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Insomnia and Its Treatment: Prevalence and Correlates
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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“For example, there is a huge need for psychological services for the treatment of insomnia, a significant health problem with one third of the adult population reporting symptoms of insomnia and approximately 10% meeting diagnostic criteria for an insomnia disorder [53–56].”
From A Behavior Change Model for Internet Interventions (2009) · cites this paper as [54]
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Metadata
- 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)
- 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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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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