Differences between patients' and clinicians' report of sleep disturbance: a field study in mental health care in Norway
<p>Abstract</p> <p>Background</p> <p>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 disord...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2011-11-01
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| Series: | BMC Psychiatry |
| Online Access: | http://www.biomedcentral.com/1471-244X/11/186 |
| _version_ | 1811318701154107392 |
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| author | Kallestad Håvard Hansen Bjarne Langsrud Knut Ruud Torleif Morken Gunnar Stiles Tore C Gråwe Rolf W |
| author_facet | Kallestad Håvard Hansen Bjarne Langsrud Knut Ruud Torleif Morken Gunnar Stiles Tore C Gråwe Rolf W |
| author_sort | Kallestad Håvard |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>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 (<it>N </it>= 40261). Data-sets 2 (<it>N </it>= 1065) and 3 (<it>N </it>= 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.</p> <p>Results</p> <p>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.</p> <p>Conclusion</p> <p>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.</p> |
| first_indexed | 2024-04-13T12:29:14Z |
| format | Article |
| id | doaj.art-c271de687fbb4ee8b9c71bc0b5d03d3c |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-04-13T12:29:14Z |
| publishDate | 2011-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-c271de687fbb4ee8b9c71bc0b5d03d3c2022-12-22T02:46:54ZengBMCBMC Psychiatry1471-244X2011-11-0111118610.1186/1471-244X-11-186Differences between patients' and clinicians' report of sleep disturbance: a field study in mental health care in NorwayKallestad HåvardHansen BjarneLangsrud KnutRuud TorleifMorken GunnarStiles Tore CGråwe Rolf W<p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>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 (<it>N </it>= 40261). Data-sets 2 (<it>N </it>= 1065) and 3 (<it>N </it>= 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.</p> <p>Results</p> <p>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.</p> <p>Conclusion</p> <p>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.</p>http://www.biomedcentral.com/1471-244X/11/186 |
| spellingShingle | Kallestad Håvard Hansen Bjarne Langsrud Knut Ruud Torleif Morken Gunnar Stiles Tore C Gråwe Rolf W Differences between patients' and clinicians' report of sleep disturbance: a field study in mental health care in Norway BMC Psychiatry |
| title | Differences between patients' and clinicians' report of sleep disturbance: a field study in mental health care in Norway |
| title_full | Differences between patients' and clinicians' report of sleep disturbance: a field study in mental health care in Norway |
| title_fullStr | Differences between patients' and clinicians' report of sleep disturbance: a field study in mental health care in Norway |
| title_full_unstemmed | Differences between patients' and clinicians' report of sleep disturbance: a field study in mental health care in Norway |
| title_short | Differences between patients' and clinicians' report of sleep disturbance: a field study in mental health care in Norway |
| title_sort | differences between patients and clinicians report of sleep disturbance a field study in mental health care in norway |
| url | http://www.biomedcentral.com/1471-244X/11/186 |
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