|
| | |
|
Am J Psychiatry 1997; 154:1417-1423
Copyright © 1997 by American Psychiatric Association
Prevalence, burden, and treatment of insomnia in primary care
GE Simon and M VonKorff
Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, WA 98101-1448, USA. simon.g@ghc.org
OBJECTIVE: The prevalence, burden, and management of insomnia among primary
care patients were evaluated. METHOD: Consecutive patients aged 18 to 65
years in primary care clinics of a staff-model health maintenance
organization (N = 1,962) were screened with the 12-item General Health
Questionnaire. A stratified random sample (N = 373) completed face-to-face
diagnostic assessments including the Composite International Diagnostic
Interview, a brief self-rated disability questionnaire (Brief Disability
Questionnaire), and the interviewer- rated Social Disability Schedule. A
telephone follow-up survey was completed 3 months later. Use of
psychotropic drugs, use of mental health services, and direct health care
costs were assessed by using the health plan's automated data systems.
RESULTS: Approximately 10% of the primary care patients reported major
current insomnia (e.g., taking at least 2 hours to fall asleep nearly every
night). Current insomnia was associated with significantly greater
functional impairment (according to both Brief Disability Questionnaire and
Social Disability Schedule), more days of disability due to health
problems, and greater general medical service utilization. While insomnia
was associated with depressive disorder and chronic medical illness,
adjustment for these factors only partially accounted for the association
of insomnia with disability and with health care utilization. Of the
patients with current insomnia, 28% received any psychotropic drug; 14%
received benzodiazepines and 19% received antidepressants. CONCLUSIONS:
Insomnia among primary care patients is associated with greater functional
impairment, lost productivity, and excess health care utilization.
This article has been cited by other articles:
|
|
|
|
 
S. Passarella and M.-T. Duong
Diagnosis and treatment of insomnia
Am. J. Health Syst. Pharm.,
May 15, 2008;
65(10):
927 - 934.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. O. Summers, M. I. Crisostomo, and E. J. Stepanski
Recent developments in the classification, evaluation, and treatment of insomnia.
Chest,
July 1, 2006;
130(1):
276 - 286.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. Sivertsen, S. Omvik, S. Pallesen, B. Bjorvatn, O. E. Havik, G. Kvale, G. H. Nielsen, and I. H. Nordhus
Cognitive behavioral therapy vs zopiclone for treatment of chronic primary insomnia in older adults: a randomized controlled trial.
JAMA,
June 28, 2006;
295(24):
2851 - 2858.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. Sivertsen, S. Overland, D. Neckelmann, N. Glozier, S. Krokstad, S. Pallesen, I. H. Nordhus, B. Bjorvatn, and A. Mykletun
The Long-term Effect of Insomnia on Work Disability: The HUNT-2 Historical Cohort Study
Am. J. Epidemiol.,
June 1, 2006;
163(11):
1018 - 1024.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
U. Voss, T. Kolling, and T. Heidenreich
Role of Monitoring and Blunting Coping Styles in Primary Insomnia
Psychosom Med,
January 1, 2006;
68(1):
110 - 115.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. J. Buysse, A. Germain, D. Moul, and E. A. Nofzinger
Insomnia
Focus,
October 1, 2005;
3(4):
568 - 584.
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Savard, S. Simard, H. Ivers, and C. M. Morin
Randomized Study on the Efficacy of Cognitive-Behavioral Therapy for Insomnia Secondary to Breast Cancer, Part I: Sleep and Psychological Effects
J. Clin. Oncol.,
September 1, 2005;
23(25):
6083 - 6096.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. E. Aikens and M. E. Rouse
Help-Seeking for Insomnia among Adult Patients in Primary Care
J Am Board Fam Med,
July 1, 2005;
18(4):
257 - 261.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. M. Benca
Diagnosis and Treatment of Chronic Insomnia: A Review
Psychiatr Serv,
March 1, 2005;
56(3):
332 - 343.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
S. Reid and J. Dwyer
Insomnia in HIV Infection: A Systematic Review of Prevalence, Correlates, and Management
Psychosom Med,
March 1, 2005;
67(2):
260 - 269.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. M Holbrook
Treating insomnia
BMJ,
November 20, 2004;
329(7476):
1198 - 1199.
