Latest & greatest articles for insomnia

The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on insomnia or other clinical topics then use Trip today.

This page lists the very latest high quality evidence on insomnia and also the most popular articles. Popularity measured by the number of times the articles have been clicked on by fellow users in the last twelve months.

What is Trip?

Trip is a clinical search engine designed to allow users to quickly and easily find and use high-quality research evidence to support their practice and/or care.

Trip has been online since 1997 and in that time has developed into the internet’s premier source of evidence-based content. Our motto is ‘Find evidence fast’ and this is something we aim to deliver for every single search.

As well as research evidence we also allow clinicians to search across other content types including images, videos, patient information leaflets, educational courses and news.

For further information on Trip click on any of the questions/sections on the left-hand side of this page. But if you still have questions please contact us via jon.brassey@tripdatabase.com

Top results for insomnia

121. A systematic review of the effects of acupuncture in treating insomnia

A systematic review of the effects of acupuncture in treating insomnia Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2009 DARE.

122. Clinical Practice Guidelines for the Management of Patients with Insomnia in Primary Care.

Clinical Practice Guidelines for the Management of Patients with Insomnia in Primary Care. Clinical Practice Guidelines for the Management of Patients with Insomnia in Primary Care. Full Version. Índice. Clinical Practice Guidelines for the Management of Patients with Insomnia in Primary Care. Full version Note :It has been 5 years since the publication of this Clinical Practice Guideline and it is subject to updating. The recommendations included should be considered with caution taking (...) into account that it is pending evaluate its validity. Download (1,99Mb) Table of contents 4.1. Prevalence of insomnia 4.2. Impact of insomnia: associated burden of disease 5.1. General concepts: sleep stages 5.2. Definitions, ethiopathogenia and pathophysiology of insomnia 5.3. Clinical features of insomnia 5.4. Classifications 6.1. Diagnostic criteria 6.2. Diagnostic algorithm 6.3. Assessment of insomnia 7.1. Health education 7.2. Sleep hygiene education 7.3. Psychological therapies 7.4. Pharmacological

2009 GuiaSalud

123. Melatonin agonist tasimelteon (VEC-162) for transient insomnia after sleep-time shift: two randomised controlled multicentre trials. (PubMed)

Melatonin agonist tasimelteon (VEC-162) for transient insomnia after sleep-time shift: two randomised controlled multicentre trials. Circadian rhythm sleep disorders are common causes of insomnia for millions of individuals. We did a phase II study to establish efficacy and physiological mechanism, and a phase III study to confirm efficacy of the melatonin agonist tasimelteon (VEC-162) for treatment of transient insomnia associated with shifted sleep and wake time.We undertook phase II (...) healthy individuals from 19 US sites, who had transient insomnia induced in a sleep clinic by a 5-h advance of the sleep-wake schedule and a first-night effect in a sleep clinic, were given tasimelteon (20 [n=100], 50 [n=102], or 100 mg [n=106]) or placebo (n=103) 30 min before bedtime. Prespecified primary efficacy outcomes were polysomnographic sleep efficiency (phase II study), latency to persistent sleep (phase III study), and circadian phase shifting (phase II study). Analysis was by intention

2009 Lancet Controlled trial quality: predicted high

124. Cognitive behavioral therapy, singly and combined with medication, for persistent insomnia: a randomized controlled trial. (PubMed)

Cognitive behavioral therapy, singly and combined with medication, for persistent insomnia: a randomized controlled trial. Cognitive behavioral therapy (CBT) and hypnotic medications are efficacious for short-term treatment of insomnia, but few patients achieve complete remission with any single treatment. It is unclear whether combined or maintenance therapies would enhance outcome.To evaluate the added value of medication over CBT alone for acute treatment of insomnia and the effects (...) of maintenance therapies on long-term outcome.Prospective, randomized controlled trial involving 2-stage therapy for 160 adults with persistent insomnia treated at a university hospital sleep center in Canada between January 2002 and April 2005.Participants received CBT alone or CBT plus 10 mg/d (taken at bedtime) of zolpidem for an initial 6-week therapy, followed by extended 6-month therapy. Patients initially treated with CBT attended monthly maintenance CBT for 6 months or received no additional

Full Text available with Trip Pro

2009 JAMA Controlled trial quality: predicted high

125. Auricular acupuncture for insomnia: a systematic review (PubMed)

Auricular acupuncture for insomnia: a systematic review Auricular acupuncture (AA) is a therapeutic method by which specific points on the auricle are stimulated to treat various conditions. AA is often recommended as treatment for insomnia. The aim of this systematic review was to evaluate data from randomised, placebo-controlled clinical trials testing the effectiveness of AA for treating insomnia.We searched the literature using 18 databases from their inception to April 2008 without (...) language restrictions. All prospective randomised clinical trials (RCTs) of AA for subjects with insomnia were considered. Methodological quality was assessed using the Jadad score.We identified 433 possible relevant articles, in which include 10 acceptable RCTs. The methodological quality of the trials was generally poor. Magnetic pellets AA was compared with placebo AA in three of the studies. The results suggested beneficial effects on sleep efficiency compared with placebo AA. One RCT tested needle

