Anwar Ali, Yingling Michael D, Zhang Alicia, Ramtekkar Ujjwal, Nicol Ginger E
Department of Psychiatry, Washington University School of Medicine, 660 S. Euclid Ave., Campus Box 8134, St. Louis, MO 63110, USA.
Compass Health Network, University of Missouri Columbia School of Medicine, 3 Hospital Plaza Dr., Columbia, MO 65212, USA.
Med Sci (Basel). 2018 Feb 23;6(1):18. doi: 10.3390/medsci6010018.
As part of a university-based quality improvement project, we aimed to evaluate child psychiatrists' knowledge, skills, attitudes, and practices regarding assessment and treatment of pediatric sleep problems. We developed a nine-question survey of knowledge, skills, attitudes, and practices regarding assessing for and treating sleep complaints in pediatric patients, and administered this survey to child psychiatrists in training and in practice in the state of Missouri. Respondents reported sleep hygiene as the first-line treatment strategy, followed by the use of supplements or over-the-counter remedies. The most common barriers to evidence-based assessment and treatment of sleep problems were the lack of ability to obtain reliable history, and parental preference for medications over behavioral approaches for sleep concerns. These results suggest potential opportunities for enhancing knowledge regarding validated assessment tools and non-pharmacological treatment options for sleep problems. Additional research is needed to further assess the quality and type of sleep education provided in child psychiatry training programs.
作为一项基于大学的质量改进项目的一部分，我们旨在评估儿童精神科医生在评估和治疗儿童睡眠问题方面的知识、技能、态度和实践。我们针对评估和治疗儿科患者睡眠问题开发了一份包含九个问题的关于知识、技能、态度和实践的调查问卷，并将这份问卷发放给密苏里州正在接受培训和执业的儿童精神科医生。受访者将睡眠卫生作为一线治疗策略，其次是使用补充剂或非处方药物。基于证据的睡眠问题评估和治疗的最常见障碍是缺乏获取可靠病史的能力，以及家长在睡眠问题上对药物治疗而非行为方法的偏好。这些结果表明，在增强关于睡眠问题的有效评估工具和非药物治疗选择的知识方面存在潜在机会。需要进一步研究以进一步评估儿童精神病学培训项目中提供的睡眠教育的质量和类型。
