{"id":"https://openalex.org/W4361007887","doi":"https://doi.org/10.3390/jcm12072493","title":"Alliance for Sleep Clinical Practice Guideline on Switching or Deprescribing Hypnotic Medications for Insomnia","display_name":"Alliance for Sleep Clinical Practice Guideline on Switching or Deprescribing Hypnotic Medications for Insomnia","publication_year":2023,"publication_date":"2023-03-25","ids":{"openalex":"https://openalex.org/W4361007887","doi":"https://doi.org/10.3390/jcm12072493","pmid":"https://pubmed.ncbi.nlm.nih.gov/37048577","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10095217"},"language":"en","primary_location":{"id":"doi:10.3390/jcm12072493","doi":"https://doi.org/10.3390/jcm12072493","is_oa":true,"landing_page_url":"https://doi.org/10.3390/jcm12072493","pdf_url":"https://www.mdpi.com/2077-0383/12/7/2493/pdf?version=1679730364","source":{"id":"https://openalex.org/S2737969411","display_name":"Journal of Clinical Medicine","issn_l":"2077-0383","issn":["2077-0383"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","ki-jl-1","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Medicine","raw_type":"journal-article"},"volume":null,"type":"review","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.mdpi.com/2077-0383/12/7/2493/pdf?version=1679730364","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5049632112","display_name":"Nathaniel F. Watson","orcid":"https://orcid.org/0000-0003-4870-080X","observed_orcids":["https://orcid.org/0000-0003-4870-080X"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Nathaniel F. Watson","raw_affiliation_strings":["Department of Neurology, University of Washington School of Medicine, Seattle, WA 98195, USA"],"raw_orcid":"https://orcid.org/0000-0003-4870-080X","affiliations":[{"raw_affiliation_string":"Department of Neurology, University of Washington School of Medicine, Seattle, WA 98195, USA","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049632383","display_name":"Ruth M. Benca","orcid":"https://orcid.org/0000-0002-5895-817X","observed_orcids":["https://orcid.org/0000-0002-5895-817X"]},"institutions":[{"id":"https://openalex.org/I4405269449","display_name":"Wake Forest University Health Sciences","ror":"https://ror.org/046r1r105","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4405269449","https://openalex.org/I47251452"]},{"id":"https://openalex.org/I47251452","display_name":"Wake Forest University","ror":"https://ror.org/0207ad724","country_code":"US","type":"education","lineage":["https://openalex.org/I47251452"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ruth M. Benca","raw_affiliation_strings":["Department of Psychiatry and Behavioral Medicine, Wake Forest School of Medicine, Winston-Salem, NC 27101, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry and Behavioral Medicine, Wake Forest School of Medicine, Winston-Salem, NC 27101, USA","institution_ids":["https://openalex.org/I4405269449","https://openalex.org/I47251452"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042168269","display_name":"Andrew D. Krystal","orcid":"https://orcid.org/0000-0002-6702-781X","observed_orcids":["https://orcid.org/0000-0002-6702-781X"]},"institutions":[{"id":"https://openalex.org/I180670191","display_name":"University of California, San Francisco","ror":"https://ror.org/043mz5j54","country_code":"US","type":"education","lineage":["https://openalex.org/I180670191"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Andrew D. Krystal","raw_affiliation_strings":["Department of Psychiatry and Neurology, UCSF Weill Institute for Neurosciences, San Francisco, CA 94158, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry and Neurology, UCSF Weill Institute for Neurosciences, San Francisco, CA 94158, USA","institution_ids":["https://openalex.org/I180670191"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087471581","display_name":"William Vaughn McCall","orcid":"https://orcid.org/0000-0001-5035-7858","observed_orcids":["https://orcid.org/0000-0001-5035-7858"]},"institutions":[{"id":"https://openalex.org/I25041050","display_name":"Augusta University","ror":"https://ror.org/012mef835","country_code":"US","type":"education","lineage":["https://openalex.org/I25041050"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"William V. McCall","raw_affiliation_strings":["Department of Psychiatry and Health Behavior, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA"],"raw_orcid":"https://orcid.org/0000-0001-5035-7858","affiliations":[{"raw_affiliation_string":"Department of Psychiatry and Health