Higiene y regularidad del sueño (base conductual)
Very lowConditionala favor (población general); en contra como monoterapia del insomnioRecommendation: Se sugiere adoptar la higiene y la regularidad del sueño.
Rationale
Sleep hygiene and sleep regularity form a low-cost behavioral base that favors sleep quality and duration in the general population, although as a sole measure it turns out insufficient for chronic insomnia and works better as a foundation for more structured interventions. The certainty of the evidence for the critical outcomes is very low. That is why the recommendation is conditional in favor, because the balance between benefits and risks is favorable, though with lower certainty.
Cautions and contraindications
Before intervening on sleep, assess the patient's habits, context, and treatments, and rule out sleep disorders that require specific study and management, such as obstructive apnea and restless legs syndrome. Use medications for sleeping with caution and in a limited way, prioritizing behavioral measures. Advise seeking professional evaluation in the presence of warning signs such as dangerous daytime sleepiness, snoring with breathing pauses, and persistent insomnia that does not improve, and refer to the specialist when appropriate. Reassess the response periodically.
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