CME/CE
Sleepless in America - Diagnosing and Treating Insomnia
- Authors:
Author: Karl Doghramji, MD
Medical Writer: Steffany Fredman - THIS ACTIVITY HAS EXPIRED FOR CREDIT
Target Audience and Goal Statement
This activity is intended for psychiatrists and other mental health practitioners, primary care physicians, pharmacists and registered nurses.
The goal of this activity is to provide a comprehensive understanding of the diagnosis, current treatment protocols, and clinical strategies for the treatment and management of insomnia and sleep disturbances.
On completion of this CME offering, participants will be able to:
- Identify the types of sleep disorders and the epidemiology.
- Recognize the impact of sleep disorders on people's lives.
- Review the differential diagnoses of sleep disorders, particularly insomnia.
Accreditation Statements
-
Medical Education Collaborative, a nonprofit education organization, is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Medical Education Collaborative designates this educational activity for a maximum of 1 hour in Category 1 credit towards the AMA Physician's Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity.
For Physicians
- This educational activity for 1.2 contact hours is provided by Medical
Education Collaborative.
Provider approved by the California Board of Registered Nursing, Provider Number CEP-12990 for 1.2 contact hours.
Florida BN Provider Number: FBN-2773
For Nurses
-
Medical Education Collaborative, Inc. has assigned 1 contact hour (0.10 CEUs) of continuing pharmaceutical education credit. ACPE provider number: 815-999-00-088-H04. Certificate is defined as a record of participation.
For Pharmacists
For questions regarding the content of this activity, contact the accredited provider for this CME/CE activity noted above. For technical assistance, contact [email protected]
Instructions for Participation and Credit
There are no fees for participating in or receiving credit for this
online educational activity. For information on applicability and
acceptance of continuing education credit for this activity, please
consult your professional licensing board.
This activity is designed to be completed within the time
designated on the title page; physicians should claim only those
credits that reflect the time actually spent in the activity. To
successfully earn credit, participants must complete the activity
online during the valid credit period that is noted on the title page.
Follow these steps to earn CME/CE credit:
- Read the target audience, learning objectives, and author disclosures.
- Study the educational content online or printed out.
- Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score as designated at the top of the test. Medscape encourages you to complete the Activity Evaluation to provide feedback for future programming.
The credit that you receive is based on your user profile.
Sleepless in America - Diagnosing and Treating Insomnia
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Epidemiology
Impact on Individuals and Society
Insomnia exacts a considerable toll on US society. It is estimated that the total direct cost of insomnia in 1995 was $13.9 billion.[15] This includes the cost for prescription and nonprescription medications, visits to healthcare providers, and nursing home care to treat insomnia specifically. In addition to direct costs, insomnia is associated with indirect costs that result from decreased economic output because of morbidity and mortality related to insomnia. For instance, current insomnia is associated with significantly greater functional impairment,[12] impaired memory and concentration,[8,16] decreased ability to accomplish daily tasks,[8] and diminished capacity to solve problems.[16] Insomnia has also been linked to greater work absenteeism,[12,15-18] greater general medical service use,[12,17] and poorer overall health,[12] and increased health concerns.[16] Insomnia is also associated with a higher risk for emotional difficulties,[16] decreased enjoyment of interpersonal relationships, and decreased perceived mood as well as wellness.[8] It is also associated with increased risk of motor vehicle accidents.[8,19] An important, yet largely unanswered, question is the degree to which insomnia is linked etiologically to these impairments in daytime functioning and the degree to which these abnormalities could be reversed following the effective management of insomnia. Data from some investigators[20] showing cognitive impairment in "pure insomniacs" support a causal hypothesis, yet more work needs to be done in this regard.