INSOMNIA AND USE OF HYPNOTICS - STUDY OF A FRENCH POPULATION

INSOMNIA AND USE OF HYPNOTICS - STUDY OF A FRENCH POPULATION
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DOI:
10.1093/sleep/14.5.386
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发表时间:
1991-10-01
期刊:
影响因子:
5.6
通讯作者:
GUILLEMINAULT, C
GUILLEMINAULT, C
中科院分区:
医学2区
文献类型:
--
作者:
QUERASALVA, MA;ORLUC, A;GUILLEMINAULT, C

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在法国人群中进行了一项关于失眠和催眠药使用的横断面研究。采用定额法选取样本1,003人,替代率小于3%。受试者年龄在15岁及以上,根据性别、年龄、婚姻状况和生活环境代表法国人口。研究对象被问及与失眠和催眠药使用相关的问题,并填写了测量焦虑和抑郁的问卷。失眠的投诉很常见,即使在15-24岁的人群中也是如此。总体而言,受影响的妇女多于男子。最大的失眠症受试者群体,也是最经常“频繁和长期”使用催眠药的群体,是45岁及以上的女性。男性在65岁以后使用催眠药的情况急剧增加。整个样本中有10%的人使用催眠药,8%的人使用催眠药超过6个月,6.17%的人长期频繁使用催眠药。退休和失业的老年人也是慢性和频繁的催眠药物使用者:衰老和社会隔离与慢性和频繁的催眠药物使用相关。焦虑和抑郁量表的得分越高,夜间睡眠障碍的投诉越频繁。年轻人是一个重要的抱怨群体,但很少使用催眠药。总体而言,农村环境与较少的失眠投诉相关,但环境对老年人的投诉和催眠药使用的影响要比其他年龄组小得多。有人可能会问,在法国人群中,催眠药的处方和摄入量是否不是对社会问题的反应,而不是对医学问题的反应。
A cross-sectional study of insomnia and hypnotic use was performed in a sample of the French population. The quota method was used to select the sample of 1,003 subjects, with less than 3% substitution. Subjects were 15 years old and older and were representative of the French population based on gender, age, marital status and living environment. Subjects were asked questions relevant to the complaint of insomnia and hypnotic use and filled out questionnaires measuring anxiety and depression.The complaint of insomnia is common, even in the 15-24-year-old group. Overall, more women than men were afflicted. The largest group of insomniac subjects, and the group who most often used hypnotics "frequently and chronically", were women 45 years and older. Men presented a sharp increase in hypnotic use after 65 years of age. Ten percent of the entire sample used hypnotics, 8% for more than 6 months and 6.17% on a chronic and frequent basis. Retired and unemployed elderly were also chronic and frequent hypnotic users: aging and social isolation correlate with chronic and frequent hypnotic usage. Higher scores on anxiety and depression scales correlate with more frequent complaints of nocturnal sleep disturbances. Young individuals are a significant complainer group but use hypnotics rarely. A rural environment was associated, overall, with fewer insomnia complaints, but environment had much less impact on complaints and hypnotic use in the elderly than in other age groups. One may question whether, in the French population, hypnotic prescription and intake are not responses to a social rather than a medical problem.