Prevalence and clinical correlates of insomnia symptoms and their association with quality of life in Chinese patients with HBV-related liver disease

Objective This study aimed to describe the one-month prevalence of insomnia symptoms (insomnia hereafter) and the demographic and clinical correlates, and its association with quality of life (QOL) in Chinese patients with HBV-related liver disease. Method A total of 689 patients with HBV-related li...

Full description

Bibliographic Details
Main Authors: Jing Zhao, Mei Liu, Gabor S. Ungvari, Chee H. Ng, Ines Hang Iao Chow, Ting Wang, Yu Chen, Zhongping Duan, Yu-Tao Xiang, Su-Jun Zheng
Format: Article
Language:English
Published: PeerJ Inc. 2021-03-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/10956.pdf
_version_ 1797420860965912576
author Jing Zhao
Mei Liu
Gabor S. Ungvari
Chee H. Ng
Ines Hang Iao Chow
Ting Wang
Yu Chen
Zhongping Duan
Yu-Tao Xiang
Su-Jun Zheng
author_facet Jing Zhao
Mei Liu
Gabor S. Ungvari
Chee H. Ng
Ines Hang Iao Chow
Ting Wang
Yu Chen
Zhongping Duan
Yu-Tao Xiang
Su-Jun Zheng
author_sort Jing Zhao
collection DOAJ
description Objective This study aimed to describe the one-month prevalence of insomnia symptoms (insomnia hereafter) and the demographic and clinical correlates, and its association with quality of life (QOL) in Chinese patients with HBV-related liver disease. Method A total of 689 patients with HBV-related liver disease in Beijing, China formed the study sample. Three forms of insomnia including difficulty initiating sleep (DIS), difficulty maintaining sleep (DMS) and early morning awakening (EMA) were assessed using standardized questions. QOL was measured using the Medical Outcomes Study Short Form 12 (SF-12). Results The one-month prevalence of at least one type of insomnia was 69.5%, while DIS, DMS and EMA were 60.4%, 54.7% and 50.9%, respectively. Only 4.8% of patients suffering from insomnia received treatment. Multiple logistic regression analyses revealed that pre-existing medical conditions were positively associated with DIS and EMA; patients with more severe depressive symptoms were more likely to have DIS, DMS and EMA; local residents were less likely to have DIS; and those who were married and older were more likely to have DMS. Insomnia was not independently associated with QOL. Conclusions Insomnia is common in Chinese patients with HBV-related liver disease with a very low rate of treatment. Greater attention should be given to identify and treat insomnia in this patient population.
first_indexed 2024-03-09T07:08:35Z
format Article
id doaj.art-bbb598b427d34d248a3c121c284c1bce
institution Directory Open Access Journal
issn 2167-8359
language English
last_indexed 2024-03-09T07:08:35Z
publishDate 2021-03-01
publisher PeerJ Inc.
record_format Article
series PeerJ
spelling doaj.art-bbb598b427d34d248a3c121c284c1bce2023-12-03T09:19:50ZengPeerJ Inc.PeerJ2167-83592021-03-019e1095610.7717/peerj.10956Prevalence and clinical correlates of insomnia symptoms and their association with quality of life in Chinese patients with HBV-related liver diseaseJing Zhao0Mei Liu1Gabor S. Ungvari2Chee H. Ng3Ines Hang Iao Chow4Ting Wang5Yu Chen6Zhongping Duan7Yu-Tao Xiang8Su-Jun Zheng9Beijing YouAn Hospital, Capital Medical University, Beijing, ChinaBeijing YouAn Hospital, Capital Medical University, Beijing, ChinaUniversity of Notre Dame Australia, Fremantle, AustraliaDepartment of Psychiatry, The Melbourne Clinic and St Vincent’s Hospital, University of Melbourne, Richmond, Victoria, AustraliaCenter for Cognition and Brain Sciences, University of Macau, Macao SAR, ChinaBeijing YouAn Hospital, Capital Medical University, Beijing, ChinaBeijing YouAn Hospital, Capital Medical University, Beijing, ChinaBeijing YouAn Hospital, Capital Medical University, Beijing, ChinaCenter for Cognition and Brain Sciences, University of Macau, Macao SAR, ChinaBeijing YouAn Hospital, Capital Medical University, Beijing, ChinaObjective This study aimed to describe the one-month prevalence of insomnia symptoms (insomnia hereafter) and the demographic and clinical correlates, and its association with quality of