Differences between patients and clinicians report of sleep disturbance a field study in mental health care in Norway.docVIP

下载本文档

1
0
约3.12万字
约 8页
2017-05-16 发布于上海
举报
版权申诉

Differences between patients and clinicians report of sleep disturbance a field study in mental health care in Norway.doc

1、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。。
2、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
4、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
5、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
6、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
7、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

Differences between patients and clinicians report of sleep disturbance a field study in mental health care in Norway

Kallestadetal.BMCPsychiatry2011,11:186 /1471-244X/11/186 RESEARCH ARTICLE OpenAccess Differencesbetweenpatients’andclinicians’ reportofsleepdisturbance:afieldstudyin mentalhealthcareinNorway H?vardKallestad1,2*,BjarneHansen2,3,KnutLangsrud2,3,TorleifRuud4,5,GunnarMorken2,ToreCStiles6and RolfWGr?we7,8 Abstract Background:Theaimsofthestudywastoassesstheprevalenceofdiagnosedinsomniaandtheagreement betweenpatient-andclinician-reportedsleepdisturbanceanduseofprescribedhypnoticmedicationinpatientsin treatmentformentaldisorders. Methods:Weusedthreecross-sectional,multicenterdata-setsfrom2002,2005,and2008.Data-set1included diagnosticcodesfrom93%ofallpatientsreceivingtreatmentinmentalhealthcareinNorway(N=40261).Data- sets2(N=1065)and3(N=1181)includeddiagnosticcodes,patient-andclinician-reportedsleepdisturbance, anduseofprescribedhypnoticmedicationfrompatientsin8mentalhealthcarecenterscovering10%ofthe Norwegianpopulation. Results:34patientsindata-set1andnoneindata-sets2and3hadadiagnosisofinsomniaasaprimaryor comorbiddiagnosis.Indata-sets2and3,42%and40%ofthepatientsreportedsleepdisturbance,whereas24% and13%hadclinician-reportedsleepdisturbance,and7%and9%usedhypnotics.Patientsandcliniciansagreedin 29%and15%ofthecaseswherethepatientortheclinicianorbothhadreportedsleepdisturbance.Positive predictivevalue(PPV)ofclinicians’evaluationsofpatientsleepdisturbancewas62%and53%.Whenthepatient reportedsleepdisturbanceasoneoftheirmostprominentproblemsPPVwas36%and37%.Ofthepatientswho receivedhypnoticmedication,23%and29%hadneitherpatientnorclinician-ratedsleepdisturbance. Conclusion:Whenpatientsmeetthecriteriaforamentaldisorder,insomniaisalmostneverdiagnosed,andsleep disturbanceisimpreciselyrecognizedrelativetothepatients’experienceofsleepdisturbance. Background thatthereisaneedforspecifictreatmentforsleepdistur- Sleepdisturbanceislikelytobeacorefeatureacrosssev- banceforthesepatients. eralmentaldisorders [1,2].Inpatients withdepression, Adequatemanage