störungen sein und sind mit verminderter Lebensqualität und reduzierter körperlicher und geistiger Leistungsfähigkeit assoziiert. Die narrative Übersichtsarbeit informiert anhand der dritten Auflage der International Classification of Sleep Disorders (ICSD-3) über die Klassifikation und Symptomatik der Schlafstörungen sowie deren Diagnostik und Therapie; der Schwerpunkt liegt dabei auf der Insomnie.


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Summary

Impairments of sleep are one of the most frequently reported symptoms. Sleep disorders may be cause and consequence of physical illnesses or mental disorders and are associated with reduced quality of life and diminished physical and mental performance. The narrative review article provides information on classification and symptomatology of sleep disorders according to the third edition of the International Classification of Sleep Disorders (ICSD-3) and diagnosis and therapy; the focus is on insomnia.


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Schlüsselwörter

Benzodiazepine - Hypersomnie - Parasomnie - Psychiatrie - Schlafmedizin

Keywords

Benzodiazepines - hypersomnia - prasomnia - psychiatry - sleep medicine

 


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Interessenkonflikt

Der Autor erklärt, dass keine Interessenkonflikte bestehen. Teile der Arbeit wurden bereits publiziert (Gahr M. Diagnosis and therapy of insomnia and basic aspects of other sleep disorders. MMW Fortschritte der Medizin 2017: 14(159): 40–44).

  • Literatur

  • 1 Sommer I, Brühl A, Delsignore A, Weidt S. Insomnia in the general practitioner´s office: from diagnosis to initial interventions. Praxis 2014; 103 (11) 649-656.
    CrossrefPubMedGoogle Scholar
  • 2 Wallander M, Johansson S, Ruigómez A, García LRodríguez, Jones R. Morbidity associated with sleep disorders in primary care: a longitudinal cohort study. Prim Care Companion J Clin Psychiatry 2007; 09 (05) 338-345.
    CrossrefPubMedGoogle Scholar
  • 3 Costa e Silva J. Sleep disorders in psychiatry. Metabolism 2006; 55 10 Suppl 2 S40-44.
    CrossrefPubMedGoogle Scholar
  • 4 Kyle S, Morgan K, Espie C. Insomnia and health-related quality of life. Sleep Med Rev 2010; 14 (01) 69-82.
    CrossrefPubMedGoogle Scholar
  • 5 Szentkirályi A, Madarász C, Novák M. Sleep disorders: impact on daytime functioning and quality of life. Expert Rev Pharmacoecon Outcomes Res 2009; 09 (01) 49-64.
    CrossrefPubMedGoogle Scholar
  • 6 Thorpy M. Classification of sleep disorders. Neurotherapeutics 2012; 09 (04) 687-701.
    CrossrefPubMedGoogle Scholar
  • 7 Stores G. Clinical diagnosis and misdiagnosis of sleep disorders. J Neurol Neurosurg Psychiatry 2007; 78 (12) 1293-1297.
    CrossrefPubMedGoogle Scholar
  • 8 Ohayon M. Epidemiology of insomnia: what we know and what we still need to learn. Sleep Med Rev 2002; 06 (02) 97-111.
    CrossrefPubMedGoogle Scholar
  • 9 Buysse D. Insomnia. JAMA 2013; 309 (07) 706-716.
    CrossrefPubMedGoogle Scholar
  • 10 Mayer G, Rodenbeck A, Geisler P, Schulz H. Internationale Klassifikation der Schlafstörungen: Übersicht über die Änderungen in der ICSD-3. Somnologie 2015; 19: 116-125.
    CrossrefGoogle Scholar
  • 11 (DGSM) DGfSuS. Nicht erholsamer Schlaf/Schlafstörungen. Somnologie. 2009; 13: 4-160.
    PubMedGoogle Scholar
  • 12 Cunnington D, Junge M, Fernando A. Insomnia: prevalence, consequences and effective treatment. Med J Aust 2013; 199 (08) S36-40.
    CrossrefPubMedGoogle Scholar
  • 13 Schutte-Rodin S, Broch L, Buysse D, Dorsey C, Sateia M. Clinical guideline for the evauation and management of chonic insomnia in adults. J Clin Sleep Med 2008; 04 (05) 487-504.
    Google Scholar
  • 14 Ohayon M. Epidemiological study on insomnia in the general population. Sleep 1996; 19 3 Suppl S7-15.
    CrossrefPubMedGoogle Scholar
  • 15 Morin C, Bootzin R, Buysee D, Edinger J, Espie C, Lichstein K. Psychological and behavioral treatment of insomnia:update of the recent evidence (1998–2004). Sleep 2006; 29 (11) 1398-1414.
    CrossrefPubMedGoogle Scholar
  • 16 Chesson AJ, Anderson W, Littner M, Davila D, Hartse K, Johnson S, Wise M, Reafecas J. Practice parameters for the nonpharmacologic treatment of chronic insomnia. An American Academy of Slep Medicine report. Standards of Practice Committee of the American Sleep Medicine. Sleep 1999; 22 (08) 1128-1133.
    CrossrefPubMedGoogle Scholar
  • 17 Morin C, Hauri P, Espie C, Spielman A, Buysee D, Bootzin R. Nonpharmacologic treatment of chronic insomnia. An American Academy of Sleep Medicine review. Sleep 1999; 22 (08) 1134-1156.
    PubMedGoogle Scholar
  • 18 Jeste D, Blazer D, Casey D, Meeks T, Salzman C, Schneider L, Tariot P, Yaffe K. ACNP White Paper: update on use of antipsychotic drugs in elderly persons with dementia. Neurpsychopharmacology 2008; 33 (05) 957-970.
    Google Scholar

Korrespondenzadresse
Priv.-Doz. Dr. Maximilian Gahr, MA
Klinik für Psychiatrie und Psychotherapie III Universitätsklinikum Ulm
Leimgrubenweg 12–14, 89075 Ulm
Telefon: 0731/50061552   
Fax: 0731/50061502   

  • Literatur

  • 1 Sommer I, Brühl A, Delsignore A, Weidt S. Insomnia in the general practitioner´s office: from diagnosis to initial interventions. Praxis 2014; 103 (11) 649-656.
    CrossrefPubMedGoogle Scholar
  • 2 Wallander M, Johansson S, Ruigómez A, García LRodríguez, Jones R. Morbidity associated with sleep disorders in primary care: a longitudinal cohort study. Prim Care Companion J Clin Psychiatry 2007; 09 (05) 338-345.
    CrossrefPubMedGoogle Scholar
  • 3 Costa e Silva J. Sleep disorders in psychiatry. Metabolism 2006; 55 10 Suppl 2 S40-44.
    CrossrefPubMedGoogle Scholar
  • 4 Kyle S, Morgan K, Espie C. Insomnia and health-related quality of life. Sleep Med Rev 2010; 14 (01) 69-82.
    CrossrefPubMedGoogle Scholar
  • 5 Szentkirályi A, Madarász C, Novák M. Sleep disorders: impact on daytime functioning and quality of life. Expert Rev Pharmacoecon Outcomes Res 2009; 09 (01) 49-64.
    CrossrefPubMedGoogle Scholar
  • 6 Thorpy M. Classification of sleep disorders. Neurotherapeutics 2012; 09 (04) 687-701.
    CrossrefPubMedGoogle Scholar
  • 7 Stores G. Clinical diagnosis and misdiagnosis of sleep disorders. J Neurol Neurosurg Psychiatry 2007; 78 (12) 1293-1297.
    CrossrefPubMedGoogle Scholar
  • 8 Ohayon M. Epidemiology of insomnia: what we know and what we still need to learn. Sleep Med Rev 2002; 06 (02) 97-111.
    CrossrefPubMedGoogle Scholar
  • 9 Buysse D. Insomnia. JAMA 2013; 309 (07) 706-716.
    CrossrefPubMedGoogle Scholar
  • 10 Mayer G, Rodenbeck A, Geisler P, Schulz H. Internationale Klassifikation der Schlafstörungen: Übersicht über die Änderungen in der ICSD-3. Somnologie 2015; 19: 116-125.
    CrossrefGoogle Scholar
  • 11 (DGSM) DGfSuS. Nicht erholsamer Schlaf/Schlafstörungen. Somnologie. 2009; 13: 4-160.
    PubMedGoogle Scholar
  • 12 Cunnington D, Junge M, Fernando A. Insomnia: prevalence, consequences and effective treatment. Med J Aust 2013; 199 (08) S36-40.
    CrossrefPubMedGoogle Scholar
  • 13 Schutte-Rodin S, Broch L, Buysse D, Dorsey C, Sateia M. Clinical guideline for the evauation and management of chonic insomnia in adults. J Clin Sleep Med 2008; 04 (05) 487-504.
    Google Scholar
  • 14 Ohayon M. Epidemiological study on insomnia in the general population. Sleep 1996; 19 3 Suppl S7-15.
    CrossrefPubMedGoogle Scholar
  • 15 Morin C, Bootzin R, Buysee D, Edinger J, Espie C, Lichstein K. Psychological and behavioral treatment of insomnia:update of the recent evidence (1998–2004). Sleep 2006; 29 (11) 1398-1414.
    CrossrefPubMedGoogle Scholar
  • 16 Chesson AJ, Anderson W, Littner M, Davila D, Hartse K, Johnson S, Wise M, Reafecas J. Practice parameters for the nonpharmacologic treatment of chronic insomnia. An American Academy of Slep Medicine report. Standards of Practice Committee of the American Sleep Medicine. Sleep 1999; 22 (08) 1128-1133.
    CrossrefPubMedGoogle Scholar
  • 17 Morin C, Hauri P, Espie C, Spielman A, Buysee D, Bootzin R. Nonpharmacologic treatment of chronic insomnia. An American Academy of Sleep Medicine review. Sleep 1999; 22 (08) 1134-1156.
    PubMedGoogle Scholar
  • 18 Jeste D, Blazer D, Casey D, Meeks T, Salzman C, Schneider L, Tariot P, Yaffe K. ACNP White Paper: update on use of antipsychotic drugs in elderly persons with dementia. Neurpsychopharmacology 2008; 33 (05) 957-970.
    Google Scholar

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