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Treatment preferences and help-seeking behaviors for sleep problems among psychiatric outpatients

机译：治疗偏好和帮助寻求精神科门诊患者睡眠问题的行为

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ObjectiveTo understand treatment preferences and help-seeking behaviors among psychiatric patients for their sleep problems, and to examine determinants of problem recognition and help-seeking among patients with sleep difficulties. MethodA cross-sectional survey was conducted among psychiatric outpatients in Singapore (n=400). Participants completed questionnaires that assessed their sleep quality, daytime fatigue, help-seeking behavior, treatment preferences for sleep problems, and sociodemographic information. Multiple logistic regressions were used to identify correlates of patients who recognized their sleep difficulties and of those who had sought help. ResultsMental health professionals were the most preferred choice (60.8%) for consultation on sleep problems. Among patients with poor sleep quality (n=275), 28.4% denied having any problems and 38.9% had not sought help. Patients with chronic physical comorbidity were less likely to recognize their sleep problems (OR=0.432, p-value=0.009), while those with psychiatric comorbidity were twice as likely to perceive the problems (OR=2.094, p-value=0.021) and to seek help (OR=1.957, p-value=0.022). Daytime fatigue was associated with higher odds of problem recognition (OR=1.106, p-value=0.001) and help-seeking (OR=1.064, p-value=0.016). ConclusionA considerable number of patients did not perceive their poor sleep as an issue and had not sought help for it. General sleep hygiene education is needed for psychiatric patients.
机译：客观理解精神病患者的治疗偏好和帮助寻求行为，以睡眠问题，并审查休眠困难的患者的问题识别和寻求帮助的决定因素。 Methoda横截面调查是在新加坡的精神科门诊病人中进行的（n = 400）进行。参与者完成了调查问卷，评估了他们的睡眠质量，白天疲劳，寻求帮助行为，治疗偏好对睡眠问题以及社会渗透信息。使用多元逻辑回归来识别承认其睡眠困难和那些寻求帮助的人的患者的相关性。结果卫生专业人员是最优选的选择（60.8％）咨询睡眠问题。睡眠质量差（N = 275）的患者中，28.4％拒绝有任何问题，38.9％没有寻求帮助。慢性物理化学率的患者不太可能识别它们的睡眠问题（或= 0.432，P值= 0.009），而具有精神病学合并症的人可能是感知问题的两倍（或= 2.094，P值= 0.021）。寻求帮助（或= 1.957，P值= 0.022）。白天疲劳与问题识别的几率较高有关（或= 1.106，p值= 0.001）和帮助寻求（或= 1.064，p值= 0.016）。结论大量患者没有将其睡眠视为一个问题，并没有为此寻求帮助。精神病患者需要一般睡眠卫生教育。

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