Journal of Sleep Research

, volume 32 , issue 6

The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023

Dieter Riemann ^{1, 2}

Colin A. Espie ³

Ellemarije Altena ⁴

Erna S. Arnardottir ^{5, 6}

Chiara Baglioni ⁷

Claudio L. A. Bassetti ⁸

Celyne Bastien ⁹

Natalija Berzina ¹⁰

Bjørn Bjorvatn ¹¹

Dimitris Dikeos ¹²

Leja Dolenc Groselj ¹³

Jason Ellis ¹⁴

Diego Garcia Borreguero ¹⁵

Pierre Alexis Geoffroy ¹⁶

Michaela Gjerstad ¹⁷

Marta Gonçalves ¹⁸

Elisabeth Hertenstein ¹⁹

Kerstin Hoedlmoser ²⁰

Hion Tuuliki ²¹

Brigitte Holzinger ²²

Karolina Janků ²³

Markus Jansson-Fröjmark ^{24, 25}

Heli Järnefelt ²⁶

Susanna Jernelöv ^{24, 25}

Poul Jørgen Jennum ²⁷

Samson G Khachatryan ²⁸

Lukas B. Krone ^{3, 8, 19}

Simon D Kyle ³

Jaap Lancee ²⁹

D. Leger ³⁰

Adrian Lupusor ³¹

Daniel Ruivo Marques ^{32, 33}

Christoph Nissen ³⁴

Laura Palagini ³⁵

Tiina Paunio ³⁶

Lampros Perogamvros ³⁴

D. Pevernagie ³⁷

MANUEL SCHABUS ²⁰

Tamar Shochat ³⁸

Andras Szentkiralyi ³⁹

Eus J.W. van Someren ^{40, 41}

Annemieke Van Straten ⁴²

Adam Wichniak ⁴³

Johan Verbraecken ⁴⁴

Kai Spiegelhalder ¹

Hide authors affiliations Show authors affiliations: 44 affiliations

Department of Clinical Psychology and Psychophysiology, Centre for Mental Health (Department), Medical Center – University of Freiburg, Faculty of Medicine University of Freiburg Freiburg Germany |

Center for Basics in NeuroModulation (NeuroModulBasics), Faculty of Medicine University of Freiburg Freiburg Germany |

Sleep and Circadian Neuroscience Institute, Nuffield Department of Clinical Neuroscience at the University of Oxford Oxford UK |

⁴

Université de Bordeaux Bordeaux France |

⁵

Reykjavik University Sleep Institute, School of Technology, Reykjavik University Reykjavik Iceland |

⁶

Landspitali – The National University Hospital of Iceland Reykjavik Iceland |

⁷

Human Sciences Department University of Rome Guglielmo Marconi Rome Rome Italy |

⁸

Department of Neurology, Inselspital University of Bern Berne Switzerland |

⁹

École de Psychologie Université Laval Québec Québec Canada |

¹⁰

Psychiatric Practice Riga Latvia |

¹¹

Department of Global Public Health and Primary Care University of Bergen Bergen Norway |

¹²

First Department of Psychiatry, Medical School National and Kapodistrian University of Athens Athens Greece |

¹³

Institute of Clinical Neurophysiology University Medical Center Ljubljana Ljubljana Slovenia |

¹⁴

Northumbria Sleep Research Laboratory Northumbria University Newcastle UK |

¹⁵

Sleep Research Institute Madrid Spain |

¹⁶

Department of Psychiatry Paris Cite University Paris France |

¹⁷

Stavanger University Hospital Stavanger Norway |

¹⁸

Centro de Medicina de Sono Hospital Cuf Porto Portugal |

¹⁹

University Hospital of Psychiatry and Psychotherapy University of Bern Bern Switzerland |

²⁰

Centre for Cognitive Neurosciences University of Salzburg Salzburg Austria |

²¹

East‐Viru Central Hospital Kohtla‐Järve Estonia |

²²

Institute for Consciousness and Dream Research Vienna Austria |

²³

Center for Sleep and Chronobiology Research, National Institute of Mental Health Klecany Czech Republic |

²⁴

Division of Psychology, Department of Clinical Neuroscience Karolinska Institutet Stockholm Sweden |

²⁵

Centre for Psychiatry Research, Department of Clinical Neuroscience Karolinska Institutet, Stockholm, Sweden and Stockholm Health Care Services Stockholm Sweden |

