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Treatment strategies for insomnia in Japanese primary care physicians' practice: A Web-based questionnaire survey.
- Source :
- BMC Primary Care; 6/18/2024, Vol. 25 Issue 1, p1-10, 10p
- Publication Year :
- 2024
-
Abstract
- Background: It is unclear how primary care physicians manage insomnia after the introduction of novel hypnotics such as orexin receptor antagonists and melatonin receptor agonists. This Web-based questionnaire survey aimed to examine treatment strategies for insomnia in Japanese primary care practice. Methods: One-hundred-and-seventeen primary care physicians were surveyed on the familiarity of each management option for insomnia on a binary response scale (0 = "unfamiliar"; 1 = "familiar") and how they managed insomnia using a nine-point Likert scale (1 = "I never prescribe/perform it"; 9 = "I often prescribe/perform it"). Physicians who were unfamiliar with a management option were deemed to have never prescribed or performed it. Results: Regarding medication, most physicians were familiar with novel hypnotics. Suvorexant was the most used hypnotic, followed by lemborexant and ramelteon. These novel hypnotics averaged 4.8–5.4 points and 4.0–4.7 points for sleep onset and sleep maintenance insomnia, respectively. By contrast, most benzodiazepines were seldom used below two points. Regarding psychotherapy, only approximately 40% of the physicians were familiar with cognitive behavioral therapy for insomnia (CBT-I) and they rarely implemented it, at an average of 1.5–1.6 points. More physicians were familiar with single-component psychotherapies (i.e., relaxation, sleep restriction therapy, and stimulus control) compared to CBT-I, and 48–74% of them implemented it slightly more often, with scores ranging from 2.6 to 3.4 points. Conclusion: This study suggests that Japanese primary care physicians seldom use CBT-I to treat insomnia. In addition, they use novel sleep medications more frequently than benzodiazepines in terms of pharmacotherapy. The use and availability of CBT-I in Japanese primary care might be facilitated by: educating primary care physicians, implementing brief or digital CBT-I, and/or developing collaborations between primary care physicians and CBT-I specialists. [ABSTRACT FROM AUTHOR]
- Subjects :
- INSOMNIA treatment
BENZODIAZEPINES
PSYCHOTHERAPY
SCALE analysis (Psychology)
CROSS-sectional method
CHINESE medicine
FAMILY medicine
SEDATIVES
RESEARCH funding
DRUG therapy
QUESTIONNAIRES
TRANQUILIZING drugs
DESCRIPTIVE statistics
PROFESSIONS
PHYSICIAN practice patterns
GENERIC drug substitution
COGNITIVE therapy
COMPARATIVE studies
DATA analysis software
CONFIDENCE intervals
TRAZODONE
DRUG utilization
RELAXATION techniques
QUETIAPINE
SLEEP hygiene
Subjects
Details
- Language :
- English
- ISSN :
- 27314553
- Volume :
- 25
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- BMC Primary Care
- Publication Type :
- Academic Journal
- Accession number :
- 177963475
- Full Text :
- https://doi.org/10.1186/s12875-024-02449-7