What are the AASM guidelines for the evaluation of insomnia?

Updated: Sep 11, 2018
  • Author: Jasvinder Chawla, MD, MBA; Chief Editor: Selim R Benbadis, MD  more...
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The American Academy of Sleep Medicine (AASM) guideline consensus is that insomnia is primarily diagnosed by clinical evaluation through a thorough sleep history and detailed medical, substance, and psychiatric history. 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

Sleep diary data should be collected before and during the course of active treatment and in the case of relapse or reevaluation in the long term.

Other testing (eg, blood, imaging studies) is not indicated for the routine evaluation of chronic insomnia unless there is suspicion for comorbid disorders.

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