Behavior, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA","institution_ids":["https://openalex.org/I25041050"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5103226129","display_name":"David N. Neubauer","orcid":"https://orcid.org/0000-0002-0726-9366","observed_orcids":["https://orcid.org/0000-0002-0726-9366"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David N. Neubauer","raw_affiliation_strings":["Department of Psychiatry and Behavioral Sciences, School of Medicine, Johns Hopkins University, Baltimore, MD 21218, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry and Behavioral Sciences, School of Medicine, Johns Hopkins University, Baltimore, MD 21218, USA","institution_ids":["https://openalex.org/I145311948"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5049632112"],"corresponding_institution_ids":["https://openalex.org/I201448701"],"apc_list":{"value":2600,"currency":"CHF","value_usd":2892},"apc_paid":{"value":2600,"currency":"CHF","value_usd":2892},"fwci":2.4962,"has_fulltext":true,"cited_by_count":59,"citation_normalized_percentile":{"value":0.9060241,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":100},"biblio":{"volume":"12","issue":"7","first_page":"2493","last_page":"2493"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10316","display_name":"Sleep and related disorders","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10316","display_name":"Sleep and related disorders","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/3205","display_name":"Experimental and Cognitive Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10234","display_name":"Obstructive Sleep Apnea Research","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/insomnia","display_name":"insomnia","score":0.9559999704360962},{"id":"https://openalex.org/keywords/drug-switching","display_name":"drug switching","score":0.7540000081062317},{"id":"https://openalex.org/keywords/benzodiazepines","display_name":"benzodiazepines","score":0.8159999847412109},{"id":"https://openalex.org/keywords/z-drugs","display_name":"Z-drugs","score":0.8679999709129333},{"id":"https://openalex.org/keywords/zolpidem","display_name":"zolpidem","score":0.9829999804496765},{"id":"https://openalex.org/keywords/eszopiclone","display_name":"eszopiclone","score":0.9980000257492065},{"id":"https://openalex.org/keywords/zaleplon","display_name":"zaleplon","score":0.8610000014305115},{"id":"https://openalex.org/keywords/dora","display_name":"DORA","score":0.44999998807907104},{"id":"https://openalex.org/keywords/doxepin","display_name":"doxepin","score":0.9670000076293945},{"id":"https://openalex.org/keywords/ramelteon","display_name":"ramelteon","score":1.0},{"id":"https://openalex.org/keywords/tapering","display_name":"tapering","score":0.8259999752044678},{"id":"https://openalex.org/keywords/cognitive-behavioral-therapy-for-insomnia","display_name":"cognitive behavioral therapy for insomnia","score":0.9649999737739563},{"id":"https://openalex.org/keywords/shared-decision-making","display_name":"shared decision-making","score":0.8820000290870667}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9048069715499878},{"id":"https://openalex.org/C2776484012","wikidata":"https://www.wikidata.org/wiki/Q16251540","display_name":"Deprescribing","level":3,"score":0.7239196300506592},{"id":"https://openalex.org/C2781210498","wikidata":"https://www.wikidata.org/wiki/Q1869874","display_name":"Insomnia","level":2,"score":0.6827532649040222},{"id":"https://openalex.org/C2780930544","wikidata":"https://www.wikidata.org/wiki/Q62962","display_name":"Hypnotic","level":2,"score":0.6431765556335449},{"id":"https://openalex.org/C2777123777","wikidata":"https://www.wikidata.org/wiki/Q218842","display_name":"Zolpidem","level":3,"score":0.6272397041320801},{"id":"https://openalex.org/C2780182762","wikidata":"https://www.wikidata.org/wiki/Q1630279","display_name":"Guideline","level":2,"score":0.57553631067276},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.44540703296661377},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.4273505210876465},{"id":"https://openalex.org/C36434225","wikidata":"https://www.wikidata.org/wiki/Q1895998","display_name":"Polypharmacy","level":2,"score":0.3229958713054657},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3390/jcm12072493","doi":"https://doi.org/10.3390/jcm12072493","is_oa":true,"landing_page_url":"https://doi.org/10.3390/jcm12072493","pdf_url":"https://www.mdpi.com/2077-0383/12/7/2493/pdf?version=1679730364","source":{"id":"https://openalex.org/S2737969411","display_name":"Journal of Clinical Medicine","issn_l":"2077-0383","issn":["2077-0383"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","ki-jl-1","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Medicine","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10095217","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10095217","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10095217/pdf/jcm-12-02493.