Use of Insomnia Treatments and Discussions About Sleep with Health Professionals Among Australian Adults with Mental Health Conditions

Daniel I Russell; Amy C Reynolds; Sarah L Appleton; Robert J Adams; Helen Correia; Jennifer A Bowman; Tiffany K Gill; Alexandra Metse

doi:10.2147/NSS.S412468

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Use of Insomnia Treatments and Discussions About Sleep with Health Professionals Among Australian Adults with Mental Health Conditions

Journal article

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Peer reviewed

Use of Insomnia Treatments and Discussions About Sleep with Health Professionals Among Australian Adults with Mental Health Conditions

Daniel I Russell, Amy C Reynolds, Sarah L Appleton, Robert J Adams, Helen Correia, Jennifer A Bowman, Tiffany K Gill and Alexandra Metse

Nature and Science of Sleep, Vol.2023(15), pp.623-637

2023

DOI: https://doi.org/10.2147/NSS.S412468

PMCID: PMC10417743

PMID: 37577358

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Abstract

sleep

insomnia

help seeking

assessment

treatment

care

mental health

Background: Insomnia is a common issue among individuals with mental health conditions, yet the frequency of insomnia treatment remains unclear. The purpose of this study was to investigate the prevalence of probable insomnia, discussions regarding sleep with health professionals, and the utilisation of commonly delivered insomnia treatments in Australian adults diagnosed with mental health conditions. Methods: This study represents a secondary analysis of data collected through a cross-sectional, national online survey conducted in 2019. A subset included participants (n = 624, age 18–85y) who self-reported a diagnosis of depression, bipolar disorder, anxiety, panic disorder, or post-traumatic stress disorder. Participants were classed as having probable insomnia based on self-reported symptoms and a minimum availability of 7.5 hours in bed. Results: Among individuals with probable insomnia (n = 296, 47.4%), 64.5% (n = 191) reported discussing sleep with one or more health professionals, predominantly with general practitioners (n = 160, 83.8%). However, 35.4% (n = 105) of people with probable insomnia had not discussed their sleep with a health professional. Additionally, 35.1% (n = 104) used prescribed medication for sleep, while only 15.9% (n = 47) had used the first line recommended treatment of cognitive-behavioral therapy for insomnia in the last 12 months. Conclusion: Although most participants who met the criteria for probable insomnia had engaged in discussions about sleep with health professionals, utilisation of first line recommended treatment was low. Interventions that promote routine assessment of sleep and first line treatment for insomnia by health professionals would likely benefit people with mental health conditions.

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Title: Use of Insomnia Treatments and Discussions About Sleep with Health Professionals Among Australian Adults with Mental Health Conditions
Authors: Daniel I Russell (Corresponding Author) - Murdoch University
Amy C Reynolds (Author) - Flinders University
Sarah L Appleton (Author) - Flinders University
Robert J Adams (Author) - Flinders University
Helen Correia (Author) - Australian College of Applied Professions
Jennifer A Bowman (Author) - University of Newcastle Australia
Tiffany K Gill (Author) - The University of Adelaide
Alexandra Metse (Author) - University of the Sunshine Coast, Queensland, School of Health - Psychology
Publication details: Nature and Science of Sleep, Vol.2023(15), pp.623-637
Publisher: Dove Medical Press Ltd.
Date published: 2023
DOI: 10.2147/NSS.S412468
ISSN: 1179-1608
PMID: 37577358; PMC10417743
Copyright note: © 2023 Russell et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
Data Availability: Data may be available upon reasonable request to the corresponding author.
Grant note: The insomnia survey was funded by the not-for-profit Australian Sleep Health Foundation, using an unrestricted grant from Merck, Sharp & Dohme (MSD Australia) Pty Limited.
Organisation Unit: School of Health - Psychology
Language: English
Record Identifier: 99743298902621
Output Type: Journal article

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Web Of Science research areas: Clinical Neurology; Neurosciences

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