2008 EvidenceUpdates

126. NIH State-of-the-Science Conference Statement on manifestations and management of chronic insomnia in adults.

NIH State-of-the-Science Conference Statement on manifestations and management of chronic insomnia in adults. Guidelines and Measures | Agency for Healthcare Research & Quality HHS.gov Search ahrq.gov Search ahrq.gov Menu Topics A - Z Healthcare Delivery Latest available findings on quality of and access to health care Searchable database of AHRQ Grants, Working Papers & HHS Recovery Act Projects AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund You are here Guidelines

2008 National Institutes of Health (NIH) State-of-the-Science Panel

127. Auricular acupuncture for insomnia: a systematic review

Auricular acupuncture for insomnia: a systematic review Auricular acupuncture for insomnia: a systematic review Auricular acupuncture for insomnia: a systematic review Lee MS, Shin BC, Suen LK, Park TY, Ernst E CRD summary This review concluded that there was limited evidence to support the use of auricular acupuncture as a symptomatic treatment for insomnia and further rigorously designed trials are required. The authors' cautious conclusions should be considered with caution as a result (...) of the poor reporting, but appear to reflect the limited evidence available. Authors' objectives To evaluate the effectiveness of auricular acupuncture for the treatment of insomnia. Searching Eighteen databases were searched from their inception to April 2008, including MEDLINE, CINAHL, EMBASE, The Cochrane Library, sources of grey literature and Chinese-language resources. Search terms were reported and the references of eligible papers and reviews were screened. No language or date restrictions were

2008 DARE.

128. A multicomponent cognitive–behavioural intervention for breast cancer survivors with insomnia improved perceived sleep

A multicomponent cognitive–behavioural intervention for breast cancer survivors with insomnia improved perceived sleep A multicomponent cognitive–behavioural intervention for breast cancer survivors with insomnia improved perceived sleepCommentary | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using (...) your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here A multicomponent cognitive–behavioural intervention for breast cancer survivors with insomnia improved perceived sleepCommentary Article Text

2008 Evidence-Based Nursing

129. The efficacy and safety of drug treatments for chronic insomnia in adults: a meta-analysis of RCTs. (PubMed)

The efficacy and safety of drug treatments for chronic insomnia in adults: a meta-analysis of RCTs. BACKGROUND: Hypnotics have a role in the management of acute insomnia; however, the efficacy and safety of pharmacological interventions in the management of chronic insomnia is unclear. OBJECTIVE: The objective of this paper is to conduct a systematic review of the efficacy and safety of drug treatments for chronic insomnia in adults. DATA SOURCES: Twenty-one electronic databases were searched (...) RD: 0.09), although the most commonly reported adverse events were minor. Indirect comparisons suggest that non-BDZ are safer than BDZ. CONCLUSIONS: Benzodiazepines and non-benzodiazepines are effective treatments in the management of chronic insomnia, although they pose a risk of harm. There is also some evidence that antidepressants are effective and that they pose a risk of harm.

Full Text available with Trip Pro

2007 EvidenceUpdates

130. Review: sedative hypnotics increase adverse effects more than they improve sleep quality in older persons with insomnia

Review: sedative hypnotics increase adverse effects more than they improve sleep quality in older persons with insomnia Review: sedative hypnotics increase adverse effects more than they improve sleep quality in older persons with insomnia | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your (...) username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Review: sedative hypnotics increase adverse effects more than they improve sleep quality in older persons with insomnia Article Text Therapeutics Review

2007 Evidence-Based Medicine (Requires free registration)

131. Acupuncture for insomnia. (PubMed)

Acupuncture for insomnia. Although conventional non-pharmacological and pharmacological treatments for insomnia are effective in many people, alternative therapies such as acupuncture are still widely practiced. However, it remains unclear whether the existing evidence is rigorous enough to support its use.To determine the efficacy and safety of acupuncture in people with insomnia.We searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, PsycINFO, Dissertation (...) searched reference lists of retrieved articles, and contacted trial authors and experts in the field for information on ongoing/completed trials.Randomised controlled trials evaluating any form of acupuncture involving participants of any age with any type of insomnia were included. Included trials compared acupuncture with placebo or sham or no treatment, or acupuncture plus other treatments compared with the same other treatments. Trials that compared only acupuncture methods or compared acupuncture

2007 Cochrane

132. Review: sedative hypnotics may improve sleep quality but increase adverse effects in elderly people with insomnia

Review: sedative hypnotics may improve sleep quality but increase adverse effects in elderly people with insomnia Review: sedative hypnotics may improve sleep quality but increase adverse effects in elderly people with insomnia | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username (...) and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Review: sedative hypnotics may improve sleep quality but increase adverse effects in elderly people with insomnia Article Text Treatment Review: sedative hypnotics may

