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Journal of Clinical Psychology in Medical Settings

Erschienen in:

24.07.2018

An Assessment of Medical Practitioners’ Knowledge of, Experience with, and Treatment Attitudes Towards Sleep Disorders and Nightmares

verfasst von: Westley A. Youngren, Katherine E. Miller, Joanne L. Davis

Erschienen in: Journal of Clinical Psychology in Medical Settings | Ausgabe 2/2019

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Abstract

Sleep disorders are frequently under assessed and not well understood by medical practitioners. This study investigated medical practitioners’ knowledge of, experience with, and treatment considerations for sleep disorders, with a particular emphasis on nightmares. Eighty-eight individuals practicing medicine in the United States completed a survey eliciting information in three domains: (a) professional experience with nightmares, (b) knowledge of nightmares, and (c) attitudes about treatment of sleep disturbances. Seventy percent of participants reported a lack of professional experience with nightmares, 78% endorsed inaccurate definitions of a nightmares, and 82% considered sleep disorders to be a secondary problem, with 75% considering nightmares a secondary problem. Seventy-two percent of participants reported they would be likely to consider psychological treatment for nightmares. Results suggest that medical practitioners may not be receiving updated and/or adequate education about sleep disorders, including nightmares. This lack of information may contribute to sleep disorders being under assessed and untreated.

American Academy of Sleep Medicine. (2014). International classification of sleep disorders (3rd ed.). Darien: American Academy of Sleep Medicine.

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: American Psychiatric Association.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.CrossRef

Bandla, H., Franco, R. A., Simpson, D., Brennan, K., McKanry, J., & Bragg, D. (2012). Assessing learning outcomes and cost effectiveness of an online sleep curriculum for medical students. Journal of Clinical Sleep Medicine, 8(4), 439–443.PubMedPubMedCentral

Bishop, T. F., Ramsay, P. P., Casalino, L. P., Bao, Y., Pincus, H. A., & Shortell, S. M. (2016). Care management processes used less often for depression than for other chronic conditions in us primary care practices. Health Affairs, 35, 394–400.CrossRefPubMed

Carney, C. E., Segal, Z. V., Edinger, J. D., & Krystal, A. D. (2007). Comparison of rates of residual insomnia symptoms following pharmacotherapy or cognitive-behavioral therapy for major depressive disorder. Journal of Clinical Psychiatry, 68, 254–260.CrossRefPubMed

Cranston, C. C., Miller, K. E., Davis, J. L., & Rhudy, J. L. (2017). Preliminary validation of a brief measure of the frequency and severity of nightmares: The Trauma-Related Nightmare Survey. Journal of Trauma & Dissociation, 18(1), 88–99.CrossRef

Creamer, J. L., Brock, M. S., Matsangas, P., Motamedi, V., & Mysliwiec, V. (2018). Nightmares in United States military personnel with sleep disturbances. Journal of Clinical Sleep Medicine, 14(03), 419–426.CrossRefPubMedPubMedCentral

Davis, J. L., Rhudy, J. L., Pruiksma, K. E., Byrd, P., Williams, A. E., McCabe, K. M., & Bartley, E. J. (2011). Physiological predictors of response to exposure, relaxation, and rescripting therapy for chronic nightmares in a randomized clinical trial. Journal of Clinical Sleep Medicine, 7, 622–631.PubMedPubMedCentral

Forbes, D., Phelps, A., & Mchugh, T. (2001). Treatment of combat-related nightmares using imagery rehearsal: A pilot study. Journal of Traumatic Stress, 14, 433–442.CrossRefPubMed

Galatzer-Levy, I. R., Nickerson, A., Litz, B. T., & Marmar, C. R. (2013). Patterns of lifetime PTSD comorbidity: A latent class analysis. Depression and Anxiety, 30, 489–496.CrossRefPubMed

Germain, A., & Nielsen, T. (2003). Impact of imagery rehearsal treatment on distressing dreams, psychological distress, and sleep parameters in nightmare patients. Behavioral Sleep Medicine, 1(3), 140–154.CrossRefPubMed

Hartmann, E. (1996). Who develops PTSD nightmares and who doesn’t. Cambridge: Harvard University Press.

