ผู้วิจัย/Authors: Surang Lertkachatarn

ชื่อเรื่อง/Title: An evaluation of sleep hygiene in Thai chronic Insomniacs.

แหล่งที่มา/Source: Journal of the Psychiatric Association of Thailand, Vol. 148, No. 1, January-March 2003, Page 3-12.

รายละเอียด / Details:

Objective : To study the characteristics of sleep habits and to evaluate sleep hygiene in Thai nonorganic, no psychotic chronic insomniacs to determine related factors. Method: The subjects were selected by means of random allocation. A total of 74 psychiatric patients with nonorganic, no psychotic chronic insomnia lasting than one month who sought treatment at the out-patient department, Prasat Neurological Institute, from December 1999 to May 2000 were selected. As for other inclusion criteria, their ages ranged from 25 to 65 years old, they resided in Bangkok or the suburbs, and they could be reached by telephone. Data collection from each subject lasted three months. The first phase involved collecting initial research data based on the designed questionnaire. The second phase took place after the psychiatric treatment had commenced for three months by means of telephone interviews eliciting information regarding sleep habits during the treatment. At three months after the treatment, the subjects were followed up using the questionnaire. Results: Of the 175 subjects initially selected, only 74 (or 42.3%) could be followed up at three months after the treatment. There were 53 females (71.6%) and 21 males 28.3%, and the largest group ranged between 46 and 60 years 45.94%, followed by those aged 25 to 45 years 41.89%, with the mean age was 47.11 years. As regards education nearly of the subjects 45.94% completed primary education, and close to one-fourth 22.97% finished high school. Regarding diagnosis, 39% had mood disorders and 39% had anxiety disorders. In terms of evaluation of habits and daily activity in the first three months after the onset of the disorder, of the 74 subjects, 14 (19%) had good sleep hygiene, while the other 60 (81%)had poor sleep hygiene. Moreover most of the middle-age groups (46-60 years) had poor sleep hygiene 94%, and so did the low educated groups. Most of the patients with poor sleep hygiene engaged in exciting or emotionally upsetting activities close to bedtime N=43 having irregular sleep wake schedules N=42, spending extended amounts of time awake in bed N=35, living in poor sleep environments N=21, having a daytime nap N=18 routinely using alcohol, and using caffeine or nicotine near bedtime N=16. Treatment results at three months revealed that the insomniacs with good sleep hygiene improved by 3.67 times more than those with poor sleep hygiene with statistical significance (P‹0.05 X=7.62). Conclusions: Most of the Thai chronic insomniacs have poor sleep hygiene, which adversely affects their sleep pattern and leading to chronic insomnia, especially those who were middle-aged and those with low level education. These findings indicate that knowledge and education can results in good sleep habits. Also, the present study found that psychiatric patients with good sleep hygiene have 3.67 times more chances of recovery than those with bad sleep hygiene with statistical significance. Therefore, psychiatrists who provide treatment to insomniac patients should also elicit the information concerning the patients' sleep habits so as to properly educate them together with giving them needed medication.

Keywords: sleep habit, sleep hygiene, chronic insomniacs, insomniac, insomnia, Thai, mental health, psychiatric patient, psychiatry

ปีที่เผยแพร่/Year: 2003

Address: Prasat neurological institute

Code: 20050000154

ISSN/ISBN: 0125-6985

Country of publication: Thailand.

Language: English.

Category: Abstract: Journal.

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