Cited by 1,071Sleep and related disordersObstructive Sleep Apnea ResearchAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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Insomnia and Its Treatment: Prevalence and Correlates

Mellinger, Glen D.·1985·Archives of General Psychiatry

DOI 10.1001/archpsyc.1985.01790260019002

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Abstract

Data for this report come from a nationally representative probability sample survey of noninstitutionalized adults, aged 18 to 79 years. The survey, conducted in 1979, found that insomnia afflicts 35% of all adults during the course of a year; about half of these persons experience the problem as serious. Those with serious insomnia tend to be women and older, and they are more likely than others to display high levels of psychic distress and somatic anxiety, symptoms resembling major depression, and multiple health problems. During the year prior to the survey, 2.6% of adults had used a medically prescribed hypnotic. Typically, use occurred on brief occasions, one or two days at a time, or for short durations of regular use lasting less than two weeks. The survey also found a small group of hypnotic users (11% of all users; 0.3% of all adults) who reported using the medication regularly for a year or longer. If we include anxiolytics and antidepressants, 4.3% of adults had used a medically prescribed psychotherapeutic drug that was prescribed for sleep; 3.1% had used an over-the-counter sleeping pill. The majority of serious insomniacs (85%) were untreated by either prescribed or over-the-counter medications.

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Authors: Mellinger, G. D.
Corresponding author: Mellinger, Glen D.
Venue: Archives of General Psychiatry
Publisher: American Medical Association (AMA)
Published: 1985-03-01
Volume: 42
Issue: 3
Pages: 225
ISSN: 0003-990X (ISSN-L)
DOI: 10.1001/archpsyc.1985.01790260019002
OpenAlex: W1964403954
Cited by: 1,071
References: 12
Citations by year: 2026: 4 · 2025: 7 · 2024: 8 · 2023: 16 · 2022: 22 · 2021: 21 · 2020: 27 · 2019: 15 · 2018: 24 · 2017: 17 · 2016: 26 · 2015: 29 · 2014: 23 · 2013: 32 · 2012: 29
FWCI: 11.80
Type: journal article
Language: en
Open access: closed
Locations: Archives of General Psychiatry (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Mental Health (MH-29819)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: insomnia, insomnia prevalence, hypnotic medication use, anxiolytics, antidepressants, psychiatric distress, somatic anxiety, major depressive disorder, health problems, sex differences, age differences, chronic drug administration
MeSH terms: Adolescent, Adult, Age Factors, Aged, Antidepressive Agents, Anxiety Disorders, Attitude to Health, Depressive Disorder, Drug Utilization, Nonprescription Drugs, Female, Health Surveys, Humans, Hypnotics and Sedatives, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, National Institutes of Health (U.S.), Drug Prescriptions, Research Design, Sex Factors, Anti-Anxiety Agents, United States

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Insomnia and Its Treatment: Prevalence and Correlates

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