Management of Insomnia in Hospitalized Patients
Abstract
In hospitalized patients, the commonest causes of acute insomnia are the effects of illness, environmental sleep disruption, medication, anxiety, and depression. Treatment should correct underlying medical disorders; reduce environmental sleep disruptions; and lower anxiety with psychological interventions, sedative or hypnotic medication, and relaxation training. Special clinical problems include chronic pain, delirium, and insomnia in the elderly.
Article and Author Information
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▸From the Department of Psychiatry, The Fairfax Hospital; Falls Church, Virginia.
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▸Requests for reprints should be addressed to Richard M. Berlin, M.D.; Department of Psychiatry, The Berkshire Medical Center; Pittsfield, MA 01201.
- © 1984 American College of Physicians
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