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Use of sleep hygiene in the treatment of insomnia.
Sleep Med Rev 2003; 7(3):215-25SM

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.

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.eduNo affiliation info available

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 -