What should be included in the patient history for insomnia?

Updated: Sep 11, 2018
  • Author: Jasvinder Chawla, MD, MBA; Chief Editor: Selim R Benbadis, MD  more...
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Answer

The patient history is the most important part of the evaluation for insomnia. It must include a complete sleep history, medical history, psychiatric history, social history, and medication review. The 2008 American Academy of Sleep Medicine (AASM) guideline consensus is that at a minimum, patients should complete the following evaluations [1] :

  • A general medical and psychiatric questionnaire to detect comorbid disorders

  • A sleepiness assessment, such as the Epworth Sleepiness Scale

  • A 2-week sleep log to define sleep-wake patterns and their variability


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