{"title":"失眠的临床进展","authors":"Angel Anthamatten, Brenna Gillis, Abby Parish","doi":"10.1016/j.nurpra.2025.105518","DOIUrl":null,"url":null,"abstract":"<div><div>Insomnia is a common complaint that can significantly impact patient health and well-being and contribute to substantial direct and indirect costs. Sleep disturbance rarely occurs alone; it is frequently associated with mental health, cardiovascular, pulmonary, and other disorders. The importance of sleep is well established. Primary care providers are well positioned to perform comprehensive assessments and initiate treatment for many common sleep disorders. This brief report outlines key elements of the assessment of patients presenting with sleep disturbance, as well as an evidence-based approach to pharmacologic and nonpharmacologic therapies. The role of Cognitive Behavioral Therapy for Insomnia is also thoroughly explored.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105518"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Clinical Update on Insomnia\",\"authors\":\"Angel Anthamatten, Brenna Gillis, Abby Parish\",\"doi\":\"10.1016/j.nurpra.2025.105518\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Insomnia is a common complaint that can significantly impact patient health and well-being and contribute to substantial direct and indirect costs. Sleep disturbance rarely occurs alone; it is frequently associated with mental health, cardiovascular, pulmonary, and other disorders. The importance of sleep is well established. Primary care providers are well positioned to perform comprehensive assessments and initiate treatment for many common sleep disorders. This brief report outlines key elements of the assessment of patients presenting with sleep disturbance, as well as an evidence-based approach to pharmacologic and nonpharmacologic therapies. The role of Cognitive Behavioral Therapy for Insomnia is also thoroughly explored.</div></div>\",\"PeriodicalId\":101233,\"journal\":{\"name\":\"The Journal for Nurse Practitioners\",\"volume\":\"21 10\",\"pages\":\"Article 105518\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-09-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Journal for Nurse Practitioners\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1555415525002016\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal for Nurse Practitioners","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1555415525002016","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Insomnia is a common complaint that can significantly impact patient health and well-being and contribute to substantial direct and indirect costs. Sleep disturbance rarely occurs alone; it is frequently associated with mental health, cardiovascular, pulmonary, and other disorders. The importance of sleep is well established. Primary care providers are well positioned to perform comprehensive assessments and initiate treatment for many common sleep disorders. This brief report outlines key elements of the assessment of patients presenting with sleep disturbance, as well as an evidence-based approach to pharmacologic and nonpharmacologic therapies. The role of Cognitive Behavioral Therapy for Insomnia is also thoroughly explored.