It is not merely an inconvenience on busy waking

  • No School
  • AA 1
  • 42

This preview shows page 34 - 35 out of 42 pages.

It is not merely an inconvenience on busy waking lives. The link between sleep and health is two way. The Great British Sleep Survey data indicate the extent to which poor sleep can negatively impact on people’s daily lives, with inevitable consequences for mental health. People who are suffering the effects of low mood, who have less energy to take exercise, or are experiencing difficulty in personal relationships are more likely to develop mental health problems. The consequences of chronic insomnia should therefore be treated with these risks in mind. Furthermore, poor sleep and insomnia are not always treated in accordance with the best current knowledge. In clinical practice, medication is more commonly prescribed for insomnia than CBT, although CBT is more effective in the long term. CBT is sometimes seen as difficult to access due to its relatively high cost and because of the lack of trained therapists available. The IAPT programme may have the potential to address some of this need, if staff members are sufficiently trained to recognise and work with sleep problems. Current NICE guidance on the treatment of insomnia mentions the importance of psychological approaches, but the benefits of such approaches have not yet been expanded upon sufficiently. The amount of evidence for CBT in the treatment of insomnia makes it difficult to ignore. It would appear that fitting such therapies into clinical practice relies upon employing a stepped care approach. Only the most severe cases of chronic insomnia need to be treated by a specialist sleep practitioner. The majority of people who are suffering poor sleep might benefit from simple, non-intrusive methods such as a guided self-help book or course delivered over the internet. These kinds of interventions should be based upon the principles of CBT, but would be far more efficient in terms of health spending. There is already some evidence in favour of using simple, self-guided therapies to treat sleep problems 92 . If a person with poor sleep finds such therapies to be ineffective, then primary care workers such as nurses or GPs should be able to give evidence- based guidance on how to improve sleep. Beyond this, graduate psychologists may be able to offer short CBT courses in an individual or group setting, and clinical psychologists might review more complex cases where there is an underlying mental health problem to be treated. There are several stages that can be tried before enlisting the help of a specialist sleep practitioner. Poor sleep is a public health problem and needs to be taken seriously. It needs to be recognised within healthcare, education, and society at large. For society, it is vitally important that sleep is seen as a public health issue, much like diet and exercise.
Image of page 34
Image of page 35

You've reached the end of your free preview.

Want to read all 42 pages?

  • Fall '19
  • Sleep Matters

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Stuck? We have tutors online 24/7 who can help you get unstuck.
A+ icon
Ask Expert Tutors You can ask You can ask You can ask (will expire )
Answers in as fast as 15 minutes
A+ icon
Ask Expert Tutors