2007 Evidence-Based Nursing

133. Auricular acupuncture treatment for insomnia: a systematic review

Auricular acupuncture treatment for insomnia: a systematic review Auricular acupuncture treatment for insomnia: a systematic review Auricular acupuncture treatment for insomnia: a systematic review Chen H Y, Shi Y, Ng C S, Chan S M, Yung K K, Zhang Q L CRD summary This review concluded that the use of auricular acupuncture (AA) to treat insomnia appeared to produce better rates of recovery and improvement than control. However, given the lack of information, it is not possible to draw (...) conclusions about the long-term efficacy and safety of using AA to treat insomnia. The authors’ cautious conclusions appear to reflect the limitations of the evidence presented. Authors' objectives To evaluate the efficacy and safety of auricular acupuncture (AA) in the treatment of insomnia. Searching MEDLINE, EMBASE, AMED, CINAHL, the Cochrane Library, VIP Information, CBM-disc and CNKI were searched from inception to April 2006 for studies in Chinese or English; the search terms were reported

Full Text available with Trip Pro

2007 DARE.

134. Role of acupuncture in the treatment of insomnia: a comprehensive review

Role of acupuncture in the treatment of insomnia: a comprehensive review Role of acupuncture in the treatment of insomnia: a comprehensive review Role of acupuncture in the treatment of insomnia: a comprehensive review Kalavapalli R, Singareddy R CRD summary The review concluded that acupuncture may be effective in the treatment of insomnia associated with other psychiatric or medical conditions, but the available evidence was not strong. The authors appropriately considered the limitations (...) in study design and differences across studies. Although the authors' conclusions were cautious, the multiple limitations in review methodology and reporting mean that their reliability is unclear. Authors' objectives To evaluate the role of acupuncture in the management of insomnia. Searching PubMed, CINHAL, PsycINFO, Cochrane Database of Systematic Reviews, ACP, DARE and Cochrane Controlled Trials Register were searched for English language articles from January 1985 to December 2005. Search terms

2007 DARE.

135. Review: behaviour therapy is effective for insomnia

Review: behaviour therapy is effective for insomnia Review: behaviour therapy is effective for insomnia | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search (...) for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Review: behaviour therapy is effective for insomnia Article Text Treatment Review: behaviour therapy is effective for insomnia Statistics from Altmetric.com Request Permissions If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance

2006 Evidence-Based Nursing

136. Review: behaviour therapy is effective for insomnia

Review: behaviour therapy is effective for insomnia Review: behaviour therapy is effective for insomnia | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password (...) ? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Review: behaviour therapy is effective for insomnia Article Text Therapeutics Review: behaviour therapy is effective for insomnia Statistics from Altmetric.com Request Permissions If you wish to reuse any or all of this article please use the link below which will take you

2006 Evidence-Based Medicine (Requires free registration)

137. Comparative meta-analysis of behavioral interventions for insomnia and their efficacy in middle-aged adults and in older adults 55+ years of age

Comparative meta-analysis of behavioral interventions for insomnia and their efficacy in middle-aged adults and in older adults 55+ years of age Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2006 DARE.

138. Cognitive behavioral therapy vs zopiclone for treatment of chronic primary insomnia in older adults: a randomized controlled trial. (PubMed)

Cognitive behavioral therapy vs zopiclone for treatment of chronic primary insomnia in older adults: a randomized controlled trial. Insomnia is a common condition in older adults and is associated with a number of adverse medical, social, and psychological consequences. Previous research has suggested beneficial outcomes of both psychological and pharmacological treatments, but blinded placebo-controlled trials comparing the effects of these treatments are lacking.To examine short- and long (...) -term clinical efficacy of cognitive behavioral therapy (CBT) and pharmacological treatment in older adults experiencing chronic primary insomnia.A randomized, double-blinded, placebo-controlled trial of 46 adults (mean age, 60.8 y; 22 women) with chronic primary insomnia conducted between January 2004 and December 2005 in a single Norwegian university-based outpatient clinic for adults and elderly patients.CBT (sleep hygiene, sleep restriction, stimulus control, cognitive therapy, and relaxation; n

Full Text available with Trip Pro

2006 JAMA Controlled trial quality: predicted high

139. CBT added to tapering helped patients with chronic insomnia discontinue benzodiazepine use

CBT added to tapering helped patients with chronic insomnia discontinue benzodiazepine use CBT added to tapering helped patients with chronic insomnia discontinue benzodiazepine use | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers (...) of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here CBT added to tapering helped patients with chronic insomnia discontinue benzodiazepine use Article Text Therapeutics CBT added to tapering helped patients with chronic insomnia discontinue benzodiazepine use Free

Full Text available with Trip Pro

2005 Evidence-Based Medicine (Requires free registration)

140. Practice parameters for the nonpharmacologic treatment of chronic primary insomnia in the elderly.

Practice parameters for the nonpharmacologic treatment of chronic primary insomnia in the elderly. Guidelines and Measures | Agency for Healthcare Research & Quality HHS.gov Search ahrq.gov Search ahrq.gov Menu Topics A - Z Healthcare Delivery Latest available findings on quality of and access to health care Searchable database of AHRQ Grants, Working Papers & HHS Recovery Act Projects AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund You are here Guidelines and Measures

2005 University of Texas at Austin School of Nursing, Family Nurse Practitioner Program