Insomnia and global sleep dissatisfaction in Finland
Insomnia and global sleep dissatisfaction in Finland
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DOI：
10.1046/j.1365-2869.2002.00317.x
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发表时间：
2002-12-01
影响因子：
4.4
通讯作者：
Partinen, M
中科院分区：
文献类型：
--
作者：
Ohayon, MM;Partinen, M
本研究的目的是评估芬兰一般人群中失眠症状和诊断的患病率。共有982名参与者，年龄在18岁或以上，代表芬兰的一般人口，通过电话采访使用睡眠评估系统。参与率为78%。问卷内容包括睡眠习惯评估、根据《精神疾病诊断与统计手册-IV》（DSM-IV）和《国际睡眠障碍分类》（ICSD）进行的失眠分类、相关睡眠障碍和日间后果评估。每周至少三晚出现失眠症状的总患病率为37.6%。11.9%的样本提到难以开始睡眠，31.6%的样本提到难以维持睡眠，11.0%的样本提到清晨醒来，7.9%的样本提到非恢复性睡眠。在11.9%的样本中发现了对睡眠的整体不满。39.9%有失眠症状的参与者和87.6%有睡眠不满意的参与者报告了白天的后果（疲劳、情绪变化、认知困难或白天嗜睡）。夏季或冬季的睡眠恶化与更多的睡眠不满投诉有关。任何DSM-IV失眠诊断的患病率为11.7%。更具体地说，DSM-IV诊断原发性失眠的患病率为1.6%，DSM-IV诊断与另一种精神障碍有关的失眠的患病率为2.1%。在大约16%的病例中，失眠是另一种睡眠障碍的症状，在大约17%的病例中，失眠是精神障碍的症状。正如其他北欧研究所报告的那样，夏季的睡眠质量更差。非传染性疾病很常见，超过三分之一的芬兰参与者报告了这一情况。与采用相同方法研究的其他欧洲国家（法国、英国、德国和意大利）相比，芬兰DSM- IV失眠诊断的患病率高出1. 5至2倍。
The purpose of this study is to assess the prevalence of insomnia symptoms and diagnoses in the general population of Finland. A total of 982 participants, aged 18 years or older and representative of the general population of Finland, were interviewed by telephone using the Sleep-EVAL system. The participation rate was 78%. The questionnaire included the assessment of sleep habits, insomnia symptomatology according to Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV) and International Classification of Sleep Disorders (ICSD), associated and sleep mental disorders and daytime consequences. The overall prevalence of insomnia symptoms occurring at least three nights per week was 37.6%. Difficulty initiating sleep were mentioned by 11.9% of the sample, difficulty maintaining sleep by 31.6%, early morning awakenings by 11.0% and non-restorative sleep by 7.9% of the sample. Global dissatisfaction with sleep was found in 11.9% of the sample. Daytime consequences (fatigue, mood changes, cognitive difficulties or daytime sleepiness) were reported by 39.9% of participants with insomnia symptoms and 87.6% of those with sleep dissatisfaction. A deterioration of sleep in summer or winter was associated with more complaints of sleep dissatisfaction. Prevalence of any DSM-IV insomnia diagnosis was 11.7%. More specifically, DSM-IV diagnosis of primary insomnia had a prevalence of 1.6% and DSM-IV diagnosis of insomnia related to another mental disorder was at 2.1%. Insomnia was a symptom of another sleep disorder in about 16% of cases and of a mental disorder in about 17% of cases. As reported in other Nordic studies, sleep quality was worse in summer. Insomnia symptomatology was common and was reported by more than a third of Finnish participants. Compared with other European countries studied with the same methodology ( France, the UK, Germany, and Italy), the prevalence of DSM- IV insomnia diagnosis was 1.5 to two times higher in Finland.