[Evaluation and management of insomnia in clinical practice and in the time of CoViD-19 in Italy: expert consensus and task-force recommendations from five scientific societies]

Riv Psichiatr. 2020 Nov-Dec;55(6):337-341. doi: 10.1708/3503.34891.
[Article in Italian]

Abstract

Insomnia symptoms might affect about 60% of the Italian population. Insomnia is a "24 hours syndrome" and a risk factor for medical and mental disorders. It should always be assessed and treated in the clinical practice. Cognitive Behavioral Therapy for Insomnia is the first line treatment but its availability in Italy is scarce. Pharmacological options in Italy are: melatonin 2 mg prolonged release that should be the first choice in subjects ≥55 years old and used until 13 weeks; and for a short term use (≤4 weeks) Z-drugs or short-acting benzodiazepines (in subjects <65 years old) or a sedating antidepressant.

Publication types

  • Practice Guideline

MeSH terms

  • Aged
  • Antidepressive Agents / therapeutic use
  • COVID-19 / complications
  • COVID-19 / epidemiology*
  • Cognitive Behavioral Therapy
  • Consensus*
  • Epidemics*
  • GABA Agonists / therapeutic use
  • Humans
  • Hypnotics and Sedatives / therapeutic use
  • Italy / epidemiology
  • Middle Aged
  • Receptors, Melatonin / agonists
  • SARS-CoV-2*
  • Sleep Aids, Pharmaceutical / therapeutic use*
  • Sleep Initiation and Maintenance Disorders / drug therapy*
  • Sleep Initiation and Maintenance Disorders / etiology
  • Sleep Initiation and Maintenance Disorders / therapy
  • Societies, Scientific

Substances

  • Antidepressive Agents
  • GABA Agonists
  • Hypnotics and Sedatives
  • Receptors, Melatonin
  • Sleep Aids, Pharmaceutical