PDF(Pubmed)
Abstract：
Chronic insomnia disorder (simplified in this document as insomnia) is an increasingly common clinical condition in society and a frequent complaint at the offices of different areas of health practice (particularly Medicine and Psychology). This scenario has been accompanied by a significant evolution in treatment, as well as challenges in approaching patients in an appropriately way. This clinical guideline, coordinated by the Brazilian Sleep Association and the Brazilian Association of Sleep Medicine and counting on the active participation of various specialists in the area, encompasses an update on the diagnosis and treatment of insomnia in adults. To this end, it followed a structured methodology. Topics of interest related to diagnosis were written based on theoretical framework, evidence in the literature, and professional experience. As for the topics related to the treatment of insomnia, a series of questions were developed based on the PICO acronym (P - Patient, problem, or population; I - Intervention; C - Comparison, control, or comparator; O - Outcome). The work groups defined the eligible options within each of these parameters. Regarding pharmacological interventions, only the ones currently available in Brazil or possibly becoming available in the upcoming years were considered eligible. Systematic reviews were conducted to help prepare the texts and define the level of evidence for each intervention. The final result is an objective and practical document providing recommendations with the best scientific support available to professionals involved in the management of insomnia.
摘要：
慢性失眠障碍（在本文件中简化为失眠）是社会上越来越常见的临床疾病，并且在不同健康实践领域（特别是医学和心理学）的办公室中经常抱怨。这种情况伴随着治疗的重大发展，以及以适当的方式接近患者的挑战。这个临床指南,由巴西睡眠协会和巴西睡眠医学协会协调，并指望该地区各种专家的积极参与，包括成人失眠的诊断和治疗的更新。为此,它遵循结构化的方法论。与诊断相关的兴趣主题是基于理论框架编写的，文献中的证据，和专业经验。至于与失眠治疗相关的话题，基于PICO首字母缩写(P-Patient，问题,或人口；I-干预；C-比较，control,或比较器；O-结果)。工作组在每个参数中定义了符合条件的选项。关于药物干预，只有目前在巴西可用的或可能在未来几年内可用的才被认为是合格的。进行了系统评价，以帮助准备文本并确定每种干预措施的证据水平。最终结果是一份客观实用的文件，为参与失眠管理的专业人员提供最佳科学支持的建议。
