Is insomnia a marker for psychiatric disorders in general hospitals?

Rocha, Fábio Lopes; Hara, Cláudia; Rodrigues, Cristina Vaz; Costa, Milena Antunes; Costa, Erico; Fuzikawa, Cíntia; Santos, Valéria Guimarães

doi:10.1016/j.sleep.2005.04.008

Cited by 23 publications

(22 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, clinical insomnia and severe insomnia were found only in 10% of all patients. The incidence of new-onset clinically significant insomnia in our study was lower than that in previous studies (38%–57%) [12,13]. We attribute it to the fact that other studies have included patients with chronic insomnia.…”

Section: Discussioncontrasting

confidence: 79%

New onset of insomnia in hospitalized patients in general medical wards: incidence, causes, and resolution rate

Raja

Waldhorn

et al. 2017

Journal of Community Hospital Internal Medicine Perspectives

View full text Add to dashboard Cite

Background: Insomnia is common in hospitalized patients. However, no study has examined new onset of insomnia in patients without a prior history of insomnia. Objectives: Incidence of new onset of insomnia in inpatients, associated factors and resolution rate after 2 weeks. Method: This is a prospective observational study conducted at a community hospital. We used the Insomnia Severity Index questionnaire to screen for insomnia in all patients located in the general medical floors from day 3 to day 5 of their hospital stay. We excluded patients with a prior insomnia history. Results: Out of the 205 patients who met the inclusion criteria, 75 patients (36%) reported insomnia. Severe insomnia was present in 3% of patients. Difficulty in maintaining sleep is the most common symptom. Frequent staff disruptions due to blood draws and vital signs checks were reported by 68% as the cause of insomnia, followed by illness associated causes (64%) and sleep disruption due to noise and or brightness (23%). Patients with insomnia had more awakenings due to noise, brightness, and staff interruptions than those without insomnia (1.35 times vs. 0.9 times, p = 0.027). Patients with respiratory symptoms, cardiac monitoring, oxygen use, private rooms, and no sedative use did not have a higher insomnia risk. Patients with insomnia had significant lower satisfaction scores than patients without insomnia (4.53 vs. 4.05, p = 0.001) but did not have a different length of stay (6.18 vs. 6.19, p = 0.97). In 31% of patients with insomnia who were able to be contacted two weeks after discharge, 75% of them had insomnia resolution. Conclusion: New onset of insomnia occurred in 36% of hospitalized patients. Most common causes are staff disruption and disease symptoms. It was usually short-term and could decrease patients’ satisfaction score.

show abstract

Section: Discussioncontrasting

confidence: 79%

New onset of insomnia in hospitalized patients in general medical wards: incidence, causes, and resolution rate

Raja

Waldhorn

et al. 2017

Journal of Community Hospital Internal Medicine Perspectives

View full text Add to dashboard Cite

show abstract

“…Major depressive episode (P!.001), generalized anxiety disorder (P ¼ .025), and suicide risk (P ¼ .034) were associated with insomnia (univariate analysis). The results of the multivariate analysis showed that only a major depressive episode had a statistically significant association with insomnia (odds ratio ¼ 3.6; 95% confidence interval [CI], ¼ 1.9-6.9) [44].…”

Section: Secondary Disorders and Sleep Disturbancesmentioning

confidence: 99%

Insomnia Among Hospitalized Older Persons

Flaherty

2008

Clinics in Geriatric Medicine

View full text Add to dashboard Cite

“…B. 90,94]. In einer ambulanten chinesischen Studie mit psychisch erkrankten Patienten [65] In einer sogenannten "psychologischen Autopsiestudie" [55] wurden Angehöri-ge von Suizidenten befragt, wobei in über drei Viertel der Fälle vorherige Schlafprobleme bejaht wurden; dies entsprach einem erhöhten Risiko von OR = 12,7 nach Adjustierung für psychische Erkrankungen.…”

Section: Schlafmangel Und Insomnieunclassified

Die Bedeutung von Schlafstörungen für die Prävention von Suizidalität

Norra

Bremshey

2015

Somnologie

View full text Add to dashboard Cite

Is insomnia a marker for psychiatric disorders in general hospitals?

Cited by 23 publications

References 17 publications

New onset of insomnia in hospitalized patients in general medical wards: incidence, causes, and resolution rate

New onset of insomnia in hospitalized patients in general medical wards: incidence, causes, and resolution rate

Insomnia Among Hospitalized Older Persons

Die Bedeutung von Schlafstörungen für die Prävention von Suizidalität

Contact Info

Product

Resources

About