Division of Sleep Medicine, Harvard Medical School, Boston, MA.
Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, MA.
Behav Sleep Med. 2021 Nov-Dec;19(6):744-753. doi: 10.1080/15402002.2020.1860990. Epub 2020 Dec 18.
: Clinical psychologists often treat patients with a sleep disorder. Cognitive-behavioral treatments can independently, or in combination with medical interventions, effectively improve sleep health outcomes. No studies have examined sleep education and training among practicing clinical psychologists.: Actively practicing clinical psychologists were recruited through psychological associations' e-mail listservs across the United States and Canada. Respondents (N = 200) provided information about: 1) duration and format of formal sleep education and training; 2) perceived self-efficacy to evaluate and treat sleep disorders; and 3) interest in further sleep training.: Clinical psychologists reported a median of 10.0 hours of didactic sleep training (range 0-130 hours) across their training or career. Ninety-five percent reported no clinical sleep training during graduate school, internship, or post-doctoral fellowship. In terms of evaluation and treatment, 63.2% reported feeling at least "Moderately Prepared" to evaluate a patient's sleep and 59.5% felt at least "Moderately Prepared" to treat a common sleep disorder (insomnia disorder). However, most endorsed using insomnia disorder treatment approaches inconsistent with empirically supported guidelines. The vast majority (99.3%) desired additional sleep training across a variety of delivery formats.: Many clinical psychologists engaged in active patient care have received minimal formal sleep training. Despite this, they felt prepared to evaluate and treat sleep disorders. Their treatment recommendations were not aligned with evidence-based standards. This may result in a delay to, or absence of, effective treatment for patients, underscoring the critical need for sleep training among clinical psychologists. It is essential to improve sleep competencies for the field.
临床心理学家经常治疗患有睡眠障碍的患者。认知行为治疗可以独立于或与医学干预相结合,有效地改善睡眠健康结果。没有研究检查过执业临床心理学家的睡眠教育和培训。
通过美国和加拿大的心理协会电子邮件列表,招募积极执业的临床心理学家。受访者(N=200)提供了以下信息:1)正式睡眠教育和培训的持续时间和形式;2)评估和治疗睡眠障碍的自我效能感;3)对进一步睡眠培训的兴趣。
临床心理学家报告在培训或职业生涯中接受了中位数为 10.0 小时的理论睡眠培训(范围 0-130 小时)。95%的人报告在研究生、实习或博士后期间没有接受过临床睡眠培训。在评估和治疗方面,63.2%的人报告至少“中度准备”评估患者的睡眠,59.5%的人报告至少“中度准备”治疗常见的睡眠障碍(失眠障碍)。然而,大多数人认可使用与循证指南不一致的失眠障碍治疗方法。绝大多数(99.3%)希望通过各种交付格式接受额外的睡眠培训。
许多从事积极患者护理的临床心理学家仅接受了最低限度的正式睡眠培训。尽管如此,他们认为自己有能力评估和治疗睡眠障碍。他们的治疗建议与循证标准不一致。这可能导致患者的治疗延迟或缺乏有效治疗,突出了临床心理学家进行睡眠培训的关键需求。提高该领域的睡眠能力至关重要。