Acute insomnia and clinical strategy of risk modification in patients with chronic non-communicable diseases

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Abstract

Acute insomnia (synonyms: short-term, adaptive, situational) is a disease with a characteristic disorder of sleep initiation and/or maintenance with the development of excessive daytime sleepiness syndrome, loss of daytime activity stimuli, limited in duration to a period from 1–2 weeks to 3 months. Despite the existing strategies of drug and non-drug correction, therapy of acute insomnia in patients with chronic non-communicable diseases (CNCDs) remains highly controversial. In this review, we analyzed the data of systematic meta-analyses and randomized clinical trials (RCTs) that expand our understanding of the mechanisms of acute insomnia development in patients with СNCDs, as well as new strategies for risk modification and correction of sleep disorders that are effective in real-life clinical practice.

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About the authors

Sergey L. Babak

Russian University of Medicine

Author for correspondence.
Email: sergbabak@mail.ru
ORCID iD: 0000-0002-6571-1220
SPIN-code: 5213-3620
Scopus Author ID: 45560913500
ResearcherId: KAO-3183-2024

Dr. Sci. (Med.), Associate Professor, Professor, Department of Phthisiology and Pulmonology, Research Institute of Clinical Medicine n.a. N.A. Semashko

Russian Federation, Moscow

Marina V. Gorbunova

Russian University of Medicine

Email: mgorb@mail.ru
ORCID iD: 0000-0002-2039-0072
Scopus Author ID: 45561369300

Dr. Sci. (Med.), Associate Professor at the Department of Phthisiology and Pulmonology, Research and Educational Institute of Clinical Medicine named after N.A. Semashko

Russian Federation, Moscow

Andrey G. Malyavin

Russian University of Medicine

Email: maliavin@mail.ru
ORCID iD: 0000-0002-6128-5914
SPIN-code: 8264-5394
Scopus Author ID: 6701876872

Dr. Sci. (Med.), Professor at the Department of Phthisiology and Pulmonology, Research and Educational Institute of Clinical Medicine named after N.A. Semashko

Russian Federation, Moscow

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Supplementary files

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2. Figure 1. Schematic representation of the 3-stage model of insomnia

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3. Figure 2. Illustrative tips for the patient on proper sleep hygiene

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