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dc.contributor.authorKallestad, Håvard
dc.contributor.authorHansen, Bjarne
dc.contributor.authorLangsrud, Knut
dc.contributor.authorRuud, Torleif
dc.contributor.authorMorken, Gunnar
dc.contributor.authorStiles, Tore C
dc.contributor.authorGråwe, Rolf W.
dc.date.accessioned2018-01-03T10:11:57Z
dc.date.available2018-01-03T10:11:57Z
dc.date.created2012-01-08T19:23:49Z
dc.date.issued2011
dc.identifier.issn1471-244X
dc.identifier.urihttp://hdl.handle.net/11250/2474293
dc.description.abstractBackground The aims of the study was to assess the prevalence of diagnosed insomnia and the agreement between patient- and clinician-reported sleep disturbance and use of prescribed hypnotic medication in patients in treatment for mental disorders. Methods We used three cross-sectional, multicenter data-sets from 2002, 2005, and 2008. Data-set 1 included diagnostic codes from 93% of all patients receiving treatment in mental health care in Norway (N = 40261). Data-sets 2 (N = 1065) and 3 (N = 1181) included diagnostic codes, patient- and clinician-reported sleep disturbance, and use of prescribed hypnotic medication from patients in 8 mental health care centers covering 10% of the Norwegian population. Results 34 patients in data-set 1 and none in data-sets 2 and 3 had a diagnosis of insomnia as a primary or comorbid diagnosis. In data-sets 2 and 3, 42% and 40% of the patients reported sleep disturbance, whereas 24% and 13% had clinician-reported sleep disturbance, and 7% and 9% used hypnotics. Patients and clinicians agreed in 29% and 15% of the cases where the patient or the clinician or both had reported sleep disturbance. Positive predictive value (PPV) of clinicians' evaluations of patient sleep disturbance was 62% and 53%. When the patient reported sleep disturbance as one of their most prominent problems PPV was 36% and 37%. Of the patients who received hypnotic medication, 23% and 29% had neither patient nor clinician-rated sleep disturbance. Conclusion When patients meet the criteria for a mental disorder, insomnia is almost never diagnosed, and sleep disturbance is imprecisely recognized relative to the patients' experience of sleep disturbance.nb_NO
dc.language.isoengnb_NO
dc.publisherBioMed Centralnb_NO
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleDifferences between patients’ and clinicians’ report of sleep disturbance: a field study in mental health care in Norwaynb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionpublishedVersionnb_NO
dc.source.volume11nb_NO
dc.source.journalBMC Psychiatrynb_NO
dc.identifier.doi10.1186/1471-244X-11-186
dc.identifier.cristin879306
dc.description.localcode© 2011 Kallestad et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.nb_NO
cristin.unitcode194,65,35,0
cristin.unitcode194,67,40,0
cristin.unitnameInstitutt for psykisk helse
cristin.unitnameInstitutt for psykologi
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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