Hefez, A., Metz, L., & Lavie, P. (1987). Long-term effects of extreme situational stress on sleep and dreaming. The American Journal of Psychiatry, 144, 344–347.CrossRefPubMed

Ho, F. Y. Y., Chan, C. S., & Tang, K. N. S. (2016). Cognitive-behavioral therapy for sleep disturbances in treating posttraumatic stress disorder symptoms: A meta-analysis of randomized controlled trials. Clinical Psychology Review, 43, 90–102.CrossRefPubMed

Klingman, K., Jungquist, C., & Perlis, M. (2017). Introducing the sleep disorders symptom checklist-25: A primary care friendly and comprehensive screener for sleep disorders. Sleep Medicine Research, 8(1), 17–25.CrossRef

Krakow, B., Hollifield, M., & Johnston, L. (2001). Imagery rehearsal therapy for chronic nightmares in sexual assault survivors with posttraumatic stress disorder: A randomized controlled trial. Journal of the American Medical Association, 286, 537–545.CrossRefPubMed

Krystal, A. D. (2006). Sleep and psychiatric disorders: Future directions. Psychiatric Clinics, 29(4), 1115–1130.PubMed

Littlewood, D. L., Gooding, P. A., Panagioti, M., & Kyle, S. D. (2016). Nightmares and suicide in posttraumatic stress disorder: The mediating role of defeat, entrapment, and hopelessness. Journal of Clinical Sleep Medicine, 12(3), 393–399.CrossRefPubMedPubMedCentral

Matteson-Rusby, S. E., Pigeon, W. R., Gehrman, P., & Perlis, M. L. (2010). Why treat insomnia?. Primary Care Companion to the Journal of Clinical Psychiatry. https://doi.org/10.4088/PCC.08r00743bro CrossRefPubMedPubMedCentral

Miller, K. E., Brownlow, J. A., Woodward, S., & Gehrman, P. R. (2017). Sleep and dreaming in posttraumatic stress disorder. Current Psychiatry Reports, 19(10), 71–81.CrossRefPubMed

Mindell, J. A., Bartle, A., Wahab, N. A., Ahn, Y., Ramamurthy, M. B., Huong, H. T. D., … Goh, D. Y. (2011). Sleep education in medical school curriculum: A glimpse across countries. Sleep Medicine, 12(9), 928–931.CrossRefPubMed

Morin, C. M. (2006). Combined therapeutics for insomnia: Should our first approach be behavioral or pharmacological? Sleep Medicine, 7, 15–19.CrossRef

Nadorff, M. R., Nadorff, D. K., & Germain, A. (2015). Nightmares: Under-reported, undetected, and therefore untreated. Journal of Clinical Sleep Medicine, 11, 747–750.PubMedPubMedCentral

Nadorff, M. R., Nazem, S., & Fiske, A. (2013). Insomnia symptoms, nightmares, and suicide risk: Duration of sleep disturbance matters. Suicide and Life Threatening Behavior, 43, 139–149.CrossRefPubMed

Ohayon, M. M., & Shapiro, C. M. (2000). Sleep disturbances and psychiatric disorders associated with posttraumatic stress disorder in the general population. Comprehensive Psychiatry, 41, 469–478.CrossRefPubMed

Olfson, M., Blanco, C., Wang, S., Laje, G., & Correll, C. U. (2014). National trends in the mental health care of children, adolescents, and adults by office-based physicians. JAMA Psychiatry, 71, 81–90.CrossRefPubMed

Pacella, M. L., Hruska, B., & Delahanty, D. L. (2013). The physical health consequences of PTSD and PTSD symptoms: A meta-analytic review. Journal of Anxiety Disorders, 27, 33–46.CrossRefPubMed

Papp, K. K., Penrod, C. E., & Strohl, K. P. (2002). Knowledge and attitudes of primary care physicians toward sleep and sleep disorders. Sleep and Breathing, 6, 103–109.CrossRefPubMed

