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Insomnia: nonpharmacologic management by private practice physicians.

P M Nicassio, J K Pate, D R Mendlowitz

    Southern Medical Journal
    |May 1, 1985
    PubMed
    Summary
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    Physicians often undervalue behavioral assessment and nonpharmacologic treatments for insomnia. Increased patient volume with insomnia correlated with higher perceived value of behavioral assessment and treatment use.

    Area of Science:

    • Medical Practice
    • Sleep Medicine
    • Behavioral Health

    Background:

    • Insomnia is a common medical problem with serious implications.
    • Nonpharmacologic treatments and behavioral assessments are recognized alternatives for insomnia management.
    • Physician practices may not fully incorporate these evidence-based approaches.

    Purpose of the Study:

    • To investigate physicians' perceptions of behavioral assessment value for insomnia.
    • To examine the utilization of nonpharmacologic insomnia treatments by physicians.
    • To identify factors influencing the adoption of behavioral assessment and treatment strategies.

    Main Methods:

    • A survey was conducted among 159 physicians in private practice in Davidson County, Tennessee.
    • The survey assessed physicians' perceived value of behavioral assessment and use of nonpharmacologic treatments for insomnia.

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  • Statistical analysis explored relationships between patient volume, diagnostic practices, and treatment choices.

    • Main Results:

    • Physicians generally reported low perceived value for behavioral assessment and infrequent use of nonpharmacologic treatments.
    • A positive correlation was found between the number of insomnia patients seen and the value attributed to behavioral assessment.
    • Physicians who endorsed behavioral assessment were more likely to use behavioral treatment techniques.

    Conclusions:

    • Physicians' limited use of nonpharmacologic insomnia treatments may stem from a lack of awareness regarding their value.
    • Enhanced understanding and training in behavioral assessment and treatment strategies could improve insomnia care.
    • Integrating behavioral approaches into clinical practice is crucial for addressing insomnia effectively.