Nicassio P M, Pate J K, Mendlowitz D R, Woodward N
South Med J. 1985 May;78(5):556-60. doi: 10.1097/00007611-198505000-00015.
We report a survey investigation on the perceived value of behavioral assessment and the use of nonpharmacologic treatment of insomnia by 159 physicians in private practice in Davidson County, Tennessee. They generally attributed limited value to behavioral assessment, and reported infrequent use of nonpharmacologic treatment. However, the more patients the physicians saw with insomnia as the chief symptom, the more they tended to value behavioral assessment and other diagnostic procedures. Endorsement of behavioral assessment and all other diagnostic practices was in turn related to the use of behavioral treatment techniques. We suggest that a lack of awareness of the value of alternative assessment and treatment strategies may account for physicians' limited use of nonpharmacologic approaches to this common yet frequently serious medical problem.
我们报告了一项针对田纳西州戴维森县159名私人执业医生对行为评估的感知价值以及失眠非药物治疗使用情况的调查研究。他们普遍认为行为评估的价值有限，并报告称非药物治疗的使用频率较低。然而，医生诊治以失眠为主要症状的患者越多，他们就越倾向于重视行为评估和其他诊断程序。对行为评估及所有其他诊断方法的认可反过来又与行为治疗技术的使用有关。我们认为，对替代评估和治疗策略价值的认识不足可能是医生对这种常见但往往较为严重的医疗问题较少使用非药物方法的原因。
