![]() 11– 18 In these studies, treatment has been delivered using manuals, audiotapes, television, video, telephone consultation, and the Internet. Self-Administered Treatments for InsomniaĪ recent review of self-help treatments for insomnia showed that there have been a number of published outcome studies in this area. 10 Some of the noted impediments to help-seeking could potentially be addressed through the provision of self-administered treatment. Other surveys have found that the most frequent reasons given for not consulting about mental health problems are the beliefs that these problems will go away by themselves and that individuals can manage on their own. Of this sample, 57% reported a belief that poor sleep would resolve on its own and/or one should be able to manage insomnia independently, 38% indicated that there was a lack of awareness of available treatment options, 31% noted a perception of treatment as ineffective or unattractive, 17% referred to a stigma surrounding insomnia, and 11% endorsed personal constraints regarding treatment-seeking. Participants could report more than one reason. One exception is Stinson, Tang, and Harvey 9 who surveyed help-seeking and non–help-seeking adults with insomnia regarding their reasons for failing to utilize or delaying their use of treatment for insomnia. 1, 2, 6, 7 This rate of treatment seeking is similar to that in the area of mental health, 8 however, relatively little is known about the reasons for failure to seek treatment for insomnia. 4, 5 Given that chronic insomnia is a prevalent condition and that individuals are favorably predisposed to behavioral methods to treat this problem, only 5% to 46% seek treatment for their sleep disorder. 3 Research in the area of treatment preference shows that individuals with insomnia tend to prefer behavioral over pharmacological treatments. Cognitive behavioral and pharmacotherapies have been developed for chronic insomnia and found to produce robust changes in sleep parameters. 1, 2 SUFFERERS EXPERIENCE REGULAR NOCTURNAL PROBLEMS WITH SLEEP AND report associated daytime impairment. ![]() CHRONIC INSOMNIA IS A PROBLEM PLAGUING 9% TO 9.5% OF THE POPULATION.
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