Clinician perceptions of sleep problems, and their treatment, in patients with non-affective psychosis

Rehman, A., Waite, F., Sheaves, B., Biello, S. , Freeman, D. and Gumley, A. (2017) Clinician perceptions of sleep problems, and their treatment, in patients with non-affective psychosis. Psychosis, 9(2), pp. 129-139. (doi: 10.1080/17522439.2016.1206955) (PMID:28670337) (PMCID:PMC5470103)

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Aims and method: To assess clinicians’ views about their understanding and treatment of sleep problems in people with non-affective psychosis. An online survey was emailed to adult mental health teams in two NHS trusts. Results: One hundred and eleven clinicians completed the survey. All clinicians reported disrupted sleep in their patients, and endorsed the view that sleep and psychotic experiences each exacerbate the other. However, most clinicians (n = 92, 82%) assessed sleep problems informally, rather than using standard assessment measures. There was infrequent use of the recommended cognitive-behavioural treatments for sleep problems such as persistent insomnia, with the approaches typically used being sleep hygiene and medications instead. Clinical implications: Clinicians recognise the importance of sleep in psychosis, but the use of formal assessments and recommended treatments is limited. Barriers to treatment implementation identified by the clinicians related to services (e.g. lack of time), patients (e.g. their lifestyle) and environmental features of inpatient settings.

Item Type:Articles
Keywords:Sleep, psychosis, schizophrenia, CBTi, clinicians.
Glasgow Author(s) Enlighten ID:Biello, Professor Stephany and Rehman, Ms Aliyah and Gumley, Professor Andrew
Authors: Rehman, A., Waite, F., Sheaves, B., Biello, S., Freeman, D., and Gumley, A.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
College of Science and Engineering > School of Psychology
Journal Name:Psychosis
Publisher:Taylor & Francis
ISSN (Online):1752-2447
Published Online:29 July 2016
Copyright Holders:Copyright © 2016 The Authors
First Published:First published in Psychosis 9(2): 129-139
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
591541ESRC Doctoral Training Centre 2011...Mary Beth KneafseyEconomic & Social Research Council (ESRC)ES/J500136/1VICE PRINCIPAL RESEARCH & ENTERPRISE