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Self-reported suboptimal sleep and receipt of sleep assessment and treatment among persons with and without a mental health condition in Australia: a cross sectional study

机译:自我报告的次优睡眠和接收在澳大利亚的心理健康状况和没有心理健康状况的人中的睡眠评估和治疗:横断面研究

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BACKGROUND:Poor sleep and poor mental health go hand in hand and, together, can have an adverse impact on physical health. Given the already disproportionate physical health inequities experienced by people with a mental health condition worldwide, the need to consider and optimise sleep has been highlighted as a means of improving both physical and mental health status. Sleep recommendations recently developed by the United States' National Sleep Foundation incorporate a range of sleep parameters and enable the identification of 'suboptimal' sleep. Among community-dwelling persons with and without a 12-month mental health condition in Australia, this study reports: [1] the prevalence of 'suboptimal' sleep and [2] rates of sleep assessment by a health care clinician/service and receipt of and desire for sleep treatment.METHODS:A descriptive study (N?=?1265) was undertaken using self-report data derived from a cross-sectional telephone survey of Australian adults, undertaken in 2017.RESULTS:Fifteen per cent (n?=?184) of participants identified as having a mental health condition in the past 12?months. Across most (7 of 8) sleep parameters, the prevalence of suboptimal sleep was higher among people with a mental health condition, compared to those without (all p??0.05). The highest prevalence of suboptimal sleep for both groups was seen on measures of sleep duration (36-39% and 17-20% for people with and without a mental health condition, respectively). In terms of sleep assessment and treatment, people with a mental health condition were significantly more likely to: desire treatment (37% versus 16%), have been assessed (38% versus 12%) and have received treatment (30% versus 7%).CONCLUSIONS:The prevalence of suboptimal sleep among persons with a mental health condition in Australia is significantly higher than those without such a condition, and rates of assessment and treatment are low for both groups, but higher for people with a mental health condition. Population health interventions, including those delivered as part of routine health care, addressing suboptimal sleep are needed.
机译:背景:睡眠不良,心理健康状况差,手中携手,可以对身体健康产生不利影响。鉴于全世界心理健康状况所经历的人类经历的态度已经不成比例,需要考虑和优化睡眠的必要性,作为改善身心健康状况的手段。最近由美国国家睡眠基础开发的睡眠建议包含一系列睡眠参数,并能够识别“次优”睡眠。在澳大利亚的社区住宅和没有12个月的心理健康状况的情况下,本研究报告说:[1]“次优”睡眠和[2]睡眠评估的患者通过医疗保健临床医生/服务和收据睡眠治疗的欲望。方法:使用从2017年进行的澳大利亚成人的横断面电话调查所获得的自我报告数据进行了描述性研究(n?= 1265)。结果:十五%(n?= 184年)参与者认为在过去的12个月中具有心理健康状况。数月。在大多数(8个中的7个)睡眠参数中,与没有(所有P?0. 0.05)的人相比,心理健康状况的人群中睡眠的患病率较高。在睡眠持续时间(36-39%和17-20%)分别观察到两个群体的次优睡眠的最高流行情况(36-39%和17-20%,分别有和没有心理健康状况)。在睡眠评估和治疗方面,有心理健康状况的人们显着更容易:欲望治疗(37%对16%)进行评估(38%,与12%)并接受治疗(30%对7% ).Conclusions:澳大利亚心理健康状况的人群中沉睡的普遍性明显高于那些没有这种情况的人,并且对于两组的群体来说,评估和治疗率较低,但患有心理健康状况的人较高。需要人口卫生干预措施,包括作为常规医疗保健的一部分交付的人,包括解决次优睡眠。

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