Phelps, A. J., Forbes, D., & Creamer, M. (2008). Understanding posttraumatic nightmares: An empirical and conceptual review. Clinical Psychology Review, 28(2), 338–355.CrossRefPubMed

Pruiksma, K. E., Taylor, D. J., & Wachen, J. S. (2016). Residual sleep disturbances following PTSD treatment in active duty military personnel. Psychological Trauma: Theory, Research, Practice, and Policy, 8, 697–701.CrossRef

Ram, S., Seirawan, H., Kumar, S. K., & Clark, G. T. (2010). Prevalence and impact of sleep disorders and sleep habits in the United States. Sleep and Breathing, 14, 63–70.CrossRefPubMed

Ritter, P. S., Marx, C., Bauer, M., Leopold, K., & Pfennig, A. (2011). The role of disturbed sleep in the early recognition of bipolar disorder: A systematic review. Bipolar Disorders, 13, 227–237.CrossRefPubMed

Rosen, R. C., Zozula, R., Jahn, E. G., & Carson, J. L. (2001). Low rates of recognition of sleep disorders in primary care: Comparison of a community-based versus clinical academic setting. Sleep Medicine, 2, 47–55.CrossRefPubMed

Ross, R. J., Ball, W. A., Sullivan, K. A., & Caroff, S. N. (1989). Sleep disturbance as the hallmark of posttraumatic stress disorder. The American Journal of Psychiatry, 146(6), 697–707.CrossRefPubMed

Sateia, M. J. (2014). International classification of sleep disorders. Chest, 146(5), 1387–1394.CrossRefPubMed

Schredl, M. (2010). Nightmare frequency and nightmare topics in a representative German sample. European Archieves of Psychiatry and Clinical Neuroscience, 260, 565–570.CrossRef

Seda, G., Sanchez-Ortuno, M. M., Welsh, C. H., Halbower, A. C., & Edinger, J. D. (2015). Comparative meta-analysis of prazosin and imagery rehearsal therapy for nightmare frequency, sleep quality, and posttraumatic stress. Journal of Clinical Sleep Medicine, 11(1), 11–22.PubMedPubMedCentral

Selfridge, J. M., Moyer, K., Capelluto, D. G., & Finkielstein, C. V. (2015). Opening the debate: How to fulfill the need for physicians’ training in circadian-related topics in a full medical school curriculum. Journal of Circadian Rhythms, 13, 1–10.

Tanskanen, A., Tuomilehto, J., Viinamäki, H., Vartiainen, E., Lehtonen, J., & Puska, P. (2001). Nightmares as predictors of suicide. Sleep, 24(7), 845–848.

Thünker, J., Norpoth, M., Von Aspern, M., Özcan, T., & Pietrowsky, R. (2014). Nightmares: Knowledge and attitudes in health care providers and nightmare sufferers. Journal of Public Health and Epidemiology, 6, 223–228.CrossRef

U.S. Department of Health and Human Services, National Institutes of Health, National Heart, Lung, and Blood Institute. (2016). Sleep science and sleep disorders. Retrieved from https://www.nhlbi.nih.gov/science/sleep-science-and-sleep-disorders.

Woodward, S. H., Arsenault, N. J., Murray, C., & Bliwise, D. L. (2000). Laboratory sleep correlates of nightmare complaint in PTSD inpatients. Biological Psychiatry, 48(11), 1081–1087.CrossRefPubMed

World Health Organization. (1992). The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. Geneva: World Health Organization.

Zadra, A., Pilon, M., & Donderi, D. C. (2006). Variety and intensity of emotions in nightmares and bad dreams. The Journal of Nervous and Mental Disease, 194(4), 249–254.CrossRefPubMed

Titel: An Assessment of Medical Practitioners’ Knowledge of, Experience with, and Treatment Attitudes Towards Sleep Disorders and Nightmares
verfasst von: Westley A. Youngren
Katherine E. Miller
Joanne L. Davis
Publikationsdatum: 24.07.2018
Verlag: Springer US
Erschienen in: Journal of Clinical Psychology in Medical Settings / Ausgabe 2/2019
Print ISSN: 1068-9583
Elektronische ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-018-9574-7

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