Recognition and treatment of patients with sleep problems in general health care.
Sleep disorders : epidemiology, social impact and treatment attitudes. Symposium. Copenhagen DNK, 1994/09/20.
The form, frequency and burden of sleep problems in general health care in the WHO Collaborative Study on Psychological Problems are presented in this same issue.
This study was conducted in 5.438 primary care patients belonging to 15 centres in 14 countries after 25.916 patients were screened with the GHQ-12.
Diagnoses according to the Intemational Classification of Diseases (ICD-10) were obtained from the Composite Intemational Diagnostic Interview (CIDI-PHC).
The presence of difficulties falling asleep, staying asleep. waking too early or sleeping too much were assessed by the CIDI.
General practitioners (GPs) gave their opinion on the existence of a psychological problem and/or a physical disease and indicated what therapeutic intervention was proposed to patients they recognized as psychological cases.
The existence of sleep problems increased the recognition of patients with psychiatric disorders by their GP.
No specific subtype of sleep problems influences recognition.
The existence of a somatic disease had little influence on the identification of sleep problems as psychological cases.
Sleep problems were not frequently expressed as a main presenting complaint.
In such acase the recognition rate of patients with ICD-10 diagnosis was unchanged but a sedative treatment was offered more frequently.
Overall, 85.9% of patients with sleep problems and recognized as cases were offered treatment, 53.9% drug treatment.
The most frequent treatment consumed w...
Mots-clés Pascal : Médecine générale, Diagnostic, Trouble sommeil, Traitement, Soin santé primaire, International Classification of Diseases 10, Trouble psychiatrique, Psychotrope, Chimiothérapie, Stimulant SNC, Vitamine, Santé publique, Homme
Mots-clés Pascal anglais : Internal medicine, Diagnosis, Sleep disorder, Treatment, Primary health care, International Classification of Diseases 10, Mental disorder, Psychotropic, Chemotherapy, CNS stimulant, Vitamin, Human
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Cote : 96-0161268
Code Inist : 002B18C14. Création : 199608.