불면증 치료의 최신지견 = Current Clinical Practice of Insomnia

다국어 초록 (Multilingual Abstract)

Insomnia is one of the most common sleep disorders, which is leading to significant clinical distress and impairment of daytime functioning and decreasing quality of life. This article reviews the current clinical treatment options of insomnia. Non-pharmacological treatment including stimulus control, sleep restriction, cognitive therapy, relaxation training, and education of sleep hygiene should be considered first for treatment of insomnia. Psychological and behavioral interventions tend to have longer-lasting treatment benefits, while drugs show immediate improvement of sleep disturbance. In pharmacotherapy, benzodiazepine receptor agonist, melatonin receptor antagonist, and ‘off-label’ drugs to treat insomnia are reviewed.

목차 (Table of Contents)

• 서론
• 비약물학적 치료
• 1. 자극조절요법
• 2. 수면제한
• 3. 인지치료
• 4. 이완요법
• 5. 수면교육
• 6. 수면위생
• 약물학적 치료
• 1. 벤조다이아제핀계 수면제(Benzodiazepine hypnotics)
• 2. 비벤조다이아제핀계 수면제(Non benzodiazepine hypnotics)
• 3. 멜라토닌 수용체 효현제(Melatonin receptor agonist)
• 4. 기타 약물
• 5. 새로운 수면제
• 참고문헌