Help-Seeking for Insomnia among Adult Patients in Primary Care
The Journal of the American Board of Family MedicinePublished 1 July 2005Open access
James E. Aikens, Marylena Rouse
Citations112
SJR quartileQ1
SJR score1.02
SNIP0.87
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Clinical treatment ought to especially target poor sleepers presenting with significant insomnia-related impairment, medical morbidity, or both and future research should further clarify the role of medical and psychiatric comorbidities.
Abstract
Primary care patients often seek medical help when they experience insomnia. Clinical treatment ought to especially target poor sleepers presenting with significant insomnia-related impairment, medical morbidity, or both. Future research should further clarify the role of medical and psychiatric comorbidities and determine whether resolution of insomnia and its consequences improves the outcomes of common medical conditions.
Keywords
PsychologySocial SciencesNeuroscience
Encyclopedia of Social WorkDiagnostic and Statistical Manual of Mental Disorders
109,983 Citations2013Janet B. W. Williams, Michael B. First
Psychiatry ResearchThe Pittsburgh sleep quality index: A new instrument for psychiatric practice and research
34,698 Citations1989Daniel J. Buysse, Charles F. Reynolds +3 more
The clinimetric and clinical properties of the PSQI suggest its utility both in psychiatric clinical practice and research activities.
SLEEPA New Method for Measuring Daytime Sleepiness: The Epworth Sleepiness Scale
17,210 Citations1991Murray W. Johns
The development and use of a new scale, the Epworth sleepiness scale (ESS), is described, which is a simple, self-administered questionnaire which is shown to provide a measurement of the subject's general level of daytime sleepiness.
Sleep MedicineValidation of the Insomnia Severity Index as an outcome measure for insomnia research
7,967 Citations2001Célyne Bastien
The clinical validation of the Insomnia Severity Index (ISI) indicates that the ISI is a reliable and valid instrument to quantify perceived insomnia severity and is likely to be a clinically useful tool as a screening device or as an outcome measure in insomnia treatment research.
Medical Entomology and ZoologyInsomnia: Psychological Assessment and Management
2,354 Citations1993Charles M. Morin
SLEEPReliability and Factor Analysis of the Epworth Sleepiness Scale
2,138 Citations1992Murrayb W. Johns
Factor analysis of item scores showed that the ESS had only one factor for 104 medical students and for 150 patients with various sleep disorders, and the questionnaire had a high level of internal consistency as measured by Cronbach's alpha.
Clinical Infectious DiseasesMeasuring the Functional Impact of Fatigue: Initial Validation of the Fatigue Impact Scale
1,544 Citations1994John D. Fisk, Paul G. Ritvo +4 more
This initial validation study indicates that the FIS has considerable merit as a measure of patient's attribution of functional limitations to symptoms of fatigue.
SLEEPNonpharmacologic Treatment of Chronic Insomnia
876 Citations1999Charles M. Morin, Peter Hauri +4 more
The findings indicate that nonpharmacological therapies produce reliable and durable changes in several sleep parameters of chronic insomnia sufferers and there is no clear evidence that improved sleep leads to meaningful changes in daytime well-being or performance.
American Journal of PsychiatryPrevalence, burden, and treatment of insomnia in primary care
694 Citations1997Gregory E. Simon, Michael VonKorff
While insomnia was associated with depressive disorder and chronic medical illness, adjustment for these factors only partially accounted for the association of insomnia with disability and with health care utilization.
PubMedQuality of life in people with insomnia.
460 Citations1999Gary Zammit, Julie Weiner +3 more
The results of this study indicate that significant QoL impairments are associated with insomnia.
JAMABenzodiazepines and Zolpidem for Chronic Insomnia
451 Citations1997Peter D. Nowell
Benzodiazepines and zolpidem produced reliable improvements in commonly measured parameters of sleep in patients with chronic insomnia, and presented challenges for developing evidence-based guidelines for the use of hypnotics in the management of chronic insomnia.
PubMedDaytime consequences and correlates of insomnia in the United States: results of the 1991 National Sleep Foundation Survey. II.
398 Citations1999Thomas Röth, Sonia Ancoli‐Israel
The daytime consequences and correlates of insomnia were examined in the National Sleep Foundation and the Gallup Organization survey of 1,000 randomly selected Americans and showed an increasing degree of impairment with greater frequency of sleep disturbance.
An American Academy of Sleep Medicine Review
362 Citations2000Michael J. Sateia, Karl Doghramji +2 more
Insomnia is a condition which affects millions of individuals, giving rise to emotional distress, daytime fatigue, and loss of productivity, despite its prevalence, it has received scant clinical attention.
The British Journal of PsychiatryDSM–IV and ICSD–90 insomnia symptoms and sleep dissatisfaction
235 Citations1997Maurice M. Ohayon, M. Caulet +2 more
Although insomnia symptoms are common in the general population, sleep disturbances among sleep-dissatisfied individuals are more severe and sleep dissatisfaction seems a better indicator of sleep pathology than insomnia symptoms.
PubMedInsomnia in primary care patients.
215 Citations1999Tamar Shochat, Jason L. Umphress +2 more
As expected, patients with chronic insomnia had the most severe sleep complaints as well as the poorest daytime functioning, and exhibited the most help-seeking behaviors.
PubMedInsomnia in the elderly: a review for the primary care practitioner.
185 Citations2000Sonia Ancoli‐Israel
Zaleplon, the newest benzodiazepine receptor agonist, has the shortest half-life of available agents and does not appear to cause rebound insomnia, residual sedation, or adversely affect psychomotor function.
Behavior TherapyPsychological management of insomnia: A clinical replication series with 100 patients
114 Citations1994Charles M. Morin, Jackie Stone +2 more
Results from daily sleep diaries showed that patients were sleeping more efficiently after treatment, as evidenced by significant reductions of sleep onset latency, wake after sleep onset, and early morning awakening.
The Journal of the American Board of Family MedicineHelp-Seeking for Insomnia among Adult Patients in Primary Care
112 Citations2005James E. Aikens, Marylena Rouse
Clinical treatment ought to especially target poor sleepers presenting with significant insomnia-related impairment, medical morbidity, or both and future research should further clarify the role of medical and psychiatric comorbidities.
SLEEPDifferential Rates of Psychopathology Symptoms in Periodic Limb Movement Disorder, Obstructive Sleep Apnea, Psychophysiological Insomnia, and Insomnia with Psychiatric Disorder
49 Citations1999James E. Aikens, Peter A. Vanable +3 more
Irrespective of age, obesity, and daytime sleepiness, patients with untreated PLM or IPD are more likely to experience clinically significant psychological difficulties than those with either OSA or PI.
PubMedInsomnia: assessment and management in primary care. National Heart, Lung, and Blood Institute Working Group on Insomnia.
34 Citations1999
Behavior and pharmacologic therapies are used in treating insomnia and Hypnotic medications are safe and effective in inducing, maintaining and consolidating sleep.