The importance and limitations of polysomnography in insomnia disorder-a critical appraisal

Lukas Frase; Christoph Nissen; Kai Spiegelhalder; Bernd Feige

doi:10.1111/jsr.14036

The importance and limitations of polysomnography in insomnia disorder-a critical appraisal

J Sleep Res. 2023 Dec;32(6):e14036. doi: 10.1111/jsr.14036. Epub 2023 Sep 7.

Authors

Lukas Frase^{1

2}, Christoph Nissen^{3

4}, Kai Spiegelhalder¹, Bernd Feige¹

Affiliations

¹ Department of Psychiatry and Psychotherapy, Medical Center, University of Freiburg - Faculty of Medicine, University of Freiburg, Freiburg, Germany.
² Department of Psychosomatic Medicine and Psychotherapy, Medical Center, University of Freiburg - Faculty of Medicine, University of Freiburg, Freiburg, Germany.
³ Department of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
⁴ Division of Psychiatric Specialties, Department of Psychiatry, Geneva University Hospitals (HUG), Geneva, Switzerland.

PMID: 37680011
DOI: 10.1111/jsr.14036

Abstract

The importance polysomnography (PSG) in the diagnosis and treatment process of insomnia disorder (ID) remains highly disputed. This review summarises the state of the science regarding PSG indications and findings in ID, and the indications to conduct PSG in ID as stated by relevant guidelines. It then highlights the most relevant questions regarding the topic, including the relevance of ID subtyping, to allow an individualised pharmacological or psychotherapeutic treatment approach.

Keywords: PSG; individualised care; objective; recommendation.

Publication types

Review

MeSH terms

Humans
Polysomnography
Sleep Initiation and Maintenance Disorders* / diagnosis