Prevalence and Perceived Health Associated with Insomnia Based on DSM-IV-TR; International Statistical Classification of Diseases and Related Health Problems, Tenth Revision; and Research Diagnostic Criteria/International Classification of Sleep Disorders, Second Edition Criteria: Results from the America Insomnia Survey

Roth, Thomas; Coulouvrat, Catherine; Hajak, Goeran; Lakoma, Matthew D.; Sampson, Nancy A.; Shahly, Victoria; Shillington, Alicia C.; Stephenson, Judith J.; Walsh, James K.; Kessler, Ronald C.

doi:10.1016/j.biopsych.2010.10.023

Cited by 415 publications

(262 citation statements)

References 55 publications

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“…It is defi ned by diffi culties initiating or maintaining sleep or non-restorative sleep, accompanied by signifi cant daytime impairments. 1 Chronic insomnia affects up to 22% of the population 2 and commonly occurs as a comorbid condition in other medical or mental disorders. Primary insomnia, an exclusionary diagnosis of poor sleep, ruling out psychiatric, medical, and additional sleep-related pathology, 3 is estimated to affect up to 3% of the population.…”

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confidence: 99%

Sleep-Related Arousal Versus General Cognitive Arousal in Primary Insomnia

Spiegelhalder

Regen

Feige

et al. 2012

Journal of Clinical Sleep Medicine

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have investigated attentional preference for sleep-related cues in primary insomnia using computerized tasks. [20][21][22][23][24][25][26] The majority of this work supports the notion that poor sleepers show an attentional bias for sleep-related stimuli relative to good sleeper controls. Consistent with these results, altered emotional responses to sleep-related stimuli have been reported in people with insomnia as compared to good sleepers. 27 Of note, studies on anxiety suggest a direct causal link from facilitated selective attention to worry. 28Although an enhanced attentional focus towards sleep-related cues may be involved in the development and maintenance of chronic insomnia, several important questions have not been answered up to now. First, little effort has been made to investigate the relationship between cognitive arousal and objectively determined sleep parameters, and the studies that have been carried out have reported inconsistent results. For example, van Egeren et al.14 found no signifi cant correlation between pre-sleep cognitive activity and polysomnographiStudy Objectives: The present study aimed at further investigating trait aspects of sleep-related cognitive arousal and general cognitive arousal and their association with both objective and subjective sleep parameters in primary insomnia patients. Methods: A clinical sample of 182 primary insomnia patients and 54 healthy controls was investigated using 2 nights of polysomnography, subjective sleep variables, and a questionnaire on sleep-related and general cognitive arousal. Results: Compared to healthy controls, primary insomnia patients showed both more sleep-related and general cognitive arousal. Furthermore, sleep-related cognitive arousal was closely associated with measures of sleep-onset and sleep-maintenance problems, while general cognitive arousal was not. Conclusions: Cognitive-behavioral treatment for insomnia might benefi t from dedicating more effort to psychological interventions that are able to reduce sleep-related cognitive arousal. Department of Psychiatry and Psychotherapy, University of Freiburg Medical Center, Germany S C I E N T I F I C I N V E S T I G A T I O N SI nsomnia is one of the most prevalent health complaints worldwide. It is defi ned by diffi culties initiating or maintaining sleep or non-restorative sleep, accompanied by signifi cant daytime impairments.1 Chronic insomnia affects up to 22% of the population 2 and commonly occurs as a comorbid condition in other medical or mental disorders. Primary insomnia, an exclusionary diagnosis of poor sleep, ruling out psychiatric, medical, and additional sleep-related pathology, 3 is estimated to affect up to 3% of the population. 4 Current models of primary insomnia highlight the role of cognitive, emotional, and physiological hyperarousal for the development and maintenance of the disorder. [5][6][7][8][9] With respect to cognitive processes, patients' cognitions are often dominated by worries and ruminations that are associated with a level of arousal that ...

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confidence: 99%

Sleep-Related Arousal Versus General Cognitive Arousal in Primary Insomnia

Spiegelhalder

Regen

Feige

et al. 2012

Journal of Clinical Sleep Medicine

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“…The prevalence of insomnia symptoms is associated with a poor perceived health, according to DSM-IV-TR (14) . In the present study, only the category very good in the health self-evaluation was not associated with symptoms of insomnia, suggesting the relevance of the research of these symptoms in the assessment of all seniors, even those who appear satisfied with their health.…”

Section: Discussionmentioning

confidence: 99%

“…A poor evaluation of seniors of their own health was associated with higher prevalence of insomnia symptom complaints (14) . To provide comprehensive care, health professionals need to conduct an early detection of these problems, triggering actions aimed to improve sleep quality in elderly with rheumatoid arthritis.…”

