{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T12:20:44Z","timestamp":1783772444469,"version":"3.55.0"},"reference-count":39,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,6,25]],"date-time":"2020-06-25T00:00:00Z","timestamp":1593043200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We investigated the prevalence and treatment of patients with chronic insomnia presenting to Swiss primary care physicians (PCPs) part of \u201cSentinella\u201d, a nationwide practice\u2010based research network. Each PCP consecutively asked 40 patients if they had sleep complaints, documented frequency, duration, comorbidities, and reported ongoing treatment. We analysed data of 63% (83\/132) of the PCPs invited. The PCPs asked 76% (2,432\/3,216) of included patients about their sleep (51% female); 31% (761\/2,432) of these had had insomnia symptoms; 36% (875\/2,432) had current insomnia symptoms; 11% (269\/2,432) met the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM\u20105) criteria for chronic insomnia (61% female). In all, 75% (201\/269) of patients with chronic insomnia had comorbidities, with 49% (99\/201) reporting depression. Chronic insomnia was treated in 78% (209\/269); 70% (188\/268) took medication, 38% (102\/268) benzodiazepines or benzodiazepine receptor agonists, 32% (86\/268) took antidepressants. Only 1% (three of 268) had been treated with cognitive behavioural therapy for insomnia (CBT\u2010I). A third of patients presenting for a non\u2010urgent visit in Swiss primary care reported insomnia symptoms and 11% met the DSM\u20105 criteria for chronic insomnia. Hypnotics were the most common treatment, but almost no patients received first\u2010line CBT\u2010I. Reducing the burden of insomnia depends on disseminating knowledge about and access to CBT\u2010I, and encouraging PCPs to discuss it with and offer it as a first\u2010line treatment to patients with chronic insomnia.<\/jats:p>","DOI":"10.1111\/jsr.13121","type":"journal-article","created":{"date-parts":[[2020,6,26]],"date-time":"2020-06-26T02:04:03Z","timestamp":1593137043000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["Prevalence and management of chronic insomnia in Swiss primary care: Cross\u2010sectional data from the \u201cSentinella\u201d practice\u2010based research network"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8368-7642","authenticated-orcid":false,"given":"Micheline","family":"Maire","sequence":"first","affiliation":[{"name":"Institute of Primary Health Care (BIHAM) University of Bern Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanie","family":"Linder","sequence":"additional","affiliation":[{"name":"Institute of Primary Health Care (BIHAM) University of Bern Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Dvo\u0159\u00e1k","sequence":"additional","affiliation":[{"name":"Sentinella \u2010 Swiss Epidemiological System Federal Office of Public Health FOPH Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Merlo","sequence":"additional","affiliation":[{"name":"Sentinella \u2010 Swiss Epidemiological System Federal Office of Public Health FOPH Bern Switzerland"},{"name":"Institute of Primary and Community Care Lucerne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Essig","sequence":"additional","affiliation":[{"name":"Sentinella \u2010 Swiss Epidemiological System Federal Office of Public Health FOPH Bern Switzerland"},{"name":"Institute of Primary and Community Care Lucerne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kali","family":"Tal","sequence":"additional","affiliation":[{"name":"Institute of Primary Health Care (BIHAM) University of Bern Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cinzia","family":"Del Giovane","sequence":"additional","affiliation":[{"name":"Institute of Primary Health Care (BIHAM) University of Bern Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lamprini","family":"Syrogiannouli","sequence":"additional","affiliation":[{"name":"Institute of Primary Health Care (BIHAM) University of Bern Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone B.","family":"Duss","sequence":"additional","affiliation":[{"name":"Department of Neurology Sleep\u2010Wake\u2010Epilepsy Center University Hospital (Inselspital) and University of Bern Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael","family":"Heinzer","sequence":"additional","affiliation":[{"name":"Pulmonary Department Center for Investigation and Research in Sleep University Hospital of Lausanne Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9809-0275","authenticated-orcid":false,"given":"Christoph","family":"Nissen","sequence":"additional","affiliation":[{"name":"University Hospital of Psychiatry and Psychotherapy University of Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio L. 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