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Clin Med","raw_type":"Text"},{"id":"pmid:37048577","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37048577","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of clinical medicine","raw_type":"Journal Article"},{"id":"pmh:oai:escholarship.org:ark:/13030/qt6jw7w790","doi":null,"is_oa":true,"landing_page_url":"https://escholarship.org/uc/item/6jw7w790","pdf_url":"https://escholarship.org/content/qt6jw7w790/qt6jw7w790.pdf","source":{"id":"https://openalex.org/S4306400115","display_name":"eScholarship (California Digital Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2801248553","host_organization_name":"California Digital Library","host_organization_lineage":["https://openalex.org/I2801248553"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of clinical medicine, vol 12, iss 7","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3390/jcm12072493","doi":"https://doi.org/10.3390/jcm12072493","is_oa":true,"landing_page_url":"https://doi.org/10.3390/jcm12072493","pdf_url":"https://www.mdpi.com/2077-0383/12/7/2493/pdf?version=1679730364","source":{"id":"https://openalex.org/S2737969411","display_name":"Journal of Clinical Medicine","issn_l":"2077-0383","issn":["2077-0383"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","ki-jl-1","norway-1","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9476000070571899}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320329429","display_name":"Idorsia Pharmaceuticals","ror":"https://ror.org/03va9ng43"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4361007887.pdf","grobid_xml":"https://content.openalex.org/works/W4361007887.grobid-xml"},"referenced_works_count":112,"referenced_works":["https://openalex.org/W5483291","https://openalex.org/W27463876","https://openalex.org/W73415516","https://openalex.org/W118822196","https://openalex.org/W146685586","https://openalex.org/W1217992761","https://openalex.org/W1532372165","https://openalex.org/W1626556646","https://openalex.org/W1791492057","https://openalex.org/W1937224863","https://openalex.org/W1965130113","https://openalex.org/W1970151346","https://openalex.org/W1971485642","https://openalex.org/W1976321075","https://openalex.org/W1977894152","https://openalex.org/W1979497093","https://openalex.org/W1987429320","https://openalex.org/W1988065740","https://openalex.org/W1992305309","https://openalex.org/W2010534854","https://openalex.org/W2016621842","https://openalex.org/W2017647698","https://openalex.org/W2017906291","https://openalex.org/W2023944666","https://openalex.org/W2025250287","https://openalex.org/W2030710544","https://openalex.org/W2031868602","https://openalex.org/W2033221233","https://openalex.org/W2035240111","https://openalex.org/W2037926687","https://openalex.org/W2040290595","https://openalex.org/W2043451114","https://openalex.org/W2045912535","https://openalex.org/W2051392321","https://openalex.org/W2060370838","https://openalex.org/W2061932460","https://openalex.org/W2062400672","https://openalex.org/W2063995940","https://openalex.org/W2065259020","https://openalex.org/W2069377294","https://openalex.org/W2071080249","https://openalex.org/W2075792413","https://openalex.org/W2079283960","https://openalex.org/W2081161229","https://openalex.org/W2081272758","https://openalex.org/W2083942987","https://openalex.org/W2086252261","https://openalex.org/W2089701189","https://openalex.org/W2095168172","https://openalex.org/W2101801813","https://openalex.org/W2121077521","https://openalex.org/W2128204905","https://openalex.org/W2138006666","https://openalex.org/W2138362387","https://openalex.org/W2150408288","https://openalex.org/W2157067589","https://openalex.org/W2158112394","https://openalex.org/W2159608418","https://openalex.org/W2167835306","https://openalex.org/W2170043108","https://openalex.org/W2261019420","https://openalex.org/W2326818216","https://openalex.org/W2332074126","https://openalex.org/W2395242838","https://openalex.org/W2430297426","https://openalex.org/W2484915854","https://openalex.org/W2559732081","https://openalex.org/W2573361251","https://openalex.org/W2578164715","https://openalex.org/W2593881749