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Short and Long Sleep and Sleeping Pills: Is Increased Mortality Associated?
Abstract
Prospective epidemiologic data of the American Cancer Society disclosed that reported usual sleep durations among groups who complained of insomnia and sleeping pill use "often" overlapped with those of groups who had no complaints. Reports of insomnia were not consistently associated with increased mortality when several factors were controlled; however, men who reported usually sleeping less than four hours were 2.80 times as likely to have died within six years as men who reported 7.0 to 7.9 hours of sleep. The ratio for women was 1.48. Men and women who reported sleeping ten hours or more had about 1.8 times the mortality of those who reported 7.0 to 7.9 hours of sleep. Those who reported using sleeping pills "often" had 1.5 times the mortality of those who "never" used sleeping pills. These results do not prove that mortality could be reduced by altering sleep durations or by reducing hypnotic prescribing. Rather, studies are needed to determine the causes of these mortality risk factors.
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“This particularly important since prescription hypnotic medications may carry significant risks(239-243).”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [243]
In the citing paper
“Data from the 2008 “Sleep in America” poll of the National Sleep Foundation indicate that although working adults report a sleep need of an average of 7h18min to function at best, the average sleep duration is 6h40min, with 44% of them sleeping less than 7h on a typical week-night (as opposed to only 15.6% in 1960 [10]), and 16% less than 6h”
From Role of sleep duration in the regulation of glucose metabolism and appetite (2010) · cites this paper as [10]
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Metadata
- Authors
- Kripke, D. F.
- Corresponding author
- Kripke, Daniel F.
- ORCID
- Kripke, Daniel F.
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 1979-01-01
- Volume
- 36
- Issue
- 1
- Pages
- 103
- ISSN
- 0003-990X (ISSN-L)
- OpenAlex
- W2151482188
- Cited by
- 660
- References
- 27
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 9 · 2022: 7 · 2021: 8 · 2020: 15 · 2019: 5 · 2018: 10 · 2017: 22 · 2016: 19 · 2015: 20 · 2014: 16 · 2013: 35 · 2012: 30
- FWCI
- 9.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of General Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- sleep duration, insomnia, hypnotics, mortality, sex differences, long sleep, short sleep duration, hypnotic prescribing
- MeSH terms
- Adult, Age Factors, Aged, Cerebrovascular Disorders, Coronary Disease, Female, Humans, Hypnotics and Sedatives, Male, Middle Aged, Mortality, Neoplasms, Sex Factors, Sleep, Suicide, Time Factors
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