[Guidelines for the management of chronic insomnia comorbid with common neuropsychiatric disorders in adults (2025 edition)].

Chronic insomnia frequently co-occurs with common neuropsychiatric disorders, including migraine, stroke, Alzheimer's disease, Parkinson's disease, epilepsy, generalized anxiety disorder, depressive disorder, body distress disorder, post-traumatic stress disorder, and disorders due to use of alcohol. The prevalence of these neuropsychiatric disorders is hiher among patients with chronic insomnia than in the general population, and the conditions mutually exacerbate each other. Comorbidities not only exacerbate the severity and increases the relapse risk of each condition but also lead to a poorer prognosis, more severe impairment of social functioning, a higher all-cause mortality risk, and greater treatment challenges. Therefore, the Sleep Disorders Group, Chinese Society of Neurology and Sleep Medicine Group,China Neurologist Association have convened experts in relevant fields, based on current medical evidence, to establish guideline for the management of Chinese adults with chronic insomnia comorbid with the aforementioned 10 categories of common neuropsychiatric disorders. The aim is to standardize clinical practice and improve treatment effectiveness and cure rates. 慢性失眠常与偏头痛、卒中、阿尔茨海默病、帕金森病、癫痫、广泛性焦虑障碍、抑郁障碍、躯体痛苦障碍、创伤后应激障碍和酒精使用障碍等常见神经精神疾病形成共病。慢性失眠患者中这些疾病的患病率高于一般人群，共病不仅会加重彼此的严重程度和复发风险，还导致预后更差、社会功能损害更严重、全因死亡风险更高以及治疗难度更大。因此，本指南组织中华医学会神经病学分会睡眠障碍学组和中国医师协会神经内科医师分会睡眠学组相关领域专家，根据目前医学循证证据，制定中国成人慢性失眠共病上述10类常见神经精神疾病的治疗指南，以指导临床规范化治疗，提升疾病治疗有效率和治愈率。.