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Prevalence of insomnia and its impact on daily function amongst Malaysian primary care patients

BACKGROUND: Insomnia is a common public health problem and the prevalence and impact of insomnia in primary care attendees is not well documented in the Asian population. OBJECTIVES: To determine the prevalence of self-reported insomnia symptoms amongst adult primary care attendees and the associati...

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Autores principales: Zailinawati, Abu-Hassan, Mazza, Danielle, Teng, Cheong Lieng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3541070/
https://www.ncbi.nlm.nih.gov/pubmed/23186221
http://dx.doi.org/10.1186/1447-056X-11-9
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author Zailinawati, Abu-Hassan
Mazza, Danielle
Teng, Cheong Lieng
author_facet Zailinawati, Abu-Hassan
Mazza, Danielle
Teng, Cheong Lieng
author_sort Zailinawati, Abu-Hassan
collection PubMed
description BACKGROUND: Insomnia is a common public health problem and the prevalence and impact of insomnia in primary care attendees is not well documented in the Asian population. OBJECTIVES: To determine the prevalence of self-reported insomnia symptoms amongst adult primary care attendees and the association with socio-demographic factors; to ascertain the impact of insomnia on daily functioning and to describe the psychological profile of patients with insomnia. METHODS: In this cross-sectional survey, 2049 adult patients (≥18 year old) attending seven primary care clinics in Peninsular Malaysia, completed the questionnaire asking about symptoms of insomnia (defined according to the International Classification of Sleep Disorders and DSM IV criteria) daytime impairment and psychological symptoms (assessed by Hospital Anxiety and Depression Scale). RESULTS: The response rate was 86.2%. A total of 60% reported insomnia symptoms, 38.9% had frequent insomnia symptoms (>3 times per week), 30.7% had chronic insomnia without daytime consequences and 28.6% had chronic insomnia with daytime dysfunction. Indian ethnicity (OR 1.79; 95%CI, 1.28-2.49), age ≥ 50 or older (OR 1.82; 95%CI, 1.10-3.01), anxiety symptoms (OR 1.65; 95%CI, 1.21-2.22) and depression symptoms (OR 1.65; 95%CI, 1.21-2.26) were risk factors for chronic insomnia with daytime dysfunction. Amongst those with chronic insomnia with daytime dysfunction, 47.8% had anxiety symptoms (OR, 2.01; 95%CI, 1.57-2.59) and 36.5% had depression symptoms (OR, 2.74; 95%CI, 2.04-3.68) based on HADs score. They also had tendency to doze off while driving and to be involved in road traffic accidents. CONCLUSIONS: A third of primary care attendees have insomnia symptoms and chronic insomnia, associated with significant daytime dysfunction and psychological morbidity. By identifying those at risk of having chronic insomnia, appropriate interventions can be commenced.
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spelling pubmed-35410702013-01-11 Prevalence of insomnia and its impact on daily function amongst Malaysian primary care patients Zailinawati, Abu-Hassan Mazza, Danielle Teng, Cheong Lieng Asia Pac Fam Med Research BACKGROUND: Insomnia is a common public health problem and the prevalence and impact of insomnia in primary care attendees is not well documented in the Asian population. OBJECTIVES: To determine the prevalence of self-reported insomnia symptoms amongst adult primary care attendees and the association with socio-demographic factors; to ascertain the impact of insomnia on daily functioning and to describe the psychological profile of patients with insomnia. METHODS: In this cross-sectional survey, 2049 adult patients (≥18 year old) attending seven primary care clinics in Peninsular Malaysia, completed the questionnaire asking about symptoms of insomnia (defined according to the International Classification of Sleep Disorders and DSM IV criteria) daytime impairment and psychological symptoms (assessed by Hospital Anxiety and Depression Scale). RESULTS: The response rate was 86.2%. A total of 60% reported insomnia symptoms, 38.9% had frequent insomnia symptoms (>3 times per week), 30.7% had chronic insomnia without daytime consequences and 28.6% had chronic insomnia with daytime dysfunction. Indian ethnicity (OR 1.79; 95%CI, 1.28-2.49), age ≥ 50 or older (OR 1.82; 95%CI, 1.10-3.01), anxiety symptoms (OR 1.65; 95%CI, 1.21-2.22) and depression symptoms (OR 1.65; 95%CI, 1.21-2.26) were risk factors for chronic insomnia with daytime dysfunction. Amongst those with chronic insomnia with daytime dysfunction, 47.8% had anxiety symptoms (OR, 2.01; 95%CI, 1.57-2.59) and 36.5% had depression symptoms (OR, 2.74; 95%CI, 2.04-3.68) based on HADs score. They also had tendency to doze off while driving and to be involved in road traffic accidents. CONCLUSIONS: A third of primary care attendees have insomnia symptoms and chronic insomnia, associated with significant daytime dysfunction and psychological morbidity. By identifying those at risk of having chronic insomnia, appropriate interventions can be commenced. BioMed Central 2012-11-27 /pmc/articles/PMC3541070/ /pubmed/23186221 http://dx.doi.org/10.1186/1447-056X-11-9 Text en Copyright ©2012 Zailinawati et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Zailinawati, Abu-Hassan
Mazza, Danielle
Teng, Cheong Lieng
Prevalence of insomnia and its impact on daily function amongst Malaysian primary care patients
title Prevalence of insomnia and its impact on daily function amongst Malaysian primary care patients
title_full Prevalence of insomnia and its impact on daily function amongst Malaysian primary care patients
title_fullStr Prevalence of insomnia and its impact on daily function amongst Malaysian primary care patients
title_full_unstemmed Prevalence of insomnia and its impact on daily function amongst Malaysian primary care patients
title_short Prevalence of insomnia and its impact on daily function amongst Malaysian primary care patients
title_sort prevalence of insomnia and its impact on daily function amongst malaysian primary care patients
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3541070/
https://www.ncbi.nlm.nih.gov/pubmed/23186221
http://dx.doi.org/10.1186/1447-056X-11-9
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