Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-25T05:03:10.339Z Has data issue: false hasContentIssue false
  • English
  • Français

Recognition and treatment of patients with sleep problems in general health care

Published online by Cambridge University Press:  16 April 2020

Y Lecrubier ,
E Weiller ,
M Privett ,
P Boyer ,
W Maier ,
TB Üstün ,
N Sartorius  and
Principal investigators of the WHO International Study on Psychological Problems in General Health Care
Y Lecrubier
Affiliation:
Inserm U302, Hôpital de la Salpêtrière, 47 boulevard de l'Hôpital, 75651Paris cedex 13, France
E Weiller
Affiliation:
Inserm U302, Hôpital de la Salpêtrière, 47 boulevard de l'Hôpital, 75651Paris cedex 13, France
M Privett
Affiliation:
Division of Mental Health, World Health Organization, Geneva, Switzerland
P Boyer
Affiliation:
Hôpital Sainte-Anne, Paris, France
W Maier
Affiliation:
Psychiatrische Klinik und Poliklinik, Mainz, Germany
TB Üstün
Affiliation:
Division of Mental Health, World Health Organization, Geneva, Switzerland
N Sartorius
Affiliation:
Division of Mental Health, World Health Organization, Geneva, Switzerland
Get access

Summary

The form, frequency and burden of sleep problems in general health care in the WHO Collaborative Study on Psychological Problems are presented in this same issue. This study was conducted in 5,438 primary care patients belonging to 15 centres in 14 countries after 25,916 patients were screened with the GHQ-12. Diagnoses according to the International Classification of Diseases (ICD-10) were obtained from the Composite International Diagnostic Interview (CIDI-PHC). The presence of difficulties falling asleep, staying asleep, waking too early or sleeping too much were assessed by the CIDI. General practitioners (GPs) gave their opinion on the existence of a psychological problem and/or a physical disease and indicated what therapeutic intervention was proposed to patients they recognized as psychological cases. The existence of sleep problems increased the recognition of patients with psychiatric disorders by their GP. No specific subtype of sleep problems influences recognition. The existence of a somatic disease had little influence on the identification of sleep problems as psychological cases. Sleep problems were not frequently expressed as a main presenting complaint. In such a case the recognition rate of patients with ICD-10 diagnosis was unchanged but a sedative treatment was offered more frequently. Overall, 85.9% of patients with sleep problems and recognized as cases were offered treatment, 53.9% drug treatment. The most frequent treatment consumed was stimulants, tonics or vitamins while the most frequently prescribed were antidepressants, hypnotic and anxiolytics with rather similar proportions. Drug consumption was substantially lower than drug prescription.

Keywords

sleepprimary carediagnosistreatmentICD-10
Type
Research Article
Information
European Psychiatry , Volume 11 , Issue S1: Sleep disorders: epidemiology, social impact and treatment attitudes - Symposium to the AEP Congress , 1996 , pp. 11s - 14s
Copyright
Copyright © 1996 Elsevier, Paris

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Everitt, DEAvron, JBaker, MWClinical decision-making in the evaluation and treatment of insomnia. Am J Med 1990; 89:357–362CrossRefGoogle ScholarPubMed
Ford, DEKamerow, DBEpidemiologic study of sleep disturbances and psychiatric disorders. Psychiatr Clin North Am 1989; 10:565–581Google Scholar
Goldberg, DLecrubier, YForm and Frequency of Mental Disorders across Centres. Üstün, TBSartorius, NMental Illness in General Health Care An International Study Chichester: John Wiley Publishers 1995Google Scholar
Hohagen, FRink, KSchramm, ERiemann, DWeyerer, SBerger, MPrevalence and treatment of insomnia in general practice — a longitudinal study. Eur Arch Psychiatry Clin Neurosci 1993; 242:325–336CrossRefGoogle ScholarPubMed
Sartorius, NÜstün, TBCosta e Silva, JA et al. An international study of psychological problem in Primary Care. Arch Gen Psychiatry 1993; 50:819–824CrossRefGoogle Scholar
Schramm, EHohagen, FKäppier, CGrasshoff, UBerger, MMental comorbidity of chronic insomnia in genera) practice attenders using DSM-III-R. Acta Psychialr Scand 1995; 91:10–17CrossRefGoogle Scholar
Tan, TLKales, JDKales, ASoldators, CrBixler, EOBiopsychobe-havioural correlates of insomnia IV. diagnosis based on DSM-III. Am J Psychiatry 1984; 141:337–362Google ScholarPubMed
Üstün, TBPrivett, MLecrubier, Y et al. Form, frequency and burden of sleep problems in general health care: a report from the WHO Collaborative Study on Psychological Problems in General Health Care. Eur Psychiatry 1995Google Scholar
Vollrath, MWicki, WAngst, JThe Zurich study. VIII. Insomnia association with depression, anxiety, somatic syndromes and course of insomnia. Eur Arch Psychiatry Clin Neurosci 1989; 293:113–124CrossRefGoogle Scholar
Zorick, FjRoth, THartze, KMPiccione, PMStepanski, EJEvaluation and diagnosis of persistent insomnia. Am J Psychiatry 1981; 138:769–777Google ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.