²⁶

Finnish Institute of Occupational Health Helsinki Finland |

²⁷

Department of Clinical Medicine University of Copenhagen Kobenhavn Denmark |

²⁸

Department of Neurology and Neurosurgery Armenian National Institute of Health Yerevan Armenia |

²⁹

Department of Clinical Psychology University of Amsterdam Amsterdam The Netherlands |

³⁰

Université Paris Cité, APHP, Hôtel Dieu de Paris, Centre du Sommeil et de la Vigilance Paris France |

³¹

Functional Neurology, Institute of Neurology and Neurosurgery Chisinau Moldova |

³²

Department of Education and Psychology University of Aveiro Aveiro Portugal |

³³

CINEICC – Center for Research in Neuropsychology and Cognitive Behavioral Intervention, Faculty of Psychology and Educational Sciences University of Coimbra Coimbra Portugal |

³⁴

Department of Psychiatry University Hospital Geneve Geneve Switzerland |

³⁵

Psychiatry Unit, Department of Clinical and Experimental Medicine, School of Medicine University of Pisa Pisa Italy |

³⁶

Department of Psychiatry and SleepWell Research Program, Faculty of Medicine University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland; Public Health and Welfare, Finnish Institute for Health and Welfare Helsinki Finland

Helsinki University Hospital

Finnish Institute for Health and Welfare

³⁷

Department of Internal Medicine and Pediatrics Ghent University Ghent Belgium |

³⁸

The Cheryl Spencer Institute of Nursing Research University of Haifa Haifa Israel |

³⁹

Institute of Epidemiology and Social Medicine University of Münster Münster Germany |

⁴⁰

Department of Sleep and Cognition Netherlands Institute for Neuroscience, Royal Netherlands Academy of Arts and Sciences Amsterdam The Netherlands |

⁴¹

Departments of Integrative Neurophysiology and Psychiatry, Center for Neurogenomics and Cognitive Research Amsterdam UMC, Amsterdam Neuroscience, VU University Amsterdam The Netherlands

Vrije Universiteit Amsterdam

Amsterdam University Medical Center

Amsterdam Neuroscience

⁴²

Department of Clinical, Neuro‐ and Developmental Psychology & Amsterdam Public Health Research Institute Vrije Universiteit Amsterdam Amsterdam The Netherlands |

⁴³

Sleep Medicine Center and Third Department of Psychiatry, Institute of Psychiatry and Neurology Warsaw Poland |

⁴⁴

Multidisciplinary Sleep Disorders Centre Antwerp University Hospital and University of Antwerp Antwerp Belgium |

Publication type: Journal Article

Publication date: 2023-11-28

Wiley

Journal of Sleep Research

scimago Q1

wos Q1

SJR: 1.525

CiteScore: 8.2

Impact factor: 3.9

ISSN: 09621105, 13652869

DOI: 10.1111/jsr.14035

Copy DOI

PubMed ID: 38016484

General Medicine

Cognitive Neuroscience

Behavioral Neuroscience

Abstract

Summary

Progress in the field of insomnia since 2017 necessitated this update of the European Insomnia Guideline. Recommendations for the diagnostic procedure for insomnia and its comorbidities are: clinical interview (encompassing sleep and medical history); the use of sleep questionnaires and diaries (and physical examination and additional measures where indicated) (A). Actigraphy is not recommended for the routine evaluation of insomnia (C), but may be useful for differential‐diagnostic purposes (A). Polysomnography should be used to evaluate other sleep disorders if suspected (i.e. periodic limb movement disorder, sleep‐related breathing disorders, etc.), treatment‐resistant insomnia (A) and for other indications (B). Cognitive‐behavioural therapy for insomnia is recommended as the first‐line treatment for chronic insomnia in adults of any age (including patients with comorbidities), either applied in‐person or digitally (A). When cognitive‐behavioural therapy for insomnia is not sufficiently effective, a pharmacological intervention can be offered (A). Benzodiazepines (A), benzodiazepine receptor agonists (A), daridorexant (A) and low‐dose sedating antidepressants (B) can be used for the short‐term treatment of insomnia (≤ 4 weeks). Longer‐term treatment with these substances may be initiated in some cases, considering advantages and disadvantages (B). Orexin receptor antagonists can be used for periods of up to 3 months or longer in some cases (A). Prolonged‐release melatonin can be used for up to 3 months in patients ≥ 55 years (B). Antihistaminergic drugs, antipsychotics, fast‐release melatonin, ramelteon and phytotherapeutics are not recommended for insomnia treatment (A). Light therapy and exercise interventions may be useful as adjunct therapies to cognitive‐behavioural therapy for insomnia (B).

