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Home > QR-E-Letter Archive > 5-12-2005
Issue No. 6 May 12, 2005
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QUICK REFERENCE #11: When is polysomnography (ie, an overnight sleep study) indicated in the evaluation of insomnia?
That question is addressed in the Practice Parameters developed by the American Academy of Sleep Medicine, updated in 2003. The following recommendations are based on a review of research.
Polysomnography IS INDICATED under any of the following circumstances:
• when a sleep-related breathing disorder or periodic limb movement disorder is suspected
• when initial diagnosis is uncertain
• when behavioral or pharmacologic treatment fails
• when precipitous arousals with violent or injurious behavior occur
Polysomnography IS NOT INDICATED for:
• the routine evaluation of transient or chronic insomnia
• the routine evaluation of insomnia due to psychiatric disorders
Polysomnography IS NOT USEFUL in:
• differentiating dementia-related insomnia from other forms of insomnia (including depression-related insomnia)
• diagnosing insomnia related to fibromyalgia or chronic fatigue syndrome
Source: The Complete Practitioner: Mental Health Applications (December 2003), based on Standards of Practice Committee of the American Academy of Sleep Medicine (Littner M, et al). Practice parameters for using polysomnography to evaluate insomnia: An update. Sleep, 26:754-760, 2003 http://www.aasmnet.org/PDF/260616.pdf.
Paid subscribers to The Complete Practitioner: Mental Health Applications can access related content by conducting a search for "polysomnography" in the Subscribers' Area of our Web site http://www.completepractitioner.com.
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