The Developmental Trajectories of Hypnotic Use Frequency and the Associated Factors: A phone-call follow-up research

• Main Authors: Lee, Shen-Kwang, 李昇晃
• Other Authors: Yang, Chien-Ming
• Format: Others
• Language: zh-TW
• Published: 2019
• Online Access: http://ndltd.ncl.edu.tw/handle/fb6kf9

碩士 === 國立政治大學 === 心理學系 === 107 === Objective: Hypnotics is recommended for short-term use but is commonly prescribed for prolonged period of time in clinical settings. However, past research suggested that there were individual differences in the pattern of hypnotic use and have not been studied over an extended time period. Therefore, the current study aims to categorize the developmental patterns of hypnotic use through trajectory analysis, and to examine the differences in the psychosocial factors associated with the different trajectories. Methods and Results: 144 Insomnia patients with history of hypnotic use were recruited to participate in the study. They completed a package of questionnaires regarding psychosocial variables and were followed up at 6 points of time (0, 1, 3, 6, 12 and 18 months) to collect their frequency of hypnotic use. All data were used to estimate trajectories of hypnotic use frequency from group-based trajectory modeling and identified five different trajectories among users, they are “stable high users” (42.6%), “stable low users” (12.4%), “fast decline users” (12.5%), “slow decline users” (17.8%) and “rarely users” (14.7%). Among hypnotic use frequency trajectories, MANOVA results showed that “stable high users” were older, had greater insomnia severity with medication and hypnotic-urge level, meanwhile “stable low users” tend to have a similar profile with “stable high users” except for a lower hypnotic-urge level. “Rarely users” had the protective profile which were younger, had lesser insomnia severity with medication and hypnotic-urge level. Interestingly, both “fast decline users” and “slow decline users” showed greater insomnia severity with medication than the “stable low users”and “rarely users”. However, they could be differentiated by the hypnotic-urge level. Specifically, “fast decline users” were much lower and “slow decline users” were as high as “stable high users” in hypnotic-urge level except for the compelling desire to use hypnotic scores. Conclusions: The results of the current study suggested that the heterogeneous practice among sleep medication users. At the same time, the predicting model raised the importance of insomnia severity and hypnotic craving as important issues in hypnotic use behavior.