为睡眠相关的投诉寻求专业的帮助
Lisa Rauch1, Torsten Schneider1, Claus Wendt1
1Department of Social Science, University of Siegen, Siegen, Germany.
Frontiers in public health
|December 20, 2024
概括
归因于精神原因的睡眠问题的人不太可能寻求专业帮助. 这凸显了更好地管理睡眠障碍和消除耻辱化的需要.
科学领域:
- 睡眠医学 睡眠医学
- 医疗保健服务研究 医疗服务研究
- 行为科学 行为科学
背景情况:
- 与睡眠有关的投诉很常见,但寻求专业帮助的情况很低.
- 现有的模型不足以解释这种低水平的护理利用率.
- 睡眠问题的感知原因被探索为一个关键因素.
研究的目的:
- 调查影响睡眠投诉寻求帮助行为的因素.
- 检查感知原因在专业帮助利用中的作用.
- 告知策略,以改善睡眠障碍的管理.
主要方法:
- 对3000名德国成年人 (40至75岁) 的定量研究.
- 对761名患有睡眠问题的人进行了后勤回归分析.
- 感知原因被分类为完全精神,部分精神或非精神.
主要成果:
- 将睡眠问题仅归因于心理原因,大大降低了寻求专业帮助的可能性 (AME: -0.158**).
- 即使控制了投诉的严重程度和持续时间 (AME: -0.117**),这种效应仍然存在.
- 患有精神疾病的个人更容易自救,特别是药物治疗.
结论:
- 医疗保健系统必须优先考虑与睡眠有关的投诉.
- 干预措施应包括消除耻辱化和改善健康素养.
- 提高对失眠认知行为疗法 (CBT-I) 的准入,以及医生的彻底评估至关重要.
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