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Early Intervention in Psychosis Advisory Unit for South East Norway (TIPS Sør-Øst), Oslo University Hospital Trust, Division of Mental Health and Addiction, Gaustad Hospital, Sognsvannsveien 21, 0372 Oslo, Norway; Norwegian Centre for Mental Disorders Research (NORMENT), Oslo University Hospital & University of Oslo, Oslo University Hospital Trust, Division of Mental Health and Addiction, Centre for Psychosis Research, Ullevål Hospital, P.O. box 4956, Nydalen, 0424 Oslo, Norway. Electronic address:
Published: November 2020
AI Article Synopsis
Article Abstract
Background: Sleep disturbances are prevalent in people with psychosis and are related to several negative outcomes. Recent research indicates that sleep disturbances contribute to the development of psychosis and is therefore an important treatment target. Despite this, a study found that sleep problems in people with psychosis were mostly assessed informally and treated with non-recommended interventions. However, it is uncertain whether these findings reflect local practise or rather status quo for how sleep disturbances in the context of psychosis are approached across different treatment sites. We aimed to replicate this study and investigate how sleep disturbances in people with psychosis are viewed, assessed and treated by clinicians across several mental health services, and the clinicians' perceived barriers to sleep treatment.
Methods: A total of 204 clinicians completed an e-mail survey about sleep problems and psychosis.
Results: The main findings were highly consistent with previous research; the clinicians found sleep problems in patients with psychosis to be highly prevalent and with negative consequences. However, structured assessments and the use of recommended treatment interventions were rare. This apparent paradox may at least partly be explained by the clinicians' perceived barriers to sleep treatment, including their declared lack of knowledge about sleep assessment and sleep treatment, and beliefs that sleep treatment is (too) demanding in this population.
Conclusion: Many patients with psychosis across several treatment sites receive less than optimal sleep treatment. Increasing clinicians' knowledge about adequate sleep treatment and its feasibility for patients with psychotic disorders is therefore imperative.
