Regional differences in the risk of insomnia symptoms among patients from general hospital outpatient clinics

Zheng, Wei; Luo, Xinni; Li, Haiyan; Ke, Xisong; Dai, Qing; Zhang, Chanjuan; Zhang, Xiangyang; Ning, Yuping

doi:10.2147/ndt.s184216

Cited by 4 publications

(5 citation statements)

References 43 publications

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“…We mostly identified studies using other types of self-reports that were not validated for grading insomnia severity. Hence, insomnia prevalence's ranging from 5 to 50% reported in those works have to be interpreted with caution (18)(19)(20)(21)(22)(23)(24)(25). An exception was the report by Jank et al who employed the ISI for analyzing insomnia in a mixed group with and without pain complaints (40).…”

Section: Discussionmentioning

confidence: 99%

“…Hence insomnia is vague term describing the phenotypes of several sleep disturbances with different underlying etiologies. Different studies of non-clinical populations worldwide assessments have reported an insomnia prevalence from 5 to 50%, mostly with a predominance in females (18)(19)(20)(21)(22)(23)(24)(25). For insomnia evaluation, subjective assessment is considered the gold standard and has been recommended for the evaluation of patients with OPD (26)(27)(28)(29).…”

Section: Introductionmentioning

confidence: 99%

“…Total scores range from 0 to 28, whereas higher scores indicate more severe insomnia. Four insomnia grades have been categorized (scores in brackets): not clinically significant (0-7), subthreshold (8)(9)(10)(11)(12)(13)(14), moderate (15)(16)(17)(18)(19)(20)(21), and severe (22)(23)(24)(25)(26)(27)(28). Moderate to severe grades are considered clinically relevant.…”

Section: Introductionmentioning

confidence: 99%

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Insomnia in Patients Seeking Care at an Orofacial Pain Unit

et al. 2019

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Introduction: Orofacial pain and dysfunction include a broad range of disturbances among which pain and insomnia are some of the most common complaints. Sleep strengthens physiological and psychological resilience and is an absolute requirement for health. Insomnia is a common symptom or sleep disorder, yet data on its prevalence is sparse. Here we extracted data from the insomnia severity index which was part of the web-based interdisciplinary symptom evaluation (WISE) tool given to a large sample of patients seeking care at an orofacial pain unit for analyzing insomnia prevalence in this clinical population.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Insomnia in Patients Seeking Care at an Orofacial Pain Unit

et al. 2019

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“…A possible reason for the low medication use might be that many older adults hesitate to see doctors for sleep problems due to the public misconception of the reduced need for sleep among older people (Rodriguez et al, 2015). Additionally, there are only few sleep clinics and inadequate training in recognizing sleep problems among clinicians in China (Dai et al, 2013; Zheng et al, 2018). Therefore, nurses and other health professionals should carefully assess sleep problems and provide effective treatments for older people.…”

Section: Discussionmentioning

confidence: 99%

Sleep quality, frailty and overall health among community‐dwelling older people: A longitudinal study

Tao

Lou

et al. 2023

Journal of Advanced Nursing

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AimsThe aims of the study were to describe sleep quality among community‐dwelling older people; determine the association between sleep quality (total and multidimensional), frailty and overall health; study frailty as a mediator in the association between sleep quality and overall health.DesignThis longitudinal, correlative study used data from 2020 to 2022.MethodsA total of 181 community‐dwelling older people in a city in Southeast China were assessed twice. Sleep quality was measured using the Pittsburgh Sleep Quality Index at Time 1 (year 2020); frailty was measured using the FRAIL scale, and overall health was measured using the EuroQol visual analogue scale at Time 1 and 2 (1 year later). Associations and indirect effects were examined using linear regression analyses using the PROCESS Macro (Model 4).ResultsPoor sleep quality (higher scores) was associated with increased frailty over time (total scale), as well as subjective sleep quality, sleep duration, sleep efficiency and daytime dysfunction. Mediation analyses indicated that frailty change had an indirect effect on the association between sleep quality total score Time (T) 1 and overall health T2 and between the dimensions subjective sleep quality, sleep duration, sleep efficiency and daytime dysfunction and overall health. All analyses were adjusted for age, multimorbidity and overall health T1.ConclusionsPoor sleep quality is a common problem associated with poor overall health after 1 year, and the progression of frailty mediates this association.ImpactThe findings provide a better understanding of the association between sleep quality and overall health and elucidate the mediating effect of frailty. Regular screening and effective treatment by healthcare providers for sleep problems and frailty in older people are necessary to improve their overall health and enhance healthy ageing.Patient or Public ContributionParticipants in the study provided the data used for all data analysis in the manuscript. Patient or public were not involved in data analysis, interpretation or manuscript preparation. Staff in the community health centre helped with data collection.

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“…High pressure of life accompanying living in the higher urbanized area could be related to the association between the agomelatine group in the higher urbanized area and the increased OR and RR of the usage of the sedativehypnotics. 49,50 The agomelatine group who sought medical help in the autumn was associated with a higher risk of using the sedative-hypnotics, and this might well be related to the fact that sleep disturbance could be associated with the significant shortening of exposure to sunlight in this season. 51 In addition, antidepressant treatment-emergent insomnia is a critical issue in the treatment of depression.…”

Section: Discussionmentioning

confidence: 99%

<p>Is Agomelatine Associated with Less Sedative-Hypnotic Usage in Patients with Major Depressive Disorder? A Nationwide, Population-Based Study</p>

Hsing¹,

Jin²,

Tzeng³

et al. 2020

NDT

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Background: To examine the association between the usage of agomelatine in patients with major depressive disorder and the usage of sedative-hypnotics. Methods: This population-based, cross-sectional study used Taiwan's National Health Insurance Research Database (NHIRD) between 2012 and 2015. The agomelatine-only group and matched control (1:3) with the usage of other antidepressants were enrolled. The association between the usage of the agomelatine and other antidepressants and the usage of sedative-hypnotics in the patients were also assessed. Results: A total of 7961 subjects were enrolled comprising 1985 with the usage of agomelatine only, and 5976 with other antidepressants. In the present study, a total of 3322 subjects who used the sedative-hypnotics were recorded, with 811 (40.86%) from the agomelatine-only group and 2511 (42.02%) from the non-agomelatine group, which have used sedativehypnotics. After adjusting for covariates, the odds ratio (OR) of the usage of sedativehypnotics in the agomelatine only-group was 0.892 (95% CI: 0.306-1.601, p = 0.533), in comparison to the controls, and the relative risk (RR) of the usage of sedative-hypnotics in the agomelatine only-group was 0.910 (95% CI: 0.312-1.633, p = 0.520), in comparison to the controls. No matter as to whether the treatment duration was <30 days or ≧ 30 days of agomelatine treatment was not associated with the increased usage of the sedative-hypnotics. The OR or RR for usage of the sedative-hypnotics was associated with the Charlson Comorbidity Index (CCI) scores as 2, 3, and ≧ 4, and the medical care from the medical center and regional hospital. Conclusion: Patients with the agomelatine-only group were not associated with the usage of sedative-hypnotics in comparison to the group using other antidepressants.

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Regional differences in the risk of insomnia symptoms among patients from general hospital outpatient clinics

Cited by 4 publications

References 43 publications

Insomnia in Patients Seeking Care at an Orofacial Pain Unit

Insomnia in Patients Seeking Care at an Orofacial Pain Unit

Sleep quality, frailty and overall health among community‐dwelling older people: A longitudinal study

<p>Is Agomelatine Associated with Less Sedative-Hypnotic Usage in Patients with Major Depressive Disorder? A Nationwide, Population-Based Study</p>

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