Backhaus, Jutta and Junghanns, Klaus and Mueller-Popkes, Kristin and Broocks, Andreas and Riemann, Dieter and Hajak, Goeran and Hohagen, Fritz (2002) Short-term training increases diagnostic and treatment rate for insomnia in general practice. EUROPEAN ARCHIVES OF PSYCHIATRY AND CLINICAL NEUROSCIENCE, 252 (3). pp. 99-104. ISSN 0940-1334
Full text not available from this repository. (Request a copy)Abstract
objective To evaluate the effect of short-term training of general practitioners (GPs) on their diagnosis and treatment of chronic insomnia. Methods A three-step randomized control group design was used: After baseline evaluation (T1) a group of 9 GPs underwent a training of half a day, while 7 GPs served as a control group. The diagnostic and therapeutic handling of insomnia patients was reevaluated under obligatory use of a structured diagnostic questionnaire (T2) and under optional use of it (T3). Results From 16 general practices, 4,754 patients were included. The frequency rate of insomnia was 19.3%. The lowest diagnostic and treatment rate was found for insomnia patients without comorbidity (15% at T1). Systematic non-pharmacological treatment was not offered by the GPs. At T2 the diagnosis rate increased significantly from 37.9% (T1) to 71.5% (T2, p = 0.038). It fell back to lower levels at T3 but remained better than at T1. At T3 non-pharmacological treatments and referral to a sleep expert were advised more often. Conclusion Short-term training of GPs can significantly improve their diagnostic sensitivity and first-line treatment efforts against insomnia.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | SELF-HELP TREATMENT; PSYCHIATRIC-DISORDERS; PRACTICE ATTENDERS; TREATMENT EFFICACY; SLEEP DISTURBANCE; METAANALYSIS; PREVALENCE; GUIDANCE; IMPACT; insomnia; general medicine; diagnostic; treatment; training |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Psychiatrie und Psychotherapie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 25 Oct 2021 11:18 |
| Last Modified: | 25 Oct 2021 11:18 |
| URI: | https://pred.uni-regensburg.de/id/eprint/40185 |
Actions (login required)
 |
View Item |
