Global sleep dissatisfaction for the assessment of insomnia severity in the general population of Portugal
Global sleep dissatisfaction for the assessment of insomnia severity in the general population of Portugal
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DOI：
10.1016/j.sleep.2005.03.006
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发表时间：
2005-09-01
期刊：
影响因子：
4.8
通讯作者：
Paiva, T
中科院分区：
文献类型：
--
作者：
Ohayon, MM;Paiva, T
背景和目的：本研究探讨了失眠症状和睡眠不满的患病率和相关因素，在一般人群中的Portugues.Patients和方法：我们通过电话采访了1858名年龄在18岁或以上的参与者，并代表葡萄牙的一般人口使用睡眠EVAL系统。参与率为83%。调查问卷包括睡眠习惯，失眠症的评估，根据DSM-IV和ICSD分类，相关的睡眠/精神障碍和白天的consequence.Results：失眠症状发生至少3个晚上，每周的样本和全球睡眠不满意（GSD）的10.1%，28.1%。难以维持睡眠是最常见的症状（21.0%）; 29.4%的失眠症状受试者报告了GSD。日间后果，睡眠和使用睡眠药物的医疗咨询是至少2倍更频繁的受试者之间的失眠症状和GSD相比，受试者的失眠症状没有GSD;失眠的诊断也更频繁的GSD组。结果显示，只有一种失眠症状的受试者的严重程度分级，有2或3个失眠症状但无GSD者，以及至少有1个失眠症状和GSD者。大多数GSD受试者（86%）确定了特定的睡眠或精神障碍;当仅报告1种无GSD的失眠症状时，该比率降至50.6%。GSD似乎是一个很好的指标存在的睡眠或精神障碍和良好的睡眠障碍的严重程度与失眠症状的受试者之间的。(c)2005 Elsevier B. V.保留所有权利。
Background and purpose: This study examines the prevalence and associated factors of insomnia symptoms and sleep dissatisfaction in the general population of Portugal.Patients and methods: We interviewed by telephone 1858 participants aged 18 years or older and representative of the general population of Portugal using the Sleep-EVAL system. Participation rate was 83%. The questionnaire included the assessment of sleep habits, insomnia symptomatology according to DSM-IV and ICSD classifications, associated and sleep/mental disorders and daytime consequences.Results: Insomnia symptoms occurring at least 3 nights per week were reported by 28.1% of the sample and global sleep dissatisfaction (GSD) by 10.1%. Difficulty maintaining sleep was the most frequent symptom (21.0%); 29.4% of subjects with insomnia symptoms reported GSD. Daytime consequences, medical consultations for sleep and use of sleep medication were at least 2 times more frequent among subjects with insomnia symptoms and GSD compared to subjects with insomnia symptoms without GSD; insomnia diagnoses were also more frequent in the GSD group.Conclusions: The results show a severity gradation among subjects with only 1 insomnia symptom, those with 2 or 3 insomnia symptoms but without GSD and those with at least 1 insomnia symptom and GSD. Specific sleep or psychiatric disorders were identified for the majority of GSD subjects (86%); this rate dropped to 50.6% when only 1 insomnia symptom without GSD was reported. GSD appeared to be a good indicator of the presence of a sleep or psychiatric disorder and a good discriminator of the severity of sleep disturbances among subjects with insomnia symptoms. (c) 2005 Elsevier B.V. All rights reserved.