{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T18:48:16Z","timestamp":1769021296687,"version":"3.49.0"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,9,20]],"date-time":"2020-09-20T00:00:00Z","timestamp":1600560000000},"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":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Guidelines recommend cognitive behavioural therapy for insomnia (CBT\u2010I) as first\u2010line treatment for chronic insomnia, but it is not clear how many primary care physicians (PCPs) in Switzerland prescribe this treatment. We created a survey that asked PCPs how they would treat chronic insomnia and how much they knew about CBT\u2010I. The survey included two case vignettes that described patients with chronic insomnia, one with and one without comorbid depression. PCPs also answered general questions about treating chronic insomnia and about CBT\u2010I and CBT\u2010I providers. Of the 820 Swiss PCPs we invited, 395 (48%) completed the survey (mean age 54\u00a0years; 70% male); 87% of PCPs prescribed sleep hygiene and 65% phytopharmaceuticals for the patient who had only chronic insomnia; 95% prescribed antidepressants for the patient who had comorbid depression. In each case, 20% of PCPs prescribed benzodiazepines or benzodiazepine receptor agonists, 8% prescribed CBT\u2010I, 68% said they knew little about CBT\u2010I, and 78% did not know a CBT\u2010I provider. In the clinical case vignettes, most PCPs treated chronic insomnia with phytopharmaceuticals and sleep hygiene despite their lack of efficacy, but PCPs rarely prescribed CBT\u2010I, felt they knew little about it, and usually knew no CBT\u2010I providers. PCPs need more information about the benefits of CBT\u2010I and local CBT\u2010I providers and dedicated initiatives to implement CBT\u2010I in order to reduce the number of patients who are prescribed ineffective or potentially harmful medications.<\/jats:p>","DOI":"10.1111\/jsr.13169","type":"journal-article","created":{"date-parts":[[2020,9,20]],"date-time":"2020-09-20T23:51:15Z","timestamp":1600645875000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Treating insomnia in Swiss primary care practices: A survey study based on case vignettes"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6759-8866","authenticated-orcid":false,"given":"Stefanie","family":"Linder","sequence":"first","affiliation":[{"name":"Institute of Primary Health Care (BIHAM) University of Bern Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"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":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Dvo\u0159\u00e1k","sequence":"additional","affiliation":[{"name":"Sentinella \u2010 Swiss Epidemiological System, Federal Office of Public Health FOPH Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"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":[{"role":"author","vocabulary":"crossref"}]},{"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":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kali","family":"Tal","sequence":"additional","affiliation":[{"name":"Institute of Primary Health Care (BIHAM) University of Bern Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cinzia","family":"Del Giovane","sequence":"additional","affiliation":[{"name":"Institute of Primary Health Care (BIHAM) University of Bern Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lamprini","family":"Syrogiannouli","sequence":"additional","affiliation":[{"name":"Institute of Primary Health Care (BIHAM) University of Bern Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raphael","family":"Heinzer","sequence":"additional","affiliation":[{"name":"Pulmonary Department, Center for Investigation and Research in Sleep University Hospital of Lausanne Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"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 Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudio L. A.","family":"Bassetti","sequence":"additional","affiliation":[{"name":"Department of Neurology, Sleep\u2010Wake\u2010Epilepsy Center University Hospital (Inselspital) and University of Bern Bern Switzerland"},{"name":"Neurology Department Sechenov First Moscow State Medical University Moscow Russia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reto","family":"Auer","sequence":"additional","affiliation":[{"name":"Institute of Primary Health Care (BIHAM) University of Bern Bern Switzerland"},{"name":"Center for Primary Care and Public Health (Unisant\u00e9) University of Lausanne Lausanne Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8368-7642","authenticated-orcid":false,"given":"Micheline","family":"Maire","sequence":"additional","affiliation":[{"name":"Institute of Primary Health Care (BIHAM) University of Bern Bern Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.12967"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13167-011-0079-9"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9450.2011.00902.x"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmw107"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2010.199844"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.1700"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1071\/PY12021"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/819402"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11818-007-0297-5"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp14X677176"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-018-4390-1"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2019.01.045"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60602-8"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.2147\/DHPS.S21079"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2869.2000.00178.x"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2014.07.284"},{"key":"e_1_2_8_19_1","first-page":"e13121","article-title":"Prevalence and management of chronic insomnia in Swiss primary care: Cross\u2010sectional data from the \"Sentinella\" practice\u2010based research network [published online ahead of print, 2020 Jun 25]","author":"Maire M.","year":"2020","journal-title":"Journal of Sleep Research"},{"key":"e_1_2_8_20_1","volume-title":"Gesundheitsreport 2017","author":"Marschall J.","year":"2017"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2014.01.006"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2004.02.007"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2017.04.003"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.12594"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41386-019-0411-y"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2008.06.001"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/15402002.2016.1266491"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2008.10.009"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00228-018-2531-4"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.27286"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0149139"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2869.2009.00769.x"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.6702"}],"container-title":["Journal of Sleep Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jsr.13169","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jsr.13169","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jsr.13169","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,3]],"date-time":"2023-09-03T04:36:21Z","timestamp":1693715781000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jsr.13169"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,20]]},"references-count":32,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1111\/jsr.13169"],"URL":"https:\/\/doi.org\/10.1111\/jsr.13169","archive":["Portico"],"relation":{},"ISSN":["0962-1105","1365-2869"],"issn-type":[{"value":"0962-1105","type":"print"},{"value":"1365-2869","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,20]]},"assertion":[{"value":"2020-05-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-07-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-09-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13169"}}