Insomnia: prevalence, consequences and effective treatment

Med J Aust. 2013 Oct 21;199(8):S36-40. doi: 10.5694/mja13.10718.


Insomnia is common and can have serious consequences, such as increased risk of depression and hypertension. Acute and chronic insomnia require different management approaches. >Chronic insomnia is unlikely to spontaneously remit, and over time will be characterised by cycles of relapse and remission or persistent symptoms. Chronic insomnia is best managed using non-drug strategies such as cognitive behaviour therapy. For patients with ongoing symptoms, there may be a role for adjunctive use of medications such as hypnotics.

Publication types

  • Review

MeSH terms

  • Adult
  • Chronic Disease
  • Cognitive Behavioral Therapy
  • Combined Modality Therapy
  • Comorbidity
  • Cross-Sectional Studies
  • Depressive Disorder / diagnosis
  • Depressive Disorder / epidemiology
  • Depressive Disorder / therapy
  • Diagnosis, Differential
  • Humans
  • Hypertension / diagnosis
  • Hypertension / epidemiology
  • Hypnotics and Sedatives / therapeutic use
  • Mass Screening
  • Mindfulness
  • Risk Factors
  • Secondary Prevention
  • Sleep Initiation and Maintenance Disorders / complications
  • Sleep Initiation and Maintenance Disorders / diagnosis
  • Sleep Initiation and Maintenance Disorders / epidemiology*
  • Sleep Initiation and Maintenance Disorders / therapy*


  • Hypnotics and Sedatives