Sleep education for healthcare providers: Addressing deficient sleep in Australia and New Zealand

Meaklim, Hailey; Jackson, Melinda L.; Bartlett, Delwyn J.; Saini, Bandana; Falloon, Karen; Junge, Moira; Slater, James A.; Rehm, Imogen C.; Meltzer, Lisa J.

doi:10.1016/j.sleh.2020.01.012

Cited by 67 publications

(51 citation statements)

References 87 publications

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“…For example, a recent study reported that individuals who received evidence based digital treatment for insomnia had greater resilience and better mental health during the pandemic than those who did not [ 62 ]. Given that there is a dearth of consistent sleep training in healthcare professionals such as psychologists, general practitioners and pharmacists [ 67 ], upskilling the workforce in sleep treatment delivery, or increasing awareness and education about bidirectional associations between sleep and mental health, may improve overall mental health within communities.…”

Section: Discussionmentioning

confidence: 99%

Poor Sleep Quality and Its Relationship with Individual Characteristics, Personal Experiences and Mental Health during the COVID-19 Pandemic

Varma

Burge

Meaklim

et al. 2021

IJERPH

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While the COVID-19 has dramatically altered our lifestyle and sleep practices, the links between sleep, individual characteristics, personal experiences and mental health during the pandemic require further examination. This cross-sectional, multi-methods study examined differences in language used to describe personal experiences, and mental health, based on sleep quality during the early stages of the pandemic. N = 1745 participants (mean age 42.97 ± 14.46 years) from 63 countries responded to the survey. Sleep quality was assessed using the Pittsburgh Sleep Quality Index and mental health was examined using the Patient Health Questionnaire-9, the State Trait Anxiety Inventory, the Perceived Stress Scale and the UCLA-Loneliness Scale. Quantitative analysis of qualitative, language content of personal experiences was conducted using free-text responses and comments to a question on the survey. Almost 50% of the participants reported poor sleep quality, which was linked to a more negative emotional tone and greater mentions of money or finance related words. Good sleepers reported more positive emotional tone in their experiences. Greater reports of clinical state anxiety, moderate depression and moderate stress were observed in poor sleepers, even after accounting for demographics and pandemic-related factors such as loneliness, financial concerns and risk of contracting COVID-19 disease. Results from this study highlight an urgent need for sleep-related public health interventions. Practitioner education, sleep screening for those with mental health conditions, and encouraging people to adopt digital tools may help to reduce the burden of poor sleep on mental health. While the pandemic itself is a stressful and uncertain time, improving sleep can support positive emotion regulation, improving mood and consequential action.

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Section: Discussionmentioning

confidence: 99%

Poor Sleep Quality and Its Relationship with Individual Characteristics, Personal Experiences and Mental Health during the COVID-19 Pandemic

Varma

Burge

Meaklim

et al. 2021

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

“…Furthermore, a lack of suitably trained healthcare providers in Australia who are capable of administering full CBTi programs has resulted in a greater need for effective evidence-based management of insomnia that can be provided in general practice. 12 To encourage the adoption of CBTi techniques in primary healthcare settings, a 'brief behavioural therapy for insomnia' (BBTi) has been developed. 13,14 BBTi distils the most essential and effective behavioural components of CBTi into a succinct four-session program.…”

Section: Discussionmentioning

confidence: 99%

A step-by-step model for a brief behavioural treatment for insomnia in Australian general practice

Sweetman¹,

Zwar²,

Grivell³

et al. 2021

Aust J Gen Pract

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“…Despite this and a growing body of evidence, there has been little progress to date (61). This may reflect under-appreciation of the importance of sleep (62) and lack of training and skills in assessing and managing sleep problems (63-67), as well as limited time and resources (62,68). A profitable next step might be to explore barriers and facilitators to assessing sleep and delivering effective interventions in specific care settings, from both the patient and clinician perspective.…”

Section: Future Directionsmentioning

confidence: 99%

770 Does Improving Sleep Lead to Better Mental Health? A Meta-Analysis of Randomised Controlled Trials

Scott

2021

Sleep

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Introduction Sleep and mental health go hand-in-hand; however, the extent to which sleep is causally related to the experience of mental health difficulties is unclear. One way to test whether there is a causal link is to evaluate the extent to which interventions that improve sleep also improve mental health over time. Methods We conducted a systematic review and meta-analysis of 54 randomised controlled trials (N = 6,876) that reported the effects of interventions that successfully improved sleep on overall composite mental health, as well as on six specific mental health difficulties including depression, anxiety, stress, psychosis spectrum experiences, suicidal ideation, and PTSD. Results Improving sleep had a medium-sized effect on composite mental health (g+ = -0.47), and depression (g+ = -0.54), small-to-medium sized effects on anxiety (g+ = -0.40), and stress (g+ = -0.42), and small effects on positive psychosis spectrum experiences (g+ = -0.26). We also found a significant dose response relationship, in that greater improvements in sleep were associated with greater improvements in composite mental health. Conclusion Taken together, the findings suggest that sleep is causally related to the experience of mental health difficulties. Improving sleep leads to better mental health, especially for experiences of depression, anxiety, and stress. Future research might profitably consider how interventions that improve sleep be better incorporated into routine mental health care, as well as the possible mechanisms of action that might explain how sleep exerts its effects on mental health. Support (if any) This research was funded by the National Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Reference Number PB-PG- 0817-20027). The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care.

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Sleep education for healthcare providers: Addressing deficient sleep in Australia and New Zealand

Cited by 67 publications

References 87 publications

Poor Sleep Quality and Its Relationship with Individual Characteristics, Personal Experiences and Mental Health during the COVID-19 Pandemic

Poor Sleep Quality and Its Relationship with Individual Characteristics, Personal Experiences and Mental Health during the COVID-19 Pandemic

A step-by-step model for a brief behavioural treatment for insomnia in Australian general practice

770 Does Improving Sleep Lead to Better Mental Health? A Meta-Analysis of Randomised Controlled Trials

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