The prevalence, burden, and management of insomnia among primary care patients were evaluated.
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 ofmental health services, and direct health care costs were assessed by using the health plan's automated data systems.
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. (...)
Mots-clés Pascal : Insomnie, Prévalence, Soin santé primaire, Utilisation, Service santé, Traitement, Analyse coût, Economie santé, Epidémiologie, Washington, Etats Unis, Amérique du Nord, Amérique, Homme, Trouble sommeil
Mots-clés Pascal anglais : Insomnia, Prevalence, Primary health care, Use, Health service, Treatment, Cost analysis, Health economy, Epidemiology, Washington, United States, North America, America, Human, Sleep disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0543031
Code Inist : 002B18C14. Création : 24/03/1998.