Search results for "Insomnia"
MKSAP Quiz: Sleeplessness in patient with panhypopituitarism
A 28-year-old woman is evaluated for a 2-month history of sleeplessness. She has had panhypopituitarism since surgery for a craniopharyngioma at age 15 years. Medical history includes hypoadrenalism, hypogonadism, and hypothyroidism. Following a physical exam, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2024/10/29/3.htm
29 Oct 2024
Alzheimer's advances pose challenges
A new test and new treatments for Alzheimer's disease may offer patients hope but could also raise more questions than they answer, with careful balancing of risks and benefits required.
https://immattersacp.org/archives/2024/11/alzheimers-advances-pose-challenges.htm
1 Nov 2024
MKSAP Quiz: 1-year history of insomnia
An 87-year-old woman is evaluated for a 1-year history of bothersome insomnia. She reports taking up to 2 hours to fall asleep. She also feels that her sleep is less refreshing. What is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2023/11/21/3.htm
21 Nov 2023
New modalities may extend treatment for insomnia
While cognitive behavioral therapy has been proven effective for insomnia, and there are new delivery models to accommodate patients, comparative efficacy of online versus therapist-led treatment is uncertain.
https://immattersacp.org/archives/2020/11/new-modalities-may-extend-treatment-for-insomnia.htm
1 Nov 2020
Insomnia symptoms, short sleep duration in midlife women linked to CVD risk
Persistent insomnia symptoms, alone and combined with short sleep duration, in women ages 42 to 52 years were associated with a subsequent 70% to 75% increased risk of cardiovascular disease (CVD).
https://immattersacp.org/weekly/archives/2024/02/06/2.htm
6 Feb 2024
Nurse-delivered sleep restriction therapy may be effective for insomnia
Brief, nurse-delivered sleep restriction therapy in primary care reduced insomnia symptoms and appeared cost-effective, an English trial found.
https://immattersacp.org/weekly/archives/2023/08/22/4.htm
22 Aug 2023
Considerations about cannabis
As more states legalize recreational and medical cannabis, hospital physicians are finding themselves caring for regular users more frequently.
https://immattersacp.org/archives/2024/05/considerations-about-cannabis.htm
1 May 2024
Self-guided sleep intervention reduced sedative use, improved quality rest
A mailed direct-to-patient intervention reduced use of long-term benzodiazepines and increased use of cognitive behavioral therapy by older adults being treated for insomnia, a Canadian trial found.
https://immattersacp.org/weekly/archives/2024/09/24/4.htm
24 Sep 2024
New guideline encourages use of cognitive behavioral therapy for insomnia in adults
The American Academy of Sleep Medicine's guideline update addresses use of multicomponent brief therapies for insomnia, as well as single therapies such as stimulus control and relaxation therapy.
https://immattersacp.org/weekly/archives/2020/12/22/5.htm
22 Dec 2020
Everyday symptoms could point to potential PTSD
A clinical practice guideline can help clinicians screen for, diagnose, and treat post-traumatic stress disorder (PTSD) and a related condition, acute stress disorder.
https://immattersacp.org/archives/2024/05/everyday-symptoms-could-point-to-potential-ptsd.htm
1 May 2024