Beliefs about prescription sleep medications and interest in reducing hypnotic use: an examination of middle-aged and older adults with insomnia disorder.

Autor:	Tully IA; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California., Kim JP; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California., Simpson N; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California., Palaniappan L; Department of Health Policy, Stanford University School of Medicine, Stanford, California., Tutek J; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California., Gumport NB; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California., Dietch JR; School of Psychological Science, Oregon State University, Corvallis, Oregon., Manber R; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California.
Jazyk:	angličtina
Zdroj:	Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine [J Clin Sleep Med] 2023 Jul 01; Vol. 19 (7), pp. 1247-1257.
DOI:	10.5664/jcsm.10552
Abstrakt:	Study Objectives: To examine beliefs about prescription sleep medications (hypnotics) among individuals with insomnia disorder seeking cognitive behavioral therapy for insomnia and predictors of wishing to reduce use. Methods: Baseline data was collected from 245 adults 50 years and older enrolled in the "RCT of the Effectiveness of Stepped-Care Sleep Therapy in General Practice" study. T-tests compared characteristics of prescription sleep medication users with those of nonusers. Linear regression assessed predictors of patients' beliefs about sleep medication necessity and hypnotic-related concerns. Among users, we examined predictors of wishing to reduce sleep medications, including perceived hypnotic dependence, beliefs about medications, and demographic characteristics. Results: Users endorsed stronger beliefs about the necessity of sleep medications and less concern about potential harms than nonusers ( P < .01). Stronger dysfunctional sleep-related cognitions predicted greater beliefs about necessity and concern about use ( P < .01). Patients wishing to reduce sleep medications reported greater perceived hypnotic dependence than those disinterested in reduction ( P < .001). Self-reported dependence severity was the strongest predictor of wishing to reduce use ( P = .002). Conclusions: Despite expressing strong beliefs about necessity, and comparatively less concern about taking sleep medications, three-quarters of users wished to reduce prescription hypnotics. Results may not generalize to individuals with insomnia not seeking nonpharmacological treatments. Upon completion, the "RCT of the Effectiveness of Stepped-Care Sleep Therapy in General Practice" study will provide information about the extent to which therapist-led and digital cognitive behavioral therapy for insomnia contribute to prescription hypnotic reduction. Clinical Trial Registration: Registry: ClinicalTrials.gov; Name: The RESTING Insomnia Study: Randomized Controlled Study on Effectiveness of Stepped-Care Sleep Therapy (RESTING); URL: https://clinicaltrials.gov/ct2/show/NCT03532282; Identifier: NCT03532282. Citation: Tully IA, Kim JP, Simpson N, et al. Beliefs about prescription sleep medications and interest in reducing hypnotic use: an examination of middle-aged and older adults with insomnia disorder. J Clin Sleep Med . 2023;19(7):1247-1257. (© 2023 American Academy of Sleep Medicine.)
Databáze:	MEDLINE
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