Psychiatry Investig.  2020 Nov;17(11):1048-1059. 10.30773/pi.2020.0146.

Korean Clinical Practice Guideline for the Diagnosis and Treatment of Insomnia in Adults

Affiliations
  • 1Department of Psychiatry, Veteran Health Service Medical Center, Seoul, Republic of Korea
  • 2Clearspring Psychiatric Clinic, Seoul, Republic of Korea
  • 3Department of Psychiatry, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
  • 4Department of Psychiatry, St. Vincent’s Hospital, The Catholic University of Korea, Suwon, Republic of Korea
  • 5Department of Psychiatry, Chungbuk National University Hospital, Cheongju, Republic of Korea
  • 6Department of Psychiatry, Ulsan University Hospital, Ulsan, Republic of Korea
  • 7Department of Psychiatry, Armed Forces Capital Hospital, Seongnam, Republic of Korea
  • 8Department of Psychiatry, Damyang Chamsarang Hospital, Damyang, Republic of Korea
  • 9Department of Psychiatry, Doeun Hospital, Jincheon, Republic of Korea
  • 10Department of Psychiatry, Dream Sleep Clinic, Seoul, Republic of Korea
  • 11Department of Biomedical Science and Engineering, Gwangju Institute of Science and Technology, Gwangju, Republic of Korea
  • 12Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea

Abstract


Objective
We aim to present a clinical guideline for the diagnosis and treatment of insomnia in adults by reviewing and integrating existing clinical guidelines. The purpose of this guideline is to assist clinicians who perform evidence-based insomnia treatment.
Methods
We selected literature that may be appropriate for use in guideline development from evidence-based practice guidelines that have been issued by an academic or governmental institution within the last five years. The core question of this guideline was made in sentence form including Patient/Problem, Intervention, Comparison, Outcome (PICO) elements. After searching PubMed, EMBASE, and medical guideline issuing agencies, three guidelines were judged to be the most appropriately reviewed, up-to-date, and from trusted sources.
Results
The Appraisal of Guidelines for Research and Evaluation (AGREE) II tool was used to evaluate the quality of the three clinical guidelines. The final outcome of the guideline development process is a total of 15 recommendations that report the strength of the recommendation, the quality of evidence, a summary of content, and considerations in applying the recommendation.
Conclusion
It is vital for clinical guidelines for insomnia to be developed and continually updated in order to provide more accurate evidence-based treatments to patients.

Keyword

Insomnia, Guideline, CBT-I, Sleep
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