Found

1 citation

Biso Letizia

15 publications, 70 citations, 5 reviews

h-index: 6

University of Pisa

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Cite this

GOST |

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GOST Copy

Riemann D. et al. The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023 // Journal of Sleep Research. 2023. Vol. 32. No. 6.

GOST all authors (up to 50) Copy

Riemann D. et al. The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023 // Journal of Sleep Research. 2023. Vol. 32. No. 6.

RIS |

Cite this

RIS Copy

TY - JOUR

DO - 10.1111/jsr.14035

UR - https://doi.org/10.1111/jsr.14035

TI - The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023

T2 - Journal of Sleep Research

AU - Riemann, Dieter

AU - Espie, Colin A.

AU - Altena, Ellemarije

AU - Arnardottir, Erna S.

AU - Baglioni, Chiara

AU - Bassetti, Claudio L. A.

AU - Bastien, Celyne

AU - Berzina, Natalija

AU - Bjorvatn, Bjørn

AU - Dikeos, Dimitris

AU - Dolenc Groselj, Leja

AU - Ellis, Jason

AU - Garcia Borreguero, Diego

AU - Geoffroy, Pierre Alexis

AU - Gjerstad, Michaela

AU - Gonçalves, Marta

AU - Hertenstein, Elisabeth

AU - Hoedlmoser, Kerstin

AU - Tuuliki, Hion

AU - Holzinger, Brigitte

AU - Janků, Karolina

AU - Jansson-Fröjmark, Markus

AU - Järnefelt, Heli

AU - Jernelöv, Susanna

AU - Jennum, Poul Jørgen

AU - Khachatryan, Samson G

AU - Krone, Lukas B.

AU - Kyle, Simon D

AU - Lancee, Jaap

AU - Leger, D.

AU - Lupusor, Adrian

AU - Marques, Daniel Ruivo

AU - Nissen, Christoph

AU - Palagini, Laura

AU - Paunio, Tiina

AU - Perogamvros, Lampros

AU - Pevernagie, D.

AU - SCHABUS, MANUEL

AU - Shochat, Tamar

AU - Szentkiralyi, Andras

AU - van Someren, Eus J.W.

AU - Van Straten, Annemieke

AU - Wichniak, Adam

AU - Verbraecken, Johan

AU - Spiegelhalder, Kai

PY - 2023

DA - 2023/11/28

PB - Wiley

IS - 6

VL - 32

PMID - 38016484

SN - 0962-1105

SN - 1365-2869

ER -

BibTex

Cite this

BibTex (up to 50 authors) Copy

@article{2023_Riemann,

author = {Dieter Riemann and Colin A. Espie and Ellemarije Altena and Erna S. Arnardottir and Chiara Baglioni and Claudio L. A. Bassetti and Celyne Bastien and Natalija Berzina and Bjørn Bjorvatn and Dimitris Dikeos and Leja Dolenc Groselj and Jason Ellis and Diego Garcia Borreguero and Pierre Alexis Geoffroy and Michaela Gjerstad and Marta Gonçalves and Elisabeth Hertenstein and Kerstin Hoedlmoser and Hion Tuuliki and Brigitte Holzinger and Karolina Janků and Markus Jansson-Fröjmark and Heli Järnefelt and Susanna Jernelöv and Poul Jørgen Jennum and Samson G Khachatryan and Lukas B. Krone and Simon D Kyle and Jaap Lancee and D. Leger and Adrian Lupusor and Daniel Ruivo Marques and Christoph Nissen and Laura Palagini and Tiina Paunio and Lampros Perogamvros and D. Pevernagie and MANUEL SCHABUS and Tamar Shochat and Andras Szentkiralyi and Eus J.W. van Someren and Annemieke Van Straten and Adam Wichniak and Johan Verbraecken and Kai Spiegelhalder and others},

title = {The European Insomnia Guideline: An update on the diagnosis and treatment of insomnia 2023},

journal = {Journal of Sleep Research},

year = {2023},

volume = {32},

publisher = {Wiley},

month = {nov},

url = {https://doi.org/10.1111/jsr.14035},

number = {6},

doi = {10.1111/jsr.14035}

}

Publisher

Wiley

Journal

Journal of Sleep Research

scimago Q1

wos Q1

SJR

1.525

CiteScore

8.2

Impact factor

3.9

ISSN

09621105 (Print)

13652869 (Electronic)

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