Barriers to the treatment of insomnia from patients' perspectives: a qualitative study
Journal Title: مجله علمي دانشگاه علوم پزشكي كردستان - Year 2016, Vol 21, Issue 85
Abstract
Background and Aim: Insomnia is a common problem in general population. It is associated with negative consequences on daily living. Insomnia is an under recognized disease, and patients may seek treatment very late, which may lead to chronicity of the disorder and aggravation of its adverse consequences. Determination of the barriers to insomnia treatment may be helpful for early diagnosis and designing treatment plans for this disorder. The aim of study was to determine the barriers to insomnia treatment from patients' views. Material and Method: This qualitative study was performed by using conventional content analysis. Our participants were selected by purposive sampling with insomnia who had referred to Sleep Disorders Research Center of Kermanshah University of Medical Sciences from April to October 2015. Data collection was performed by semi- structure interview. The interviews were recorded by an audio tape recorder, and transcribed. Then, they were analyzed by qualitative methods. Results: Barriers to the treatment of insomnia included three main categories: "overlooking insomnia", "worries about insomnia treatment", and "janus faced nature of insomnia treatment". The subjects in the category of "overlooking insomnia" had lack of beliefs' about insomnia as an illness which should be treated. The patients in the second category, "worries about insomnia treatment", described their concerns about the treatment of insomnia. The subjects in the category of" janu faced nature of insomnia treatment" explained the inappropriate pattern of insomnia treatment in the study population. Conclusion: According to the results, patients' views about insomnia, their worries about treatment, and the current pattern of insomnia treatment were the main barriers to the insomnia treatment. Barriers to the treatment of insomnia should be taken into consideration for the future treatment programs.
Authors and Affiliations
PhD L Rezaie, MD H Khazaie
Association of vitamin D intake with fasting blood glucose and HbA1C in the patients with type 2 diabetes
Background and Aim: Vitamin D has metabolic functions in the cells, and its deficiency is considered a risk factor for many chronic diseases, such as type 2 diabetes. The present study aimed to determine the relationship...
The protective effects of Tanacetum parthenium extract on CCl4-induced myocardium injury in rats
Background and Aim: The aim of this study was to investigate the protective effects of Tanacetum parthenium extract (TPE) on lipid peroxidation and acute heart injury induced by carbon tetrachloride (CCl4) in rats. Mater...
The effect of hydroalcoholic extract of Medicago sativa on liver function tests, blood biochemical factors and coagulation system in male rats.
Background and Aim: Medicago sativa (Alfalfa) has been used traditionally as liver protectant, antioxidant agent and also for the treatment of bleeding and digestive problems. The aim of this study was to evaluate the ef...
Intensity of depression, its predictive and mediating factors in the patients with chronic headache
Background and Aim: Headache is often associated with depression. However, depressive symptoms are more severe in some patients. The aim of the present study was to compare different types of chronic headache in regard t...
A patient with abdominal mass and thrombocytopenia (ectopic spleen): A case report
Background: Ectopic spleen is a rare condition in which the spleen is not in its original location. Simultaneous occurrence of thrombocytopenia, enlarged spleen (splenomegaly) and ectopic spleen is very rare. Case Repor...