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Hayward, R; Jordan, K; Croft, P (2012)
Publisher: BioMed Central
Journal: BMC Family Practice
Languages: English
Types: Article
Subjects: Family Practice, Research Article, Cohort study, R5-920, Medicine (General), Primary health care, Persistence, Insomnia, R1, RA

Classified by OpenAIRE into

mesheuropmc: mental disorders
Abstract Background: Prevalence of insomnia symptoms in the general population is high. Insomnia is linked with high health care use and within primary care there are a number of treatment options available. The objective of this study was to determine the association of persistence and remission of insomnia with primary health care using a longitudinal study. Methods: A postal survey of registered adult (over 18 years) populations of five UK general practices, repeated after 1 year, linked to primary care records. Baseline survey responders were assessed for persistence of insomnia symptoms 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. Results: 474 participants reporting insomnia symptoms at baseline were followed up at 12 months. 131(28%) consulted for mood problem(s) or received a relevant prescription. 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). Prescription of hypnotics showed some evidence of association with persistence of insomnia at follow-up (OR 3.18; 95% CI 0.93, 10.92). Conclusion: 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. Hypnotics may be associated with persistence of insomnia. Further research is needed to determine more effective methods of identifying and managing insomnia in primary care. There may however be a group who have unmet need such as depression who would benefit from seeking primary health care. Keywords: Primary health care, Insomnia, Persistence, Cohort study
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • 1. Morphy H, Dunn KM, Lewis M, Boardman HF, Croft PR: Epidemiology of insomnia: a longitudinal study in a UK population. Sleep 2007, 30:274-280.
    • 2. Stewart R, Besset A, Bebbington P, Brugha T, Lindesay J, Jenkins R, Singleton N, Meltzer H: Insomnia comorbidity and impact and hypnotic use by age group in a national survey population age 16 to 74 years. Sleep 2006, 29:1391-1397.
    • 3. Phillips B, Mannino DM: Does insomnia kill? Sleep 2005, 28:965-970.
    • 4. Janson C, Lindberg E, Gislason T, Elmasry A, Boman GP: Insomnia in men-a 10-year prospective population based study. Sleep 2001, 24:425-430.
    • 5. Pellesen S, Nordhus , Nielsen H, Havik OE, Kvale G, Johnsen BH, Skjotskitt S: Prevalence of insomnia in the adult Norwegian population. Sleep 2001, 24:771-779.
    • 6. Ohayon MM: Epidemiology of insomnia: what we know and what we still need to learn. Sleep Med Rev 2002, 6:97-111.
    • 7. Hamblin JE: Insomnia: an ignored health problem. Prim Care Clin Office Pract 2007, 34:659-674.
    • 8. Panossian LA, Avidan AY: Review of Sleep Disorders. Med Clin N Am 2009, 93:407-425.
    • 9. Hayward R, Jordan KP, Croft P: Health care use in persons with insomnia: a longitudinal study. Br J Gen Pract 2010, 60:334-340.
    • 10. Lustberg L, Reynolds CF: Depression and insomnia: questions of cause and effect:. Sleep Med Rev 2000, 4:253-262.
    • 11. Leger D, Guilleminault C, Bader G, Levy E, Paillard M: Medical and socioprofessional impact of insomnia. Sleep 2002, 25:621-625.
    • 12. Chevalier H, Los F, Boichut D, Bianchi M, Nutt DJ, Hajak G, Hetta J, Hoffman G, Crowe C: Evaluation of severe insomnia in the general population: results of a European multinational survey. J Psychopharm 1999, 13(Suppl 1):S21-4.
    • 13. Foley DJ, Monjan A, Simonsick EM, Wallace RB, Blazer DG: Incidence and remission of insomnia among elderly adults: an epidemiological study of 6,800 persons over three years. Sleep 1999, 22(Suppl 2):S366-72.
    • 14. Simon GE, Von Korff M: Prevalence, Burden, and Treatment of Insomnia in Primary Care. Am J Psychiatry 1997, 154:1417-1423.
    • 15. Benca RM: Diagnosis and treatment of chronic insomnia: a review. Psychiatric Services 2005, 56:332-343.
    • 16. Vincent N, Lionberg C: Treatment Preference and Patient Satisfaction in Chronic Insomnia. Sleep 2001, 24:411-417.
    • 17. Jacobs GD, Pace-Schott EF, Stickgold R, Otto MW: Cognitive Behavioural Therapy and Pharmacotherapy for Insomnia. Arch Intern Med 2004, 164:1888-1896.
    • 18. Ritterband LM, Thorndike FP, Gonder-Frederick LA, Magee JC, Bailey ET, Saylor DK, Morin CM: Efficacy of an internet-based behavioural intervention for adults with insomnia. Arch Gen Psych 2009, 66:692-698.
    • 19. Jenkins CD, Stanton B-A, Niemcryk SJ, Rose RM: A Scale for the Estimation of Sleep Problems in Clinical Research. J Clin Epidemiol 1988, 41:313-321.
    • 20. Zigmond AS, Snaith RP: The Hospital Anxiety and Depression Score. Acta Psychiatr Scand 1983, 67:361-370.
    • 21. Bjelland I, Dahl AA, Haug TT, Neckelmann D: The validity of the hospital anxiety and depression scale an updated literature review. J Psychosom Res 2002, 52:69-77.
    • 22. Ohayon MM: Relationship between chronic painful physical condition and insomnia. J Psychiat Res 2005, 39:151-159.
    • 23. Byles JE, Mishra GD, Harris MA: The experience of insomnia among older women. Sleep 2005, 28(8):972-979.
    • 24. Belleville G, Guay C, Guay B, Morin C: Hypnotic taper with self-help treatment of insomnia: a randomized clinical trial. J of Consulting and Clin Psychol 2007, 75(2):325-335.
    • 25. Tom SE, Kuh D, Guralnik JM, Mishra GD: Patterns in trouble sleeping among women at mid-life: results from a British prospective cohort study. J Epidemiol Community Health 2009, 63:974-979.
    • 26. Horne R: Patient's beliefs about treatment: the hidden determinant of treatment outcome? J Psychosom Res 1999, 47:491-495.
    • 27. Rosenthal LD, Dolan DC, Taylor DJ, Griesner E: Long-term follow-up of patients with insomnia. Proc (Bayl Univ Med Cent) 2008, 21:264-265.
    • 28. Morin CM, Belanger L, LeBlanc M, Ivers H, Savard J, Espie C, Merette C, Baillargeon L, Gregoire J-P: The natural history of insomnia: a population based 3-year study. Arch Intern Med 2009, 169:447-453.
    • 29. National Institutes of Health: Statement regarding the treatment of insomnia, National Institutes of Health State of the Science Conference Statement, Manifestations and management of chronic insomnia in adults June 13-15, 2005. Sleep 2005, 28:1049-1057.
    • 30. Sivertsen B, Omvik S, Pallesen S, Pallesen S: Cognitive behavioural therapy vs zopiclone for treatment of chronic primary insomnia in older adults: a randomized controlled trial. JAMA 2006, 295:2851-2858.
    • 31. Ohayon MM: Interlacing sleep, pain, mental disorders and organic diseases. J Psychiat Res 2006, 40:677-679.
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