8/15/2023 0 Comments Insomnia definition months![]() ![]() ![]() Most studies of insomnia are cross-sectional, hence the natural history of insomnia is not fully explored. This link with psychological distress may be one reason for the high health care use in people with insomnia, an increased number of accidents at work, presence of comorbidity and greater use of medication than good sleepers. Insomnia is a common accompaniment to anxiety and depression, with around two-thirds of those with insomnia reporting anxiety or depression and it may be an early symptom of depression. Insomnia may be defined as simply self-reported "difficulty sleeping" on one or more nights in the previous month or more stringently using, for example, the DSM-IV criteria of primary insomnia which excludes insomnia associated with psychiatric or physical illness. The reported prevalence of insomnia in the general population is high, varying between 6% and 37% depending on the criteria used. There may however be a group who have unmet need such as depression who would benefit from seeking primary health care. Further research is needed to determine more effective methods of identifying and managing insomnia in primary care. Hypnotics may be associated with persistence of insomnia. Insomniacs continue to have problems regardless of whether or not they have consulted their primary care clinician or received a prescription for medication over the year. Prescription of hypnotics showed some evidence of association with persistence of insomnia at follow-up (OR 3.18 95% CI 0.93, 10.92). Of these 100 (76%) still had insomnia symptoms at one year, compared with 227 (66%) of those with no contact with primary care for this condition (OR 1.37 95% CI 0.83, 2.27). 131(28%) consulted for mood problem(s) or received a relevant prescription. ResultsĤ74 participants reporting insomnia symptoms at baseline were followed up at 12 months. The association of primary care consultation or prescription for any mood disorder (defined as anxiety, depression, stress, neurosis, or insomnia) in the 12 months between baseline and follow-up surveys with persistence of insomnia was determined. Baseline survey responders were assessed for persistence of insomnia symptoms at 12 months. MethodsĪ postal survey of registered adult (over 18 years) populations of five UK general practices, repeated after 1 year, linked to primary care records. The objective of this study was to determine the association of persistence and remission of insomnia with primary health care using a longitudinal study. ![]() Insomnia is linked with high health care use and within primary care there are a number of treatment options available. Prevalence of insomnia symptoms in the general population is high. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |