Management of insomnia in inpatient psychiatric care : a clinical practice evaluation

Article Article scientifique Article Management of insomnia in inpatient psychiatric care : a clinical practice evaluation eng 2026-02-18 2026-06 author Schneider CL Department of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland. author Anselin M Department of Psychiatry, Geneva University Hospital (HUG), Geneva, Switzerland. author Hertenstein Elisabeth Department of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland. 412870 Département de psychiatrie (PSYAT) author Monari Silvia Department of Psychiatry, Geneva University Hospital (HUG), Geneva, Switzerland. 430521 author Mikutta C Privatklinik Meiringen, Meiringen, Switzerland. author Angelillo Marie Nicolina Monique Department of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland. 856494 Département de psychiatrie (PSYAT) Marie Angelillo author Richard Lepouriel Hélène 0000-0002-0778-3728 Department of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland.,Department of Psychiatry, Geneva University Hospital (HUG), Geneva, Switzerland. 797416 Département de psychiatrie (PSYAT) author Soldati Lorenzo Department of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland.,Department of Psychiatry, Geneva University Hospital (HUG), Geneva, Switzerland. 634225 Département de psychiatrie (PSYAT) author Kosel Markus Mathaus Department of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland.,Department of Psychiatry, Geneva University Hospital (HUG), Geneva, Switzerland. 668114 Département de psychiatrie (PSYAT) author Marini Verena Loreta Anne Department of Psychiatry, Geneva University Hospital (HUG), Geneva, Switzerland. 94161 author Cordera Paolo Department of Psychiatry, Geneva University Hospital (HUG), Geneva, Switzerland. 593616 author Nissen Christoph Department of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland. christoph.nissen@hug.ch.,Department of Psychiatry, Geneva University Hospital (HUG), Geneva, Switzerland. christoph.nissen@hug.ch.,Department of Psychiatry, University of Geneva, Geneva University Hospital (HUG), Rue de Lausanne 20bis, Geneva, 1201, Switzerland. christoph.nissen@hug.ch. 974582 Département de psychiatrie (PSYAT) 1847-1854 10.1007/s00406-026-02206-0 41706162 0940-1334 Mental disorders are the leading cause of reduced quality of life due to illness worldwide. Most patients with mental disorders report difficulties initiating or maintaining sleep (insomnia). Current guidelines recommend cognitive behavioral therapy for insomnia (CBT-I) as the first-line treatment, including for patients with comorbid mental disorders. Particularly, data on the management of insomnia in inpatient psychiatric care remain scarce. This clinical practice evaluation examined the management of insomnia in inpatient psychiatric care through two complementary approaches. The project comprised a survey on insomnia management in 80 mental health professionals and data extraction of nighttime medication from 245 inpatients. Reports from the survey indicate that 95% of mental health professionals regularly care for patients with insomnia. 56% correctly identified CBT-I and 48% incorrectly identified benzodiazepines or benzodiazepine-receptor agonists as the first-line treatment for insomnia. 65% reported that CBT-I is not or rarely offered. The main reported challenges to implementing CBT-I were limited knowledge about CBT-I, patient expectations for pharmacological treatment, and time constraints in clinical practice. Data extracted from 245 patient records indicated that 40% of the patients took benzodiazepines, 9% melatonin, 7% benzodiazepine receptor agonists, 5% clomethiazole, 4% antihistamines, and 2% phytotherapy. The results indicate that insomnia is a prevalent health problem in inpatient psychiatric care. Implementation of CBT-I or adaptations remains insufficient, and treatment with hypnotics is common. Future work is needed to further adapt and test CBT-I in inpatient psychiatric care to improve sleep and health. Behavioral therapy Hypnotics Inpatient Insomnia Psychiatry Sleep Humans Sleep Initiation and Maintenance Disorders / therapy Sleep Initiation and Maintenance Disorders / drug therapy Sleep Initiation and Maintenance Disorders / etiology Sleep Initiation and Maintenance Disorders / epidemiology Mental Disorders / therapy Mental Disorders / complications Mental Disorders / epidemiology Female Male Adult Inpatients Cognitive Behavioral Therapy / statistics & numerical data Cognitive Behavioral Therapy / standards Middle Aged Hypnotics and Sedatives / therapeutic use Practice Patterns, Physicians' / statistics & numerical data Hospitals, Psychiatric / statistics & numerical data Dewey 616.89 60 Département de psychiatrie 225 false 573 Troubles du développement intellectuel et du spectre de l'autisme chez l'adulte 916 1452 Recherche sur le sommeil en psychiatrie 1069 European archives of psychiatry and clinical neuroscience 276 4 2188ab88-3870-425c-89c8-c0799240faf8 Article (Published version) Restricted s00406-026-02206-0.pdf 802686 application/pdf 7015fa5771deabf818d97ccc000f8fb963058891b0688cc05e109ae43c3a2e5f restrictedAccess Faculté de médecine / Section de médecine clinique / Département de psychiatrie

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Management of insomnia in inpatient psychiatric care : a clinical practice evaluation	European archives of psychiatry and clinical neuroscience	2026	3	0
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