","https://openalex.org/W2610021354","https://openalex.org/W2753866150","https://openalex.org/W2800007918","https://openalex.org/W2800899384","https://openalex.org/W2800931486","https://openalex.org/W2802468261","https://openalex.org/W2802761229","https://openalex.org/W2891016433","https://openalex.org/W2907989884","https://openalex.org/W2922035574","https://openalex.org/W2977284957","https://openalex.org/W2978168792","https://openalex.org/W2980350741","https://openalex.org/W2982125493","https://openalex.org/W3019644839","https://openalex.org/W3023070620","https://openalex.org/W3026211598","https://openalex.org/W3027356159","https://openalex.org/W3089427493","https://openalex.org/W3092926122","https://openalex.org/W3127258757","https://openalex.org/W3128293792","https://openalex.org/W3140033457","https://openalex.org/W3152804375","https://openalex.org/W3158787013","https://openalex.org/W3189565283","https://openalex.org/W4205147457","https://openalex.org/W4206262095","https://openalex.org/W4224068705","https://openalex.org/W4224217470","https://openalex.org/W4238824471","https://openalex.org/W4281682390","https://openalex.org/W4286432739","https://openalex.org/W4294925046","https://openalex.org/W4295775193","https://openalex.org/W4296474810","https://openalex.org/W4310942293","https://openalex.org/W4312128718","https://openalex.org/W4319215696","https://openalex.org/W6671099320","https://openalex.org/W6769408469","https://openalex.org/W7027491594"],"related_works":["https://openalex.org/W4407027949","https://openalex.org/W7171960894","https://openalex.org/W4408038407","https://openalex.org/W4408038577","https://openalex.org/W4414141673","https://openalex.org/W7115696383","https://openalex.org/W7220395108","https://openalex.org/W3212188106","https://openalex.org/W3019644839","https://openalex.org/W3011326329"],"abstract_inverted_index":{"Determining":[0],"the":[1,43,79,90,147,192,197],"most":[2,46],"effective":[3,47],"insomnia":[4,33,72,82,109,149,171],"medication":[5,17,53,83],"for":[6,184],"patients":[7],"may":[8],"require":[9],"therapeutic":[10,26],"trials":[11],"of":[12,92,146],"different":[13,32],"medications.":[14,73],"In":[15,178],"addition,":[16],"side":[18],"effects,":[19],"interactions":[20],"with":[21,140],"co-administered":[22],"medications,":[23,110],"and":[24,45,86,88,103,126,161,166,188,199],"declining":[25],"efficacy":[27],"can":[28,195],"necessitate":[29],"switching":[30,87,106,187],"between":[31,71],"medications":[34],"or":[35,69,107,186],"deprescribing":[36,68,185],"altogether.":[37],"Currently,":[38],"little":[39],"guidance":[40],"exists":[41],"regarding":[42,64],"safest":[44],"way":[48],"to":[49,54,61,98,157,169],"transition":[50],"from":[51],"one":[52],"another.":[55],"Thus,":[56],"we":[57,111],"developed":[58],"evidence-based":[59],"guidelines":[60],"inform":[62],"clinicians":[63],"best":[65],"practices":[66],"when":[67,132,151,176],"transitioning":[70],"Five":[74],"U.S.-based":[75],"sleep":[76],"experts":[77],"reviewed":[78],"literature":[80],"involving":[81,189],"deprescribing,":[84],"tapering,":[85],"rated":[89],"quality":[91],"evidence.":[93],"They":[94],"used":[95,168],"this":[96],"evidence":[97],"generate":[99],"recommendations":[100],"through":[101],"discussion":[102],"consensus.":[104],"When":[105],"discontinuing":[108],"recommend":[112],"benzodiazepine":[113],"hypnotic":[114],"drugs":[115],"be":[116,173],"tapered":[117],"while":[118],"additional":[119],"CBT-I":[120],"is":[121,138,154],"provided.":[122],"For":[123],"Z-drugs":[124],"zolpidem":[125],"eszopiclone":[127],"(and":[128],"not":[129],"zaleplon),":[130],"especially":[131],"prescribed":[133],"at":[134],"supratherapeutic":[135],"doses,":[136],"tapering":[137],"recommended":[139],"a":[141,182],"1-2-day":[142],"delay":[143],"in":[144,191],"administration":[145],"next":[148],"therapy":[150],"applicable.":[152],"There":[153],"no":[155],"need":[156],"taper":[158],"DORAs,":[159],"doxepin,":[160],"ramelteon.":[162],"Lastly,":[163],"off-label":[164],"antidepressants":[165],"antipsychotics":[167],"treat":[170],"should":[172],"gradually":[174],"reduced":[175],"discontinuing.":[177],"general,":[179],"offering":[180],"individuals":[181],"rationale":[183],"them":[190],"decision-making":[193],"process":[194],"facilitate":[196],"change":[198],"enhance":[200],"treatment":[201],"success.":[202]},"counts_by_year":[{"year":2026,"cited_by_count":22},{"year":2025,"cited_by_count":25},{"year":2024,"cited_by_count":10},{"year":2023,"cited_by_count":2}],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2023-03-30T00:00:00"}