INSOMNIA AND ITS TREATMENT - PREVALENCE AND CORRELATES
INSOMNIA AND ITS TREATMENT - PREVALENCE AND CORRELATES
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DOI：
10.1001/archpsyc.1985.01790260019002
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发表时间：
1985-01-01
影响因子：
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通讯作者：
UHLENHUTH, EH
中科院分区：
文献类型：
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作者：
MELLINGER, GD;BALTER, MB;UHLENHUTH, EH
这份报告的数据来自(1979)具有全国代表性的18-79岁非住院成年人概率抽样调查。在一年的时间里，35%的成年人患有失眠；这些人中约有一半的人经历了严重的失眠。患有严重失眠的人往往是女性和老年人，他们比其他人更有可能表现出高度的精神痛苦和躯体焦虑，这些症状类似于严重的抑郁症和多种健康问题。在调查的前一年，2.6%的成年人使用过药物处方的催眠药。通常情况下，使用发生在短暂的场合，一次1或2天，或持续2周的短期常规使用。调查还发现，有一小部分催眠药使用者(占所有使用者的11%；所有成年人的0.3%)报告定期使用这种药物一年或更长时间。如果将抗焦虑药物和抗抑郁药物包括在内，4.3%的成年人曾使用处方为睡眠的心理治疗药物；3.1%的成年人曾使用非处方药安眠药。大多数严重失眠症患者(85%)没有得到处方或非处方药的治疗。
Data for this report come from a (1979) nationally representative probability sample survey of noninstitutionalized adults, aged 18-79 yr. Insomnia afflicts 35% of all adults during the course of a year; about half of these persons experience the problem as serious. Those with serious insomnia tend to be women and older, and they are more likely than others to display high levels of psychic distress and somatic anxiety, symptoms resembling major depression and multiple health problems. During the year prior to the survey, 2.6% of adults had used a medically prescribed hypnotic. Typically, use occurred on brief occasions, 1 or 2 days at a time, or for short durations of regular use lasting < 2 wk. The survey also found a small group of hypnotic users (11% of all users; 0.3% of all adults) who reported using the medication regularly for a year or longer. If anxiolytics and antidepressants are included, 4.3% of adults had used a medically prescribed psychotherapeutic drug that was prescribed for sleep; 3.1% had used an over-the-counter sleeping pill. The majority of serious insomniacs (85%) were untreated by either prescribed or over-the-counter medications.