Doctors Not Drowsy When Treating Women’s Sleep Issues

A new survey confirms that pulmonary/critical care physicians are knowledgeable about women’s sleep issues and are actively managing their patients’ sleep problems. The survey, issued by the American College of Chest Physicians Sleep Institute (ACCP-SI), found that most pulmonary/critical care physicians are well informed about the sleep patterns of their female patients and are advising appropriate therapies to manage their patients’ sleep problems. These findings are in contrast to the 2006 Institute of Medicine (IOM) report that shows health-care providers are lacking in sleep awareness and education, a gap that is leaving a significant number of patients with sleep problems remaining undiagnosed and untreated.

“Sleep problems that are undiagnosed and untreated can affect a patient’s health and cognitive performance. Yet, patients may learn to live with sleep problems and their consequences, never revealing their personal sleep habits to a physician,” said Charles W. Atwood, MD, FCCP, Chair of the ACCP-SI. “One thing we have learned is that pulmonary/critical care physicians are proactively inquiring about their patients’ sleep habits. We are asking the right questions and are advising effective treatment. By doing so, we can begin to identify obstacles that may be prohibiting restful sleep for our patients.”

Patients’ Sleep Habits
Dr. Atwood and members of the ACCP-SI surveyed 364 pulmonary/critical care physicians, who were identified as being interested in sleep and women’s health issues, their knowledge of general sleep architecture, sleep issues as they pertain to women, and how they managed sleep complaints from their female patients.

The majority of respondents indicated that they regularly ask their female patients about their sleep patterns and the sleep habits of family members. The following was gathered from the respondents:
• 81 percent regularly ask patients about their quality of sleep
• 72 percent regularly ask patients about their amount of sleep
• 69 percent regularly ask patients about snoring
• 65 percent regularly ask about the sleep habits of a patient’s bed partner
• 61 percent regularly ask about the sleep problems of family members

Preferred Sleep Therapies
The majority of respondents indicated behavioral therapy as the premier treatment for sleep problems in women, which is the accepted best practice in sleep medicine. Specifically, 67 percent of respondents were very or somewhat likely to use behavioral therapy for their female patients who have sleep disturbances, followed by hypnotics (33 percent), antidepressants (25 percent), and hormonal therapy (12 percent).

Pets in the Bedroom
In addition to behavioral therapy, the majority of physicians surveyed (53 percent) indicated they regularly counsel their patients about removing pets from the bedroom. According to the National Sleep Foundation (NSF) 2007 Sleep in America Poll, women who sleep with a pet in the bedroom are significantly more likely to report insomnia and daytime sleepiness than women who sleep with a spouse or child in the bedroom.