Articlebronze2005

Help-Seeking for Insomnia among Adult Patients in Primary Care

114 citations0/0 files storedThe Journal of the American Board of Family Medicine

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Abstract

OBJECTIVE: To clarify the patient characteristics associated with seeking medical help for insomnia. METHODS: A consecutive sample (n = 700) of adults attending a non-urgent primary care appointment was screened for sleep problems. A follow-up mailed survey then assessed insomnia symptoms, daytime impairment, beliefs about sleep, medication use, sleepiness and fatigue, and medical help-seeking. RESULTS: Fifty-two percent of patients with probable insomnia reported discussing this with a physician. Multivariate logistic regression analyses indicated that discussing one's probable insomnia with a physician was independently associated with having a greater number of medical conditions (OR, 2.19 [95% CI, 1.13 to 4.22]), being more highly educated (1.67 [95% CI, 1.11 to 2.51]), sleeping less per night (OR, 0.71 [95% CI, 0.52 to 0.96]), and greater perceived daytime impairment due to insomnia (OR, 2.07 [95% CI, 1.06 to 4.03]). CONCLUSIONS: Primary care patients often seek medical help when they experience insomnia. Clinical treatment ought to especially target poor sleepers presenting with significant insomnia-related impairment, medical morbidity, or both. Future research should further clarify the role of medical and psychiatric comorbidities and determine whether resolution of insomnia and its consequences improves the outcomes of common medical conditions.

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References

2013Diagnostic and Statistical Manual of Mental Disorders 1989The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research 2000Diagnostic and Statistical Manual of Mental Disorders.1991A New Method for Measuring Daytime Sleepiness: The Epworth Sleepiness Scale 2001Validation of the Insomnia Severity Index as an outcome measure for insomnia research 1993Insomnia: Psychological Assessment and Management 1992Reliability and Factor Analysis of the Epworth Sleepiness Scale 1999Nonpharmacologic Treatment of Chronic Insomnia

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