Insomnia in primary care settings: Still overlooked and undertreated?
Background: Insomnia is a major medical problem that is often associated with low health status and increased health-care utilization. Therefore, we conducted this study to determine the frequency of insomnia in a population presenting to the primary healthcare (PHC) clinics for health problems othe...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Journal of Nature and Science of Medicine |
| Subjects: | |
| Online Access: | http://www.jnsmonline.org/article.asp?issn=2589-627X;year=2018;volume=1;issue=2;spage=64;epage=68;aulast=Almeneessier |
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| author | Aljohara S Almeneessier Bader N Alamri Faisal R Alzahrani Munir M Sharif Seithikurippu R Pandi-Perumal Ahmed S BaHammam |
| author_facet | Aljohara S Almeneessier Bader N Alamri Faisal R Alzahrani Munir M Sharif Seithikurippu R Pandi-Perumal Ahmed S BaHammam |
| author_sort | Aljohara S Almeneessier |
| collection | DOAJ |
| description | Background: Insomnia is a major medical problem that is often associated with low health status and increased health-care utilization. Therefore, we conducted this study to determine the frequency of insomnia in a population presenting to the primary healthcare (PHC) clinics for health problems other than sleep disorders. Methods: We interviewed 336 consecutive patients attending PHC face-to-face by trained medical students. Validated questionnaires were used to evaluate insomnia, sleep quality, and daytime sleepiness. The insomnia questionnaire classifies patients into three categories: (1) no insomnia, (2) Level I insomnia with the absence of daytime dysfunction, and (3) Level II insomnia with the presence of daytime dysfunction. Results: Level I insomnia was reported by 19.3% and Level II by 57.1%. Patients with insomnia were older and had worse sleep quality. Apart from a higher prevalence of hypertension among patients with insomnia, there was no difference in other comorbidities between those with insomnia and no insomnia. None of the included patients has reported his/her complaint of insomnia to the treating general practitioner (GP), and none of them was diagnosed with insomnia by the GP. Conclusion: Insomnia and daytime dysfunction are very common in primary care population. Despite the frequent visits of these patients to PHC, none of them has reported that he/she complains to his/her GP, and therefore, did not receive any treatment for insomnia. Education of GPs is necessary to improve recognition, diagnosis, and treatment of insomnia. |
| first_indexed | 2024-04-13T17:03:08Z |
| format | Article |
| id | doaj.art-3a757110390e4c91ade7289ac4cf8107 |
| institution | Directory Open Access Journal |
| issn | 2589-627X 2589-6288 |
| language | English |
| last_indexed | 2024-04-13T17:03:08Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Nature and Science of Medicine |
| spelling | doaj.art-3a757110390e4c91ade7289ac4cf81072022-12-22T02:38:34ZengWolters Kluwer Medknow PublicationsJournal of Nature and Science of Medicine2589-627X2589-62882018-01-0112646810.4103/JNSM.JNSM_30_18Insomnia in primary care settings: Still overlooked and undertreated?Aljohara S AlmeneessierBader N AlamriFaisal R AlzahraniMunir M SharifSeithikurippu R Pandi-PerumalAhmed S BaHammamBackground: Insomnia is a major medical problem that is often associated with low health status and increased health-care utilization. Therefore, we conducted this study to determine the frequency of insomnia in a population presenting to the primary healthcare (PHC) clinics for health problems other than sleep disorders. Methods: We interviewed 336 consecutive patients attending PHC face-to-face by trained medical students. Validated questionnaires were used to evaluate insomnia, sleep quality, and daytime sleepiness. The insomnia questionnaire classifies patients into three categories: (1) no insomnia, (2) Level I insomnia with the absence of daytime dysfunction, and (3) Level II insomnia with the presence of daytime dysfunction. Results: Level I insomnia was reported by 19.3% and Level II by 57.1%. Patients with insomnia were older and had worse sleep quality. Apart from a higher prevalence of hypertension among patients with insomnia, there was no difference in other comorbidities between those with insomnia and no insomnia. None of the included patients has reported his/her complaint of insomnia to the treating general practitioner (GP), and none of them was diagnosed with insomnia by the GP. Conclusion: Insomnia and daytime dysfunction are very common in primary care population. Despite the frequent visits of these patients to PHC, none of them has reported that he/she complains to his/her GP, and therefore, did not receive any treatment for insomnia. Education of GPs is necessary to improve recognition, diagnosis, and treatment of insomnia.http://www.jnsmonline.org/article.asp?issn=2589-627X;year=2018;volume=1;issue=2;spage=64;epage=68;aulast=Almeneessierdaytime dysfunctionfamily physiciangeneral practitionersleepsleepiness |
| spellingShingle | Aljohara S Almeneessier Bader N Alamri Faisal R Alzahrani Munir M Sharif Seithikurippu R Pandi-Perumal Ahmed S BaHammam Insomnia in primary care settings: Still overlooked and undertreated? Journal of Nature and Science of Medicine daytime dysfunction family physician general practitioner sleep sleepiness |
| title | Insomnia in primary care settings: Still overlooked and undertreated? |
| title_full | Insomnia in primary care settings: Still overlooked and undertreated? |
| title_fullStr | Insomnia in primary care settings: Still overlooked and undertreated? |
| title_full_unstemmed | Insomnia in primary care settings: Still overlooked and undertreated? |
| title_short | Insomnia in primary care settings: Still overlooked and undertreated? |
| title_sort | insomnia in primary care settings still overlooked and undertreated |
| topic | daytime dysfunction family physician general practitioner sleep sleepiness |
| url | http://www.jnsmonline.org/article.asp?issn=2589-627X;year=2018;volume=1;issue=2;spage=64;epage=68;aulast=Almeneessier |
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