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oai:repisalud.isciii.es:20.500.12105/202282024-11-28T19:39:32Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967

00925njm 22002777a 4500 dc Torrens, Isabel author Ortuno, Marina author Ignacio Guerra, Juan author Esteva, Magdalena author Lorente, Patricia author 2016-06 Objectives: To describe the current clinical management of insomnia by family physicians. Design: Cross-sectional study. Setting: Majorca Health Area, 2011-2012. Participants: Family physicians (FP). Paediatricians, resident physicians and emergency physicians were excluded. Measurements: Using a self-administered questionnaire, the following variables were collected: social, demographic, professional, training in insomnia, prescription preferences, and its clinical management. Results: A total of 322 of 435 physicians answered (74%), of whom 55% were female. The mean age was 48 years with a mean of 21 years in the profession. Most of them consider insomnia as a major health problem, and refer to asking patients about sleep habits and its impact on daily life. About one third have been trained in insomnia in the last 5 years. Very few (0.6%) refers patients to a psychiatrist, and 1.9% to a psychologist. The most prescribed drugs are benzodiazepines (33.4%) and Z drugs (25.7%), with 69.4% of them claiming to have checked the treatment after month of onset. Most refer to advice about sleep hygiene measures (85.1%), 15.1% prescribe herbal remedies, and 14.2% behavioural cognitive therapy (CBT). Seven out often physicians consider CBT as effective and applicable by both physicians and nurses. The older FPs prescribe benzodiazepines with less frequency, while female FPs prescribe more sleep hygiene measures and herbal remedies. Conclusions: Most FPs consider insomnia as a major health problem, in which they usually get involved. The most commonly used treatments are sleep hygiene advice, followed by benzodiazepines and Z drugs. The CBT is considered effective but not widely used. (c) 2015 Elsevier Espana, S.L.U. Torrens I, Ortuno M, Guerra JI, Esteva M, Lorente P. Attitudes to insomnia by Primary Care physicians of Majorca (Spain). Aten Prim. 2016 Jun;48(6):374-82. Epub 2015 Nov 2. 10.1016/j.aprim.2015.06.012 1578-1275 0212-6567 Atencion Primaria http://hdl.handle.net/20.500.13003/17300 26541555 L609077797 2-s2.0-84960916345 http://hdl.handle.net/20.500.12105/20228 378978300006 Insomnia Attitudes Treatment Primary Health Care Attitudes to insomnia by Primary Care physicians of Majorca (Spain)