Berlin - The German Society for Sleep Research and Sleep Medicine () has pointed out that people with insomnia are under-supplied. These are problems falling asleep or staying asleep that last for at least month and lead to impaired performance or well-being during the day in those affected. According to the specialist society, this affects around five to ten percent of people in Germany.
"The quality of life of those affected can suffer considerably and there is risk of psychological and physical complications, depression and cardiovascular diseases", It was said from the DGSM.
The guideline of the professional association recommends cognitive behavioral therapy for insomnias (CBT- I). This treatment, which is successful in four to eight sessions, is very effective and can also improve symptoms in people with chronic sleep disorders. "Unfortunately, however, only fraction of those affected receive CBT-I, mainly because there are too few therapists who offer this treatment with the appropriate expertise," regretted the DGSM.
The specialist society is therefore participating project called "", which the innovation fund of the Federal Joint Committee (G-BA) is promoting with 6.1 million euros. The aim of the project is to improve the quality of care for people with insomnia in Germany with the help of general practitioners and telemedical treatment offer based on the KVT-I.
"If the evaluation is positive, the aim is to use the new form of care in to take over the standard care “, explained Kai Spiegelhalder vom, one of the initiators of the project.
Deutsches Ärzteblatt print
But also The specialist society sees room for improvement in diagnostic instruments in sleep medicine. The DGSM particularly points out actigraphy.
“Sleep medicine is actually wake and sleep medicine. We want to clarify daytime sleepiness, daytime sleepiness and daily productivity. One side of the assessment is the night in the sleep laboratory, with which you can record the quality of sleep and, above all, exclude organic sleep disorders in standardized environment. You can estimate the amount of sleep in everyday life with actigraphy, ”explained Jens Acker, spokesman for the DGSM Chronobiology working group.
Actigraphy is standard procedure for clarifying circadian rhythm disorders. The rest times should be measured over period of 7 to 14 days in the home environment. "In Germany, actigraphy is too little known due to the remuneration situation and is mainly used in research," regretted Acker.
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