Insomnia and its relationship to health-care utilization, work absenteeism, productivity and accidents

Daley, Meagan; Morin, Charles M.; LeBlanc, Mélanie; Grégoire, Jean‐Pierre; Savard, Josée; Baillargeon, Lucie

doi:10.1016/j.sleep.2008.04.005

Cited by 364 publications

(272 citation statements)

References 31 publications

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“…Rona et al found that, among a sample of U.K. military personnel, PTSD-related avoidance and numbing symptoms, followed by hyperarousal symptoms, were most strongly associated with poor performance at work, (e.g., less time on task, less accomplished, difficulty performing duties) [5]. Sleep disturbances have been shown to adversely affect work and academic performance, as evidenced by increased absenteeism and reduced productivity [35][36]. Fernandez-Mendoza et al showed that sleep disturbances were associated with worse neuropsychological performance on tasks involving processing speed, executive control of attention, and visual memory, all of which can affect work and academic performance [37].…”

Section: Work and Academic Performancementioning

confidence: 99%

Assessment of posttraumatic stress disorder-related functional impairment: A review

Rodriguez

Holowka²,

Marx³

2012

JRRD

160

110

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Abstract-In 2010, the Department of Veterans Affairs (VA) and Department of Defense (DOD) jointly published the revised VA/DOD Clinical Practice Guideline for Management of Posttraumatic Stress. The Clinical Practice Guideline (CPG) provides evidence-based recommendations for diagnosing and treating a spectrum of stress-related disorders. Included in the CPG were recommendations for assessing posttraumatic stress disorder (PTSD) and other stress disorder-related functional impairment. This article complements those CPG recommendations by providing information that may further guide clinicians in the assessment of functional impairment related to PTSD and other stress-related disorders. We briefly review some of the empirical literature on the association between PTSD and functional impairment and some of the more frequently used methods and measures for assessing functional impairment and introduce a new measure currently being developed by our group. We suggest that information obtained via patient self-report and/or clinician rating be supplemented whenever possible with collateral data from friends, family members, coworkers, or supervisors to provide a complete picture of current and premorbid functional status. Finally, we explore several important issues that we encourage clinicians to keep in mind when assessing functional impairment among Veterans and Active Duty servicemembers.Clinical Trial Registration: ClinicalTrials.gov; PT074941, "Development and validation of a PTSD-related functional impairment scale;" http://www.clinicaltrials.gov.

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Section: Work and Academic Performancementioning

confidence: 99%

Assessment of posttraumatic stress disorder-related functional impairment: A review

Rodriguez

Holowka²,

Marx³

2012

JRRD

160

110

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“…These costs are caused by increased health-care use, which is about three times higher among poor sleepers than among good sleepers. Most of the societal costs of insomnia (75%) stem from work absenteeism and poor work productivity (Daley et al 2009b). In total, poor sleepers cost society about 10 times more than good sleepers (Daley et al 2009a).…”

Section: Introductionmentioning

confidence: 99%

Guided Internet-delivered cognitive behavioural treatment for insomnia: a randomized trial

Straten¹,

Emmelkamp²,

Wit³

et al. 2013

Psychol. Med.

112

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Background. Insomnia is a prevalent problem with a high burden of disease (e.g. reduced quality of life, reduced work capacity) and a high co-morbidity with other mental and somatic disorders. Cognitive behavioural therapy (CBT) is effective in the treatment of insomnia but is seldom offered. CBT delivered through the Internet might be a more accessible alternative. In this study we examined the effectiveness of a guided Internet-delivered CBT for adults with insomnia using a randomized controlled trial (RCT).Method. A total of 118 patients, recruited from the general population, were randomized to the 6-week guided Internet intervention (n = 59) or to a wait-list control group (n = 59). Patients filled out an online questionnaire and a 7-day sleep diary before (T0) and after (T1) the 6-week period. The intervention group received a follow-up questionnaire 3 months after baseline (T2).Results. Almost three-quarters (72.9%) of the patients completed the whole intervention. Intention-to-treat (ITT) analysis showed that the treatment had statistically significant medium to large effects (p < 0.05; Cohen's d between 0.40 and 1.06), and resulted more often in clinically relevant changes, on all sleep and secondary outcomes with the exception of sleep onset latency (SOL) and number of awakenings (NA). There was a non-significant difference in the reduction in sleep medication between the intervention (a decrease of 6.8%) and control (an increase of 1.8%) groups (p = 0.20). Data on longer-term effects were inconclusive.Conclusions. This study adds to the growing body of literature that indicates that guided CBT for insomnia can be delivered through the Internet. Patients accept the format and their sleep improves.

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“…These include increased risk for the metabolic syndrome, all-cause mortality, 2,3 mood and anxiety disorders, reduced productivity, accidents, and greater use of medical services. [4][5][6] A better understanding of factors contributing to insomnia could aid its prevention, which would have implications for improving function, quality of life, and long-term health.…”

mentioning

confidence: 99%

The Role of Trauma Type in the Risk for Insomnia

Brown

Akeeb

Mellman

2015

Journal of Clinical Sleep Medicine

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Objective: Insomnia is common following exposure to trauma and can occur independently or as a feature of posttraumatic stress disorder (PTSD). However, there is limited research identifying risk factors associated with the development of insomnia following exposure to a traumatic event. The goal of this study was to evaluate the role of specifi c trauma types in the risk for insomnia in a community sample of urban African Americans young adults. Methods: A sample of 554 nonclinical, urban, young adult African Americans was recruited for a larger study from which 465 participants were utilized for this study based on their completion of all study self-report measures. Participants were initially screened by phone to determine whether they provisionally met study criteria. Once selected, participants underwent informed consent and then completed a battery of self-report measures that included the Life Events Checklist, the PTSD Checklist, the Insomnia Severity Index, and the Fear of Sleep Index. Results: Of the seven trauma categories that were endorsed by at least 20% of the sample, results from logistic regression models indicated that sexual trauma, physical assault, accidents, natural disasters, and sudden violent death predicted insomnia independent of sex. However, PTSD symptom severity and nocturnal fears differentially infl uenced the relationship between trauma type and risk for insomnia. Conclusions: Exposure to specifi c types of trauma increases the odds of insomnia twofold to threefold. Additionally, PTSD symptom severity and nocturnal fears contribute differentially to the relationship between trauma exposure and insomnia suggesting the possibility of multiple underlying pathways. Keywords: insomnia, PTSD, sleep disturbance, trauma Citation: Hall Brown TS, Akeeb A, Mellman TA. The role of trauma type in the risk for insomnia.

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Insomnia and its relationship to health-care utilization, work absenteeism, productivity and accidents

Cited by 364 publications

References 31 publications

Assessment of posttraumatic stress disorder-related functional impairment: A review

Assessment of posttraumatic stress disorder-related functional impairment: A review

Guided Internet-delivered cognitive behavioural treatment for insomnia: a randomized trial

The Role of Trauma Type in the Risk for Insomnia

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