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Use of sleep hygiene in the treatment of insomnia.

Abstract

Sleep hygiene (SH) refers to a list of behaviors, environmental conditions, and other sleep-related factors that can be adjusted as a stand-alone treatment or component of multimodal treatment for patients with insomnia. This paper presents a review of SH, how this concept has been applied and often modified over the past 24 years, and how it relates to the modern sleep disorder nosology, particularly Inadequate Sleep Hygiene. Although a recognized and commonly utilized treatment option, there is no absolute consensus about which steps must be included to constitute SH treatment, and there is much overlap between SH and other cognitive-behavioral treatments for insomnia such as Stimulus Control Procedures and Sleep Restriction Therapy. The literature on the effects of manipulations of individual components of SH under experimental conditions (e.g. effects of presleep alcohol or caffeine intake) in normal sleepers show mixed results. Empirical data demonstrating the role of poor SH as a contributor to insomnia, or showing that good SH improves sleep in patients with insomnia, is not available. Instead of evaluating the impact of a comprehensive list of SH recommendations, a focus on guidelines for use of individual rules is needed.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Sleep Disorder Service and Research Center, Rush-Presbyterian-St Luke's Medical Center, 1653 West Congress Parkway, Chicago, IL 60612, USA. estepans@rush.edu

    Source

    Sleep medicine reviews 7:3 2003 Jun pg 215-25

    MeSH

    Body Temperature
    Caffeine
    Central Nervous System Stimulants
    Cognitive Behavioral Therapy
    Environment
    Ethanol
    Exercise
    Humans
    Noise
    Sleep Initiation and Maintenance Disorders
    Television
    Wakefulness

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    12927121

    Citation

    Stepanski, Edward J., and James K. Wyatt. "Use of Sleep Hygiene in the Treatment of Insomnia." Sleep Medicine Reviews, vol. 7, no. 3, 2003, pp. 215-25.
    Stepanski EJ, Wyatt JK. Use of sleep hygiene in the treatment of insomnia. Sleep Med Rev. 2003;7(3):215-25.
    Stepanski, E. J., & Wyatt, J. K. (2003). Use of sleep hygiene in the treatment of insomnia. Sleep Medicine Reviews, 7(3), pp. 215-25.
    Stepanski EJ, Wyatt JK. Use of Sleep Hygiene in the Treatment of Insomnia. Sleep Med Rev. 2003;7(3):215-25. PubMed PMID: 12927121.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Use of sleep hygiene in the treatment of insomnia. AU - Stepanski,Edward J, AU - Wyatt,James K, PY - 2003/8/21/pubmed PY - 2003/11/13/medline PY - 2003/8/21/entrez SP - 215 EP - 25 JF - Sleep medicine reviews JO - Sleep Med Rev VL - 7 IS - 3 N2 - Sleep hygiene (SH) refers to a list of behaviors, environmental conditions, and other sleep-related factors that can be adjusted as a stand-alone treatment or component of multimodal treatment for patients with insomnia. This paper presents a review of SH, how this concept has been applied and often modified over the past 24 years, and how it relates to the modern sleep disorder nosology, particularly Inadequate Sleep Hygiene. Although a recognized and commonly utilized treatment option, there is no absolute consensus about which steps must be included to constitute SH treatment, and there is much overlap between SH and other cognitive-behavioral treatments for insomnia such as Stimulus Control Procedures and Sleep Restriction Therapy. The literature on the effects of manipulations of individual components of SH under experimental conditions (e.g. effects of presleep alcohol or caffeine intake) in normal sleepers show mixed results. Empirical data demonstrating the role of poor SH as a contributor to insomnia, or showing that good SH improves sleep in patients with insomnia, is not available. Instead of evaluating the impact of a comprehensive list of SH recommendations, a focus on guidelines for use of individual rules is needed. SN - 1087-0792 UR - https://www.unboundmedicine.com/medline/citation/12927121/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/S1087079201902461 DB - PRIME DP - Unbound Medicine ER -