Section: Introductionmentioning

confidence: 99%

Associação entre sintomas de insônia e artrite reumatóide em idosos

Freitas

Schlosser

Santos

et al. 2013

Rev. esc. enferm. USP

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INTRODUCTIONThe aging of the population is a worldwide phenomenon, highlighting the significant increase in the population aged 70 years and older. In 2009, the results of the National Household Sample Survey indicated a total of 11.3 million in this age group. The decrease of the children and youth and the consequent increase in adult population and elderly is related to the continued decline in the fertility and mortality rate combined with an increased life expectancy (1) .Simultaneously, the most prevalent diseases among elderly are also changing, with a sharp decline in the morbidity and mortality from infectious and contagious diseases and an increase in chronic non-communicable diseases (CNCDs) (2) . With aging, the probability of acquiring CNCD increases while functional capacity and body reserves decrease, leading to a greater susceptibility to these diseases and other health problems (3) . Thus, there may be a direct association between the demographic and epidemiological transition.According to the Brazilian Institute of Geography and Statistics, in 2008, the most prevalent diseases in seniors were: high blood pressure (53.3%), back pain (35.1%), rheumatoid arthritis or rheumatism (24.2%), heart diseases (17.3%), diabetes mellitus (16.1%) and other diseases (20.9%) (1) . The CNCDs may result in losses in the overall health and functionality of the elderly, negatively affecting their quality of life, including the standard and quality of sleep (4) .Aging by itself can bring changes in the usual pattern of sleep, such as quantitative reduction of deep sleep stages and increase in the light sleep stages, nocturnal sleep disruption, increased sleep onset latency, reduced duration of nocturnal sleep, and more frequent transitions between the sleep stages during the night. The prevalence of sleep-disordered breathing and disorders related to increased nocturnal myoclonic activity are also more common over 60 years of age, so that the complaints of insomnia symptoms are most frequent among the elderly (4)(5) .There are four essential symptoms for the diagnosis of sleep disorders and insomnia: difficulty falling asleep, difficulty staying asleep, early awakening and non-restorative sleep. Various international classification manuals for sleep disorders shared these criteria, including the Research Diagnostic Criteria of the American Academy of Sleep Medicine (RDC), the International Classification of Sleep Disorders (ICSD-2) and the International Classification of Diseases Organization of the World Health Organization (ICD 10) (6) .Changes in sleep patterns and insomnia symptoms in seniors may occur as a consequence of CNCDs. Other prevalent diseases in this age group may influence sleep quality, among them, we highlight depression, bladder weakness and neurological problems, such as Parkinson's disease and stroke (7)(8) . In addition, lifestyles changes that are often linked to aging, such as retirement and widowhood, may contribute to these sleep modifications (9) .Among the examples of CNCDs, rheumatoid ar...

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“…1 Los TS más reportados son insomnio (22.1%), 2 síndrome de apnea obstructiva del sueño (SAOS) (6 a 32.8%), [3][4][5] y síndrome de piernas inquietas (15.6%). 6 Los TS afectan la calidad y la cantidad de sueño, lo que suele generar somnolencia excesiva diurna (SED) y, a partir de ésta, se incrementa el riesgo de sufrir accidentes de tráfico y laborales.…”

Section: Salud Pública De México / Vol 60 No 3 Mayo-junio De 2018unclassified

Prevalencia de síntomas de sueño y riesgo de apnea obstructiva del sueño en México

et al. 2018

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Objetivo. Estimar la prevalencia nacional de síntomas asociados con el sueño (SAS) en México, y su distribución por región, localidad y sexo. Material y métodos. Estudio transversal con muestreo probabilístico, representativo a nivel nacional en adultos mayores de 20 años. Se aplicó un cuestionario sobre duración de sueño, insomnio, uso de hipnóticos y riesgo de síndrome de apnea obstructiva del sueño (SAOS). Resultados. Los SAS más frecuentes fueron ronquido (48.5%) y dificultad para dormir (36.9%). Se identificó riesgo elevado de SAOS en 27.3% de los adultos, y se incrementa por índice de masa corporal (RM=1.1), edad (RM=1.03) y habitar zona urbana (RM=1.37). Se reportó insomnio en 18.8% de los participantes, que predomina en mujeres (RM=1.88). La duración promedio de sueño fue de 7.6 ± 3 horas; 28.4% de los adultos duermen <7 horas/ noche. Conclusiones. Existe una elevada prevalencia de SAS. Uno de cada cuatro adultos mexicanos tiene elevada probabilidad de padecer SAOS. La detección y tratamiento de SAS pudieran minimizar los efectos deletéreos en la salud.

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Cited by 415 publications

References 55 publications

Sleep-Related Arousal Versus General Cognitive Arousal in Primary Insomnia

Sleep-Related Arousal Versus General Cognitive Arousal in Primary Insomnia

Associação entre sintomas de insônia e artrite reumatóide em idosos

Prevalencia de síntomas de sueño y riesgo de apnea obstructiva del sueño en México

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