Sociodemographic profile of insomniac patients across national surveys
Sociodemographic profile of insomniac patients across national surveys
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DOI：
10.2165/00023210-200418001-00003
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发表时间：
2004-01-01
期刊：
影响因子：
6
通讯作者：
Urbinelli, R
中科院分区：
文献类型：
--
作者：
Allaert, FA;Urbinelli, R
简介：在法国、德国、意大利和英国对 2121 名失眠患者进行了调查。设计：调查通过访谈收集了受试者的社会人口学和临床特征以及医疗资源利用情况的数据。对医生对失眠态度的补充分析提供了对处方治疗类型和医疗期望的深入了解。结果：报告失眠的女性略多于男性，但差异并不显着。不同国家失眠患者的年龄分布各不相同。失业者和独居者更容易失眠。最常见的失眠原因是压力、孤独和丧亲之痛。失眠通常被报告为慢性的，并且经常是间歇性的。经常提到的症状是睡眠质量差、睡眠中断、早醒、入睡困难和白天疲劳。结论：许多人不愿就失眠问题向医生咨询，而医生相对较少地向患者询问可能的睡眠问题，并且系统性地低估了失眠的严重程度以及由此产生的功能障碍。医生经常向抱怨失眠的患者建议改变生活方式和睡眠卫生措施。安眠药是最常用的一类药物。患者对治疗的满意度相对较高。
Introduction: A survey of 2121 insomniac patients was conducted in France, Germany, Italy and the United Kingdom.Design: The survey collected data on the sociodemographic and clinical features of the subjects by interview, as well as on healthcare resource utilization. A complementary analysis of physician attitudes to insomnia provided insights into the types of treatment prescribed and expectations of medical treatment.Results: Slightly more women than men reported insomnia, but the difference was not significant. The age distribution of insomniac patients varied from country to country. Insomnia was more frequent in the unemployed and in those individuals living alone. The most frequently cited causes of insomnia were stress, loneliness and bereavement. Insomnia was usually reported as chronic, and frequently as episodic. Frequently cited symptoms were poor sleep quality, interrupted sleep, early awakening, difficulties in getting to sleep and daytime fatigue.Conclusions: Many individuals hesitate to consult their doctor about insomnia, whereas physicians question their patients about possible sleep problems relatively infrequently and systematically underestimate the severity of insomnia and the resulting functional impairment. Physicians frequently recommended lifestyle changes and sleep hygiene measures to patients complaining of insomnia. Hypnotic agents were the most frequently prescribed class of medication. Patient satisfaction with treatment was relatively high.