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. G. Johnson, P. Cohen, S. Kasen, M. B. First, and J. S. Brook
Association Between Television Viewing and Sleep Problems During Adolescence and Early Adulthood
Arch Pediatr Adolesc Med,
June 1, 2004;
158(6):
562 - 568.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. M. Morin, C. Bastien, B. Guay, M. Radouco-Thomas, J. Leblanc, and A. Vallieres
Randomized Clinical Trial of Supervised Tapering and Cognitive Behavior Therapy to Facilitate Benzodiazepine Discontinuation in Older Adults With Chronic Insomnia
Am J Psychiatry,
February 1, 2004;
161(2):
332 - 342.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. Mohr, K. Vedantham, T. Neylan, T. J. Metzler, S. Best, and C. R. Marmar
The Mediating Effects of Sleep in the Relationship Between Traumatic Stress and Health Symptoms in Urban Police Officers
Psychosom Med,
May 1, 2003;
65(3):
485 - 489.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Savard, L. Laroche, S. Simard, H. Ivers, and C. M. Morin
Chronic Insomnia and Immune Functioning
Psychosom Med,
March 1, 2003;
65(2):
211 - 221.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. M. Morin, S. Rodrigue, and H. Ivers
Role of Stress, Arousal, and Coping Skills in Primary Insomnia
Psychosom Med,
March 1, 2003;
65(2):
259 - 267.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. Kroenke, R. L. Spitzer, and J. B. W. Williams
The PHQ-15: Validity of a New Measure for Evaluating the Severity of Somatic Symptoms
Psychosom Med,
March 1, 2002;
64(2):
258 - 266.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
D. F. Kripke, L. Garfinkel, D. L. Wingard, M. R. Klauber, and M. R. Marler
Mortality Associated With Sleep Duration and Insomnia
Arch Gen Psychiatry,
February 1, 2002;
59(2):
131 - 136.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
D. J. Buysse and M. Ganguli
Can Sleep Be Bad For You? Can Insomnia Be Good?
Arch Gen Psychiatry,
February 1, 2002;
59(2):
137 - 138.
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. Z. Goldstein
Practical Geriatrics: Insomnia in Late Life
Psychiatr Serv,
December 1, 2001;
52(12):
1573 - 1575.
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. D. Edinger, W. K. Wohlgemuth, R. A. Radtke, G. R. Marsh, and R. E. Quillian
Cognitive Behavioral Therapy for Treatment of Chronic Primary Insomnia: A Randomized Controlled Trial
JAMA,
April 11, 2001;
285(14):
1856 - 1864.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Savard and C. M. Morin
Insomnia in the Context of Cancer: A Review of a Neglected Problem
J. Clin. Oncol.,
February 1, 2001;
19(3):
895 - 908.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. M. Morin
The Nature of Insomnia and the Need to Refine Our Diagnostic Criteria
Psychosom Med,
July 1, 2000;
62(4):
483 - 485.
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. M. Morin, C. Colecchi, J. Stone, R. Sood, and D. Brink
Behavioral and Pharmacological Therapies for Late-Life Insomnia: A Randomized Controlled Trial
JAMA,
March 17, 1999;
281(11):
991 - 999.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
M. L. Bernardo
Disturbances of Sleep
Complementary Health Practice Review,
March 1, 1999;
5(1):
83 - 85.
[PDF]
|
|
|
Get information about faster international access.
Privacy Policy
Copyright © 1997
American Psychiatric Association.
All rights reserved.
Home
| Search
| Current Issue
| Past Issues
| Subscribe
| All APPI Journals
| Help
| Contact Us
|
