Evaluation of chronic insomnia. An American Academy of Sleep Medicine review

Sleep. 2000 Mar 15;23(2):243-308.


Insomnia is a condition which affects millions of individuals, giving rise to emotional distress, daytime fatigue, and loss of productivity. Despite its prevalence, it has received scant clinical attention. An adequate evaluation of persistent insomnia requires detailed historical information as well as medical, psychological and psychiatric assessment. Use of a classification system for sleep disorders and familiarity with major diagnostic groups will facilitate the clinician's evaluation and treatment. Thorough assessment also requires attention to the unique aspects of presentation and specific set of etiologies which are associated with particular age groups.

Publication types

  • Review

MeSH terms

  • Adult
  • Child
  • Chronic Disease
  • Cognition / physiology
  • Disorders of Excessive Somnolence / diagnosis
  • Fatigue / diagnosis
  • Gastroesophageal Reflux / diagnosis
  • Humans
  • MMPI
  • Neuropsychological Tests
  • Pain / diagnosis
  • Prevalence
  • Psychomotor Performance
  • Respiration Disorders / diagnosis
  • Restless Legs Syndrome / diagnosis
  • Sleep Initiation and Maintenance Disorders / diagnosis*
  • Sleep Initiation and Maintenance Disorders / epidemiology
  • Sleep Initiation and Maintenance Disorders / etiology