Rehman Aliyah, Waite Felicity, Sheaves Bryony, Biello Stephany, Freeman Daniel, Gumley Andrew
School of Psychology, University of Glasgow, Glasgow, Scotland.
Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, England.
Psychosis. 2017 Apr 3;9(2):129-139. doi: 10.1080/17522439.2016.1206955. Epub 2016 Jul 29.
To assess clinicians' views about their understanding and treatment of sleep problems in people with non-affective psychosis. An online survey was emailed to adult mental health teams in two NHS trusts. One hundred and eleven clinicians completed the survey. All clinicians reported disrupted sleep in their patients, and endorsed the view that sleep and psychotic experiences each exacerbate the other. However, most clinicians ( = 92, 82%) assessed sleep problems informally, rather than using standard assessment measures. There was infrequent use of the recommended cognitive-behavioural treatments for sleep problems such as persistent insomnia, with the approaches typically used being sleep hygiene and medications instead. Clinicians recognise the importance of sleep in psychosis, but the use of formal assessments and recommended treatments is limited. Barriers to treatment implementation identified by the clinicians related to services (e.g. lack of time), patients (e.g. their lifestyle) and environmental features of inpatient settings.
为评估临床医生对非情感性精神病患者睡眠问题的理解及治疗情况。向两家国民保健服务信托机构的成人心理健康团队发送了一份在线调查问卷。111名临床医生完成了该调查。所有临床医生均报告其患者存在睡眠障碍，并认同睡眠与精神病体验相互加剧的观点。然而，大多数临床医生（n = 92，82%）采用非正式方式评估睡眠问题，而非使用标准评估措施。对于持续性失眠等睡眠问题，很少使用推荐的认知行为疗法，通常采用的方法是睡眠卫生措施和药物治疗。临床医生认识到睡眠在精神病中的重要性，但正式评估和推荐治疗方法的使用有限。临床医生确定的治疗实施障碍与服务（如时间不足）、患者（如生活方式）以及住院环境的特点有关。
