People with insomnia: experiences with sedative hypnotics and risk perception

Cheung, Janet M Y; Bartlett, Delwyn J.; Armour, Carol; Ellis, Jason; Saini, Bandana

doi:10.1111/hex.12388

Cited by 13 publications

(9 citation statements)

References 48 publications

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“…Of the seven components of the PSQI, use of sleep medication was the component with the highest score, and among those reporting fairly good or very good sleep quality, 63.6% (7 out of 11) took hypnotics three or more times a week. Unlike people with insomnia, who tend to take fewer sleep medications [ 34 ], in this study, people with schizophrenia who also had sleep issues had a higher level of acceptance of sleep medications, which is possibly due to their long history of taking antipsychotic medications. The qualitative data revealed that people with schizophrenia may accept a status quo of sleep quality as long as they are able to fall asleep even if it requires taking hypnotics.…”

Section: Discussionmentioning

confidence: 84%

Understanding factors relevant to poor sleep and coping methods in people with schizophrenia

Chang

et al. 2021

BMC Psychiatry

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Background Sleep disruption is pervasive in people with schizophrenia, but few studies have explored their sleep experiences. This study aims to identify factors relevant to sleep problems and explore coping methods used by community-dwelling people with schizophrenia. Methods Eighteen participants with schizophrenia were recruited from three mental health centers in Taiwan. They completed a semi-structured interview and the Pittsburgh Sleep Quality Index (PSQI) assessment. The Person-Environment-Occupation model offered a framework to assess factors related to sleep. Thematic analysis was used for the qualitative data analysis. Results Factors related to sleep were classified under person, environment, and occupation domains. The person domain included three subthemes: psychiatric symptoms, unpleasant emotions, and frustration about sleep. The environment domain included three subthemes: sensory intrusions from the environment, quality of bedding, and roommates. The occupation domain included sleep interruption and sleep preparation. There were notable discrepancies in sleep quality between the participants’ narratives and their PSQI global scores. Regarding coping methods for poor sleep, sleep medication was the primary strategy while some participants also used other strategies, such as modifying the environment, adjusting routines, or engaging in activities that improve sleep quality. Conclusions Psychiatric symptoms and nightmares were identified as unique sleep disruptions in people with schizophrenia, and poor economic status was also found to impact their sleep. The sleep quality of people with schizophrenia tends to be poor, as identified by the PSQI, even though they may have positive perceptions of their sleep quality. Our participants appeared to prefer to take hypnotics to address their sleep problems, which may be due to limited knowledge about alternatives. Mental health professionals are encouraged to receive training in the application of non-pharmacological approaches to support their clients’ issues related to sleep.

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Section: Discussionmentioning

confidence: 84%

Understanding factors relevant to poor sleep and coping methods in people with schizophrenia

Chang

et al. 2021

BMC Psychiatry

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“…Moreover, it is commonly comorbid with medical and psychiatric disorders, increases risk for development of these disorders, and is associated with increased health care utilization and costs (Alexander et al, 2016; Anderson et al, 2014; Martin et al, 2017; Riemann, 2007; Taylor et al, 2007). Treatment of insomnia typically consists of prescription sedative-hypnotics and behaviorally based interventions (Cheung, Bartlett, Armour, Ellis, & Saini, 2016). Sedative-hypnotics, the most common treatment, are effective and reduce symptoms relative to placebos, but the evidence is not strong, especially long-term (Charles, Harrison, & Britt, 2009; Mitchell, Gehrman, Perlis, & Umscheid, 2012).…”

mentioning

confidence: 99%

Veterans’ experiences with and perspectives on insomnia treatment: A qualitative study.

Bramoweth

Rodriguez

Klima

et al. 2022

Psychological Services

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Qualitative interviews were conducted with veterans to understand their experiences and perceptions about insomnia and its treatment, with a focus on cognitive–behavioral therapy for insomnia (CBT-I) and brief behavioral treatment for insomnia (BBTI). There is a lack of knowledge about veterans’ understanding of this prevalent disorder, yet their experiences and perceptions can influence treatment delivery and treatment outcomes. The Department of Veterans Affairs (VA) can improve insomnia care by considering and responding to this valuable information from veteran stakeholders. Twenty veterans with an insomnia diagnosis or complaint were interviewed about their experiences with insomnia, its treatment, and their preferences for care. Transcripts from the audio-recorded interviews were independently analyzed by 2 coders using content analysis, and discrepancies were resolved through negotiated consensus. The 20 veterans were mostly male (85%), older (60.4 years ± 9.0), and white (60%). Experiences with insomnia and perspectives regarding treatment focused on (a) insomnia symptoms, (b) comorbid symptoms, (c) seeking treatment, (d) intervention experiences, (e) intervention preferences and expectations, and (f) patient attributes. Barriers to care included a lack of knowledge about treatment and a lack of options that fit veterans’ preference for delivery. These results provide insight into veterans’ experiences with and perspectives on insomnia treatment that is crucial to the support, development, and implementation of interventions. A focus on increasing knowledge of, and expectations for, insomnia treatments as well as offering multiple delivery options has the potential to improve utilization and access to quality insomnia care.

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“…Findings on medication‐taking and treatment decision‐making have been published in Health Expectations (Cheung et al . ) and Behavioral Sleep Medicine (Cheung et al . ), respectively.…”

Section: Methodsmentioning

confidence: 99%

Mapping the illness trajectories of insomnia: a biographical disruption?

Cheung

Saini

Bartlett

et al. 2016

Sociology Health & Illness

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The insomnia illness experience can be conceptualised as a form of biographical disruption. Using a critical interpretive phenomenological lens 51 in-depth semi-structured interviews were conducted with patients from specialist sleep and psychology clinics (n = 22) and the general community (n = 29). Patients' narratives revealed key phases of their illness trajectories as they recognise, rethink and respond to insomnia. Their biographical events served as reference points for both patient groups to make sense of their illness experiences as they transitioned from a perceived state of sleeplessness to clinical insomnia. The innate biological process of sleep at night and the sleep-dependent daytime psychosocial function exerted a negative bi-directional effect, creating a continuous circuit of disruption. Coping mechanisms were inspired by the participants' immediate social environment and centred on sociocultural motifs of relaxation and alertness to break the 'circuit'. Access to specialist clinic services appeared to be contingent on the richness of resources in one's social network and surrounding environment rather than the clinical severity of the disease alone. Treatment that can simultaneously target the night time and daytime consequences of insomnia resonates closely with participants' depiction of insomnia as both a physiological and a psychosocial phenomenon.

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People with insomnia: experiences with sedative hypnotics and risk perception

Cited by 13 publications

References 48 publications

Understanding factors relevant to poor sleep and coping methods in people with schizophrenia

Understanding factors relevant to poor sleep and coping methods in people with schizophrenia

Veterans’ experiences with and perspectives on insomnia treatment: A qualitative study.

Mapping the illness trajectories of insomnia: a biographical disruption?

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