What are the contributing factors for insomnia in the general population?
What are the contributing factors for insomnia in the general population?
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DOI：
10.1016/s0022-3999(01)00285-9
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发表时间：
2001-12-01
影响因子：
4.7
通讯作者：
Roth, T
中科院分区：
文献类型：
--
作者：
Ohayon, MM;Roth, T
由于缺乏对失眠的系统评估，导致失眠在普通人群中的报告流行率存在很大差异。这项研究旨在为评估失眠症的患病率提供新的指南。使用睡眠-EVAL系统进行了一项横断面电话调查，调查对象为24,600名15岁及以上的一般人口，代表一般人口(法国、英国、德国、意大利、葡萄牙和西班牙)，由251,405,391名居民组成。总参与率为81.0%。在《精神疾病诊断和统计手册》第四版(DSM-IV)失眠症状学研究中，27.2%(95%可信区间：26.6-27.8%)的样本报告启动睡眠(DIS)(10.1%)或维持睡眠(DMS)(睡眠中断(DS)：18.0%，清晨醒来(EMA)：10.9%)或非恢复性睡眠(NRS)(8.9%)每周至少三次；其中48.5%同时患有DSM-IV睡眠/精神障碍。因子分析确定了几个变量与失眠的每个主要因素密切相关，允许：(1)收窄失眠的定义：失眠的患病率降至16.8%，64.5%的失眠对象患有DSM-IV睡眠/精神障碍；(2)确定无失眠症状的睡眠剥夺(自愿或非自愿)组，占样本的2.1%(1.9-2.3%)。有趣的是，后者与国际睡眠障碍分类(ICSD)所描述的睡眠不足综合征的定义非常吻合。使用更明确的标准来评估失眠会增加对抱怨睡眠的受试者的认知度。应修改分类，以提高对失眠的正确识别。睡眠不足的受试者也不应被忽视。(C)2001 Elsevier Science Inc.保留所有权利。
Lack of a systematic assessment of insomnia has led to large variations in its reported prevalence in the general population. This study aims to provide new guidelines to assess insomnia prevalence. A cross-sectional telephone survey using the Sleep-EVAL system was done with 24,600 general population-based subjects 15 years and older representative of general populations (France, the UK, Germany, Italy, Portugal, and Spain) consisting of 251,405,391 inhabitants. The overall participation rate was 81.0%. Within the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) symptomatology for insomnia, 27.2% (95% confidence interval: 26.6-27.8%) of the sample reported difficulty initiating sleep (DIS) (10.1%) or maintaining sleep (DMS) (disrupted sleep (DS): 18.0%, early morning awakening (EMA): 10.9%) or nonrestorative sleep (NRS) (8.9%) at least three times per week; 48.5% of them were concomitantly suffering of a DSM-IV sleep/mental disorder. A factor analysis identified several variables strongly related to each of the major factors of insomnia allowing: (1) The narrowing of the definition of insomnia: the prevalence of insomnia decreased to 16.8% with 64.5% of insomnia subjects having a DSM-IV sleep/mental disorder; (2) The identification of a sleep-deprived (voluntary or not) group without insomnia symptoms, representing 2.1% (1.9-2.3%) of the sample. Interestingly, the latter group closely matched the definition of insufficient sleep syndrome as described by the International Classification of Sleep Disorders (ICSD). Using more delineated criteria to assess insomnia increases the recognition of subjects complaining about sleep. Classifications should be amended to improve the correct identification of insomnia. Sleep-deprived subjects should also not be neglected. (C) 2001 Elsevier Science Inc. All rights reserved.