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The Associations between Insomnia Severity and Health Outcomes in the United States
Little is known about the associations between insomnia severity, insomnia symptoms, and key health outcomes. Using 2020 United States National Health and Wellness Survey (NHWS) data, we conducted a retrospective, cross-sectional analysis to determine the associations between insomnia severity and a...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10053531/ https://www.ncbi.nlm.nih.gov/pubmed/36983438 http://dx.doi.org/10.3390/jcm12062438 |
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author | Chalet, François-Xavier Saskin, Paul Ahuja, Ajay Thompson, Jeffrey Olopoenia, Abisola Modi, Kushal Morin, Charles M. Wickwire, Emerson M. |
author_facet | Chalet, François-Xavier Saskin, Paul Ahuja, Ajay Thompson, Jeffrey Olopoenia, Abisola Modi, Kushal Morin, Charles M. Wickwire, Emerson M. |
author_sort | Chalet, François-Xavier |
collection | PubMed |
description | Little is known about the associations between insomnia severity, insomnia symptoms, and key health outcomes. Using 2020 United States National Health and Wellness Survey (NHWS) data, we conducted a retrospective, cross-sectional analysis to determine the associations between insomnia severity and a number of health outcomes germane to patients (health-related quality of life (HRQoL), employers and government (workplace productivity), and healthcare payers (healthcare resource utilization (HCRU)). The Insomnia Severity Index (ISI) questionnaire was used to evaluate overall insomnia severity. HRQoL was assessed using the physical and mental component summary scores of the Short Form-36v2 (SF-36v2) questionnaire, and health utility status was measured using the Short Form-6D (SF-6D) and EuroQoL-5D (EQ-5D) questionnaires. Workplace productivity was measured using the Work Productivity and Activity Impairment (WPAI) questionnaire. After adjusting for confounders, greater insomnia severity was significantly associated with worsened quality of life, decreased productivity, and increased HCRU in an apparent linear fashion. These findings have important implications for future research, including the need for specific assessment of insomnia symptoms and their impact on key health outcomes. |
format | Online Article Text |
id | pubmed-10053531 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-100535312023-03-30 The Associations between Insomnia Severity and Health Outcomes in the United States Chalet, François-Xavier Saskin, Paul Ahuja, Ajay Thompson, Jeffrey Olopoenia, Abisola Modi, Kushal Morin, Charles M. Wickwire, Emerson M. J Clin Med Article Little is known about the associations between insomnia severity, insomnia symptoms, and key health outcomes. Using 2020 United States National Health and Wellness Survey (NHWS) data, we conducted a retrospective, cross-sectional analysis to determine the associations between insomnia severity and a number of health outcomes germane to patients (health-related quality of life (HRQoL), employers and government (workplace productivity), and healthcare payers (healthcare resource utilization (HCRU)). The Insomnia Severity Index (ISI) questionnaire was used to evaluate overall insomnia severity. HRQoL was assessed using the physical and mental component summary scores of the Short Form-36v2 (SF-36v2) questionnaire, and health utility status was measured using the Short Form-6D (SF-6D) and EuroQoL-5D (EQ-5D) questionnaires. Workplace productivity was measured using the Work Productivity and Activity Impairment (WPAI) questionnaire. After adjusting for confounders, greater insomnia severity was significantly associated with worsened quality of life, decreased productivity, and increased HCRU in an apparent linear fashion. These findings have important implications for future research, including the need for specific assessment of insomnia symptoms and their impact on key health outcomes. MDPI 2023-03-22 /pmc/articles/PMC10053531/ /pubmed/36983438 http://dx.doi.org/10.3390/jcm12062438 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Chalet, François-Xavier Saskin, Paul Ahuja, Ajay Thompson, Jeffrey Olopoenia, Abisola Modi, Kushal Morin, Charles M. Wickwire, Emerson M. The Associations between Insomnia Severity and Health Outcomes in the United States |
title | The Associations between Insomnia Severity and Health Outcomes in the United States |
title_full | The Associations between Insomnia Severity and Health Outcomes in the United States |
title_fullStr | The Associations between Insomnia Severity and Health Outcomes in the United States |
title_full_unstemmed | The Associations between Insomnia Severity and Health Outcomes in the United States |
title_short | The Associations between Insomnia Severity and Health Outcomes in the United States |
title_sort | associations between insomnia severity and health outcomes in the united states |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10053531/ https://www.ncbi.nlm.nih.gov/pubmed/36983438 http://dx.doi.org/10.3390/jcm12062438 |
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