life (QOL) in Chinese patients with HBV-related liver disease. Method A total of 689 patients with HBV-related liver disease in Beijing, China formed the study sample. Three forms of insomnia including difficulty initiating sleep (DIS), difficulty maintaining sleep (DMS) and early morning awakening (EMA) were assessed using standardized questions. QOL was measured using the Medical Outcomes Study Short Form 12 (SF-12). Results The one-month prevalence of at least one type of insomnia was 69.5%, while DIS, DMS and EMA were 60.4%, 54.7% and 50.9%, respectively. Only 4.8% of patients suffering from insomnia received treatment. Multiple logistic regression analyses revealed that pre-existing medical conditions were positively associated with DIS and EMA; patients with more severe depressive symptoms were more likely to have DIS, DMS and EMA; local residents were less likely to have DIS; and those who were married and older were more likely to have DMS. Insomnia was not independently associated with QOL. Conclusions Insomnia is common in Chinese patients with HBV-related liver disease with a very low rate of treatment. Greater attention should be given to identify and treat insomnia in this patient population.https://peerj.com/articles/10956.pdfHBV-related liver diseaseInsomniaChina
spellingShingle Jing Zhao
Mei Liu
Gabor S. Ungvari
Chee H. Ng
Ines Hang Iao Chow
Ting Wang
Yu Chen
Zhongping Duan
Yu-Tao Xiang
Su-Jun Zheng
Prevalence and clinical correlates of insomnia symptoms and their association with quality of life in Chinese patients with HBV-related liver disease
PeerJ
HBV-related liver disease
Insomnia
China
title Prevalence and clinical correlates of insomnia symptoms and their association with quality of life in Chinese patients with HBV-related liver disease
title_full Prevalence and clinical correlates of insomnia symptoms and their association with quality of life in Chinese patients with HBV-related liver disease
title_fullStr Prevalence and clinical correlates of insomnia symptoms and their association with quality of life in Chinese patients with HBV-related liver disease
title_full_unstemmed Prevalence and clinical correlates of insomnia symptoms and their association with quality of life in Chinese patients with HBV-related liver disease
title_short Prevalence and clinical correlates of insomnia symptoms and their association with quality of life in Chinese patients with HBV-related liver disease
title_sort prevalence and clinical correlates of insomnia symptoms and their association with quality of life in chinese patients with hbv related liver disease
topic HBV-related liver disease
Insomnia
China
url https://peerj.com/articles/10956.pdf
work_keys_str_mv AT jingzhao prevalenceandclinicalcorrelatesofinsomniasymptomsandtheirassociationwithqualityoflifeinchinesepatientswithhbvrelatedliverdisease
AT meiliu prevalenceandclinicalcorrelatesofinsomniasymptomsandtheirassociationwithqualityoflifeinchinesepatientswithhbvrelatedliverdisease
AT gaborsungvari prevalenceandclinicalcorrelatesofinsomniasymptomsandtheirassociationwithqualityoflifeinchinesepatientswithhbvrelatedliverdisease
AT cheehng prevalenceandclinicalcorrelatesofinsomniasymptomsandtheirassociationwithqualityoflifeinchinesepatientswithhbvrelatedliverdisease
AT ineshangiaochow prevalenceandclinicalcorrelatesofinsomniasymptomsandtheirassociationwithqualityoflifeinchinesepatientswithhbvrelatedliverdisease
AT tingwang prevalenceandclinicalcorrelatesofinsomniasymptomsandtheirassociationwithqualityoflifeinchinesepatientswithhbvrelatedliverdisease
AT yuchen prevalenceandclinicalcorrelatesofinsomniasymptomsandtheirassociationwithqualityoflifeinchinesepatientswithhbvrelatedliverdisease
AT zhongpingduan prevalenceandclinicalcorrelatesofinsomniasymptomsandtheirassociationwithqualityoflifeinchinesepatientswithhbvrelatedliverdisease
AT yutaoxiang prevalenceandclinicalcorrelatesofinsomniasymptomsandtheirassociationwithqualityoflifeinchinesepatientswithhbvrelatedliverdisease
AT sujunzheng prevalenceandclinicalcorrelatesofinsomniasymptomsandtheirassociationwithqualityoflifeinchinesepatientswithhbvrelatedliverdisease