How many patients do you see on an average weekly basis?
< 50
50 - 100
100 - 150
> 150
5.
How familiar are you with chronic insomnia?
Not familiar at all
Somewhat familiar
Moderately familiar
Very familiar
6.
Which of the following measures do you use to evaluate chronic insomnia in your clinical practice? Check all that apply.
History, including Review of Systems
Bed partner interview
Questionnaires
Sleep diaries
Actigraphy or polysomnography
Consult sleep specialist
Other
7.
What percentage of your patients have you diagnosed with clinical chronic insomnia?
0%-25%
26%-50%
51%-75%
76%-100%
Not applicable
8.
What percentage of your patients do you suspect have clinical chronic insomnia? (Include both diagnosed and undiagnosed patients.)
0%-25%
26%-50%
51%-75%
76%-100%
Not applicable
9.
When diagnosing insomnia, which of the following do you assess? Check all that apply.
Confirm that there are adequate opportunities for sleep and daytime consequences
Classify symptoms (sleep onset, offset, maintenance, and nonrestorative)
Classify duration (transient, short-term, or chronic)
Classify etiology (primary or comorbid)
Assess whether my patients are self-medicating (eg, with alcohol or antihistamines)
I have not previously diagnosed insomnia.
10.
How familiar are you with the role of the cognitive behavioral therapy in treating chronic insomnia?
Not familiar at all
Somewhat familiar
Moderately familiar
Very familiar
11.
How familiar are you with the role of the non-benzodiazepine benzodiazepine-receptor agonists (eg, zolpidem CR and eszopiclone) in treating chronic insomnia?
Not familiar at all
Somewhat familiar
Moderately familiar
Very familiar
12.
How familiar are you with the role of benzodiazepines in treating chronic insomnia?
Not familiar at all
Somewhat familiar
Moderately familiar
Very familiar
13.
How familiar are you with the role of the melatonin-receptor agonists in treating chronic insomnia?
Not familiar at all
Somewhat familiar
Moderately familiar
Very familiar
14.
How familiar are you with the role of nonprescription pharmacologic therapies (herbals, antihistamines, alcohol, etc) in your patients who are self-medicating their chronic insomnia?
Not familiar at all
Somewhat familiar
Moderately familiar
Very familiar
15.
What is your preferred initial treatment for chronic insomnia?
Watch, wait, and follow-up
Cognitive behavioral therapy (sleep hygiene, stimulus control therapy, etc) that I conduct myself, and follow-up
Cognitive behavioral therapy (sleep hygiene, stimulus control therapy, etc) conducted through a therapist, and follow-up
Pharmacologic therapy with non-benzodiazepine benzodiazepine-receptor agonists (NBBRAs), like zolpidem CR and eszopiclone, and follow-up
Pharmacologic therapy with benzodiazepines (BZDs), and follow-up
Pharmacologic therapy with a different pharmacologic agent (eg, tricyclics, or over-the-counter herbals including melatonin and antihistamines), and follow-up
Consult sleep specialist and/or polysomnogram, and follow-up
Not applicable
16.
If the above fails, what is your preferred next approach in treating chronic insomnia?
Watch, wait, and follow-up
Cognitive behavioral therapy (sleep hygiene, stimulus control therapy, etc) that I conduct myself, and follow-up
Cognitive behavioral therapy (sleep hygiene, stimulus control therapy, etc) conducted through a therapist, and follow-up
Initiate or change to pharmacologic therapy with NBBRAs, and follow-up
Initiate or change to pharmacologic therapy with BZDs, and follow-up
Increase the dose of the currently prescribed pharmacologic agent
Pharmacologic therapy with a different pharmacologic agent (eg, tricyclics, or over-the-counter herbals including melatonin and antihistamines), and follow-up
Consult sleep specialist and/or polysomnogram, and follow-up
Not applicable
17.
What is your preferred treatment for refractory chronic insomnia?
Watch, wait, and follow-up
Cognitive behavioral therapy (sleep hygiene, stimulus control therapy, etc) that I conduct myself, and follow-up
Cognitive behavioral therapy (sleep hygiene, stimulus control therapy, etc) conducted through a therapist, and follow-up
Initiate or change to pharmacologic therapy with NBBRAs, and follow-up
Initiate or change to pharmacologic therapy with BZDs, and follow-up
Increase the dose of the currently prescribed pharmacologic agent
Pharmacologic therapy with a different pharmacologic agent (eg, tricyclics, or over-the-counter herbals including melatonin and antihistamines), and follow-up
Consult sleep specialist and/or polysomnogram, and follow-up
Not applicable
18.
What is your preferred treatment for patients with chronic insomnia who have comorbidities (eg, depression, sleep apnea, chronic pain, substance abuse)?
Treat the comorbidity first, while treating insomnia initially as a secondary issue that should resolve once the primary issue has resolved
Treat insomnia first, while treating comorbidity initially as a secondary issue that should resolve once the primary issue of insomnia has resolved
