Association of insomnia with quality of life, work productivity, and activity impairment
Association of insomnia with quality of life, work productivity, and activity impairment
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DOI：
10.1007/s11136-009-9462-6
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发表时间：
2009-05-01
影响因子：
3.5
通讯作者：
Baran, Robert W.
中科院分区：
文献类型：
--
作者：
Bolge, Susan C.;Doan, Justin F.;Baran, Robert W.
评估失眠与健康相关生活质量（HRQOL）、工作效率和活动障碍之间的关系。数据来自2005年美国国家健康与健康调查。受试者被分配到失眠组（每月至少经历几次诊断失眠）或非失眠组（没有失眠或睡眠症状）。使用简明量表8（SF-8）（精神和身体评分）评估HRQOL。工作效率和活动障碍问卷（WPAI）评估了缺勤（错过工作时间）、出勤（工作障碍）、工作效率损失（整体工作障碍）和活动障碍。采用线性回归模型控制潜在的混淆因素，共评估了19,711名成年人（5,161名失眠者，14,550名非失眠者）。失眠组受试者的SF-8躯体（-5.40）和精神（-4.39）评分显著低于非失眠组受试者，而活动障碍评分显著高于非失眠组受试者（+18.04）（均P < 0.01）。失眠组的缺勤率（+6.27）、出勤率（+13.20）和工作效率损失（+10.33）得分高于非失眠组（P均< 0.01），失眠与身心生活质量差、工作效率损失和活动障碍显著相关。
To assess the association of insomnia with health-related quality of life (HRQOL), work productivity, and activity impairment.Data were obtained from the 2005 US National Health and Wellness Survey. Subjects were assigned to the insomnia group (diagnosed insomnia experienced at least a few times a month) or the noninsomnia group (no insomnia or sleep symptoms). HRQOL was assessed using the short form 8 (SF-8) (mental and physical scores). The work productivity and activity impairment questionnaire (WPAI) assessed absenteeism (work time missed), presenteeism (impairment at work), work productivity loss (overall work impairment), and activity impairment. Linear regression models were used to control for potential confounders.A total of 19,711 adults were evaluated (5,161 insomnia, 14,550 noninsomnia). Subjects in the insomnia group had significantly lower SF-8 physical (-5.40) and mental (-4.39) scores and greater activity impairment scores (+18.04) than subjects in the noninsomnia group (P < 0.01 for all). Employed subjects in the insomnia group had greater absenteeism (+6.27), presenteeism (+13.20), and work productivity loss (+10.33) scores than those in the noninsomnia group (P < 0.01 for all).Insomnia is significantly associated with poorer physical and mental quality of life and work productivity loss and activity impairment.