How to treat chronic insomnia in adults?

*Only for medical professionals' reference and reading‍‍‍A guide based on a large amount of evidence-based evidence, what kind of advice is given? It's worth seeing! Introduction "Behavioral and Psychotherapy for Adults with Chronic Insomnia: American Sleep Association Clinical Practice Guidelines" [1] established clinical practice recommendations for the use of behavior and psychotherapy for adults with chronic insomnia.

Methods The American Academy of Sleep Medicine (AASM) commissioned a task force (TF) composed of sleep medicine experts to formulate recommendations.
Based on a systematic review of the literature, the evaluation of evidence adopts GRADE classification (Grading of Recommendations Assessment, Development and Evaluation).

The task force assesses relevant literature summary, quality of evidence, balance of clinically relevant benefits and harms, patient values ​​and preferences, and resource utilization under recommendations.

The AASM board approved the final recommendation.

Recommendations The following recommendations are intended to provide references for clinicians to choose specific behavioral and psychological treatments for the treatment of adult chronic insomnia disorders.

Each recommendation statement indicates a recommendation strength ("strong" or "conditional").

A "strong" recommendation (ie, "we recommend.
.
.
") means that clinicians should follow in most cases.

"Conditional" recommendations require clinicians to use clinical knowledge and experience to fully consider the patient's values ​​and preferences to determine the best course of action.

Taken together, there are 6 recommendations in this edition of the guide.

Only one recommendation is a "strong" recommendation, which recommends a multi-component insomnia treatment cognitive behavioral therapy (Cognitive behavioral therapy for insomnia, CBT-I) to treat adult chronic insomnia disorder.

The other 5 recommendations are all "conditional" recommendations.

A recommendation in the guideline specifically pointed out TF's "opposition", that is, item 6, suggesting that clinicians should not use sleep hygiene as a single-component treatment to treat adult chronic insomnia disorders.

The guidelines emphasize the distinction between single-component and multi-component forms of behavioral psychotherapy.
Single-component therapy refers to the provision of this treatment alone, while multi-component therapy refers to a combination of multiple treatment methods.

When the guidelines were formulated, considering whether patients’ insomnia is accompanied by other physical or mental illness subgroups, please refer to the original text of the guidelines and the systematic review conducted by TF [1,2].

The guidelines specify the meanings of “strong” recommendation and “conditional” recommendation in Appendix 1; Appendix 2 details the behavior and psychotherapy methods for adult chronic insomnia disorders that are strongly recommended, conditionally recommended, and not recommended.
It also indicates whether these treatments are single-component or multi-component.

We present two translated versions of the attached tables here for your reference.

Remarks If TF considers it necessary, it will provide supplementary information in the form of "remarks" immediately after the recommendation statement.

The remarks are based on the evidence evaluated during the systematic review and are intended to provide background for the recommendations and guide clinicians to implement these recommendations in daily practice.

Articles 1 and 6 recommend remarks.