dc.contributor.author | Kallestad, Håvard | |
dc.contributor.author | Hansen, Bjarne | |
dc.contributor.author | Langsrud, Knut | |
dc.contributor.author | Ruud, Torleif | |
dc.contributor.author | Morken, Gunnar | |
dc.contributor.author | Stiles, Tore C | |
dc.contributor.author | Gråwe, Rolf W | |
dc.date.accessioned | 2015-10-09T01:04:41Z | |
dc.date.available | 2015-10-09T01:04:41Z | |
dc.date.issued | 2011 | |
dc.identifier.citation | BMC Psychiatry. 2011 Nov 23;11(1):186 | |
dc.identifier.uri | http://hdl.handle.net/10852/46394 | |
dc.description.abstract | Background
The aims of the study was to assess the prevalence of diagnosed insomnia and the agreement between patient- and clinician-reported sleep disturbance and use of prescribed hypnotic medication in patients in treatment for mental disorders.
Methods
We used three cross-sectional, multicenter data-sets from 2002, 2005, and 2008. Data-set 1 included diagnostic codes from 93% of all patients receiving treatment in mental health care in Norway (N = 40261). Data-sets 2 (N = 1065) and 3 (N = 1181) included diagnostic codes, patient- and clinician-reported sleep disturbance, and use of prescribed hypnotic medication from patients in 8 mental health care centers covering 10% of the Norwegian population.
Results
34 patients in data-set 1 and none in data-sets 2 and 3 had a diagnosis of insomnia as a primary or comorbid diagnosis. In data-sets 2 and 3, 42% and 40% of the patients reported sleep disturbance, whereas 24% and 13% had clinician-reported sleep disturbance, and 7% and 9% used hypnotics. Patients and clinicians agreed in 29% and 15% of the cases where the patient or the clinician or both had reported sleep disturbance. Positive predictive value (PPV) of clinicians' evaluations of patient sleep disturbance was 62% and 53%. When the patient reported sleep disturbance as one of their most prominent problems PPV was 36% and 37%. Of the patients who received hypnotic medication, 23% and 29% had neither patient nor clinician-rated sleep disturbance.
Conclusion
When patients meet the criteria for a mental disorder, insomnia is almost never diagnosed, and sleep disturbance is imprecisely recognized relative to the patients' experience of sleep disturbance. | |
dc.language.iso | eng | |
dc.rights | Kallestad et al; licensee BioMed Central Ltd. | |
dc.rights | Attribution 2.0 Generic | |
dc.rights.uri | http://creativecommons.org/licenses/by/2.0/ | |
dc.title | Differences between patients' and clinicians' report of sleep disturbance: a field study in mental health care in Norway | |
dc.type | Journal article | |
dc.date.updated | 2015-10-09T01:04:42Z | |
dc.creator.author | Kallestad, Håvard | |
dc.creator.author | Hansen, Bjarne | |
dc.creator.author | Langsrud, Knut | |
dc.creator.author | Ruud, Torleif | |
dc.creator.author | Morken, Gunnar | |
dc.creator.author | Stiles, Tore C | |
dc.creator.author | Gråwe, Rolf W | |
dc.identifier.doi | http://dx.doi.org/10.1186/1471-244X-11-186 | |
dc.identifier.urn | URN:NBN:no-50523 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/46394/1/12888_2011_Article_918.pdf | |
dc.type.version | PublishedVersion | |
cristin.articleid | 186 | |