The DSM-5 self-rated level 1 cross-cutting symptom measure identifies high levels of coexistent psychiatric symptomatology in patients referred for insomnia treatment

Meaklim, H, Swieca, J, Junge, M, Laska, I, Kelly, D, Joyce, R and Cunnington, D 2018, 'The DSM-5 self-rated level 1 cross-cutting symptom measure identifies high levels of coexistent psychiatric symptomatology in patients referred for insomnia treatment', Nature and Science of Sleep, vol. 10, pp. 377-383.


Document type: Journal Article
Collection: Journal Articles

Title The DSM-5 self-rated level 1 cross-cutting symptom measure identifies high levels of coexistent psychiatric symptomatology in patients referred for insomnia treatment
Author(s) Meaklim, H
Swieca, J
Junge, M
Laska, I
Kelly, D
Joyce, R
Cunnington, D
Year 2018
Journal name Nature and Science of Sleep
Volume number 10
Start page 377
End page 383
Total pages 7
Publisher Dove Medical Press Ltd
Abstract Purpose: Referrals to sleep psychology services, even for a perceived single problem such as insomnia, can present with complex, coexistent psychiatric symptoms and comorbid disorders. This study aimed to assess the feasibility of implementing the DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure (CCSM) into a sleep psychology clinic to identify coexistent psychiatric symptomatology in insomnia referrals. Patients and methods: Patients were 50 consecutive referrals to a private sleep psychology service within a sleep disorders center in Melbourne, Australia. Patients who attended sleep psychology services between June 2015 and January 2017 had their clinical records reviewed. Basic demographic information, comorbidities, and responses to the Insomnia Severity Index were gathered. The Diagnostic and Statistical Manual of Mental Disorders Ed. 5 Task Force and Work Groups created the CCSM in 2013 to deal with the issue of coexistent psychiatric symptomatology across mental health conditions, and this measure was included into the sleep psychology intake procedure and patient responses were reviewed. Results: The CCSM was simple and quick to administer and score and revealed high levels of psychiatric symptomatology in sleep psychology referrals. Sleep problems were the most common domain of psychiatric symptomatology reported (86%). Anxiety (66%), depression (64%), anger (64%), and somatic symptoms (50%) were also very common. Suicidal ideation was acknowledged by 26% of patients. In addition, 82% of patients had at least one diagnosed comorbidity upon referral (eg, psychiatric, physical health, or other sleep disorder). Conclusion: The findings support the CCSM as a feasible measure for identifying the high levels of coexistent psychiatric symptomatology in patients presenting for insomnia treatment at sleep psychology services.
Subject Health, Clinical and Counselling Psychology
Keyword(s) Assessment
Comorbidity
Insomnia
Mental health
Sleep
DOI - identifier 10.2147/NSS.S173381
Copyright notice © 2018 Meaklim et al. Creative Commons Attribution Non Commercial (unported, v3.0) License
ISSN 1179-1608
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