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The morbidity of insomnia uncomplicated by psychiatric disorders
Open accessAbstract
The morbidity of sleep problems has been well documented; however, they are frequently associated with and are symptomatic of several psychiatric disorders. It is unclear how much of the morbidity can be accounted for by the associated psychiatric and substance abuse disorders and medical problems, and how much by the sleep problems per se. Sleep problems may also be an early sign of a psychiatric problem. This paper reports data from an epidemiologic community survey of over 10,000 adults living in three U.S. communities. A structured diagnostic assessment of psychiatric disorders as well as assessment of the presence of insomnia not due to medical conditions, medication, drug or alcohol abuse, and a 1-year follow-up were completed. Persons with insomnia in the past year without any psychiatric disorders ever (uncomplicated insomnia); with a psychiatric disorder in the past year (complicated insomnia); and with neither insomnia nor psychiatric disorders ever were compared on treatment utilization and the first onset of a psychiatric disorder in the subsequent year. Eight percent of those with uncomplicated as compared with 14.9% with complicated insomnia and 2.5% with neither had sought treatment from the general medical sector for emotional problems in the 6 months prior to the interview. The rates of treatment sought from the psychiatric specialty sector were 3.8%, 9.4%, and 1.2%, respectively. These differences were significant after controlling for sociodemographic characteristics and were sustained when the persons were interviewed 1 year later. Uncomplicated insomnia was also associated with an increase in risk for first onset of major depression, panic disorder, and alcohol abuse over the following year. Insomnia, even in the absence of psychiatric disorders, is associated with increased use of general medical and mental health treatment for emotional problems and for the subsequent first onset in the following year of some psychiatric disorders. Early diagnosis and treatment of uncomplicated insomnia may be useful.
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“In addition, it also demonstrates that insomnia can be a risk factor for the development of depression [51].”
From Non-Pharmacological Treatment of Insomnia (2012) · cites this paper as [51]
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“Studies have repeatedly linked this problem to greater use of health services (Weissman et al., 1997; Ohayon and Roth, 2001), decreased functional capabilities and quality of life (Henderson et al., 1995; Krahn, 2004), Received 1 August 2008 Accepted 14 January 2009 and physical and mental…”
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“For instance, 60–90% of patients with MDD exhibit some form of sleep problems depending on its severity (Abad & Guilleminault, 2005), whereas depressive symptoms have been reported in about 20% of patients with sleep disorder (Soldatos, 1994; Weissman et al., 1997).”
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Pharmacologic Treatment of Primary Insomnia
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Clinical Pharmacology of Sleep
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“Indeed, physiological, cognitive, and emotional measures have supported the hyperarousal models during wake and sleep (Monroe, 1967; Freedman and Slattler, 1982; Freedman, 1986; Morin et al., 1993; Bonnet and Arand, 1995; Mitchell, 1997; Harvey, 2000; Wicklow and Espie, 2000).”
Background
Metadata
- Authors
- Weissman, M. M., Greenwald, S., Niño-Murcia, G., & Dement, W. C.
- Affiliations
- New York State Psychiatric Institute (US)
- Stanford Medicine (US)
- Corresponding author
- Weissman, Myrna M.
- ORCID
- Weissman, Myrna M.
- Venue
- General Hospital Psychiatry
- Publisher
- Elsevier BV
- Published
- 1997-07
- Volume
- 19
- Issue
- 4
- Pages
- 245-250
- ISSN
- 0163-8343 (ISSN-L)
- OpenAlex
- W2077240469
- Cited by
- 415
- References
- 23
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 1 · 2023: 18 · 2022: 9 · 2021: 7 · 2020: 6 · 2019: 10 · 2018: 5 · 2017: 15 · 2016: 21 · 2015: 16 · 2014: 21 · 2013: 24 · 2012: 21
- FWCI
- 7.62
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- General Hospital Psychiatry (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (7r01mh040603-05)
- National Institute of Mental Health (NIMH 40603-01A1)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
- Keywords
- insomnia, mental illness, major depressive disorder, panic disorder, alcohol abuse, psychiatric treatment utilization, sleep disorders, community survey
- MeSH terms
- Adult, Mental Disorders, Female, Follow-Up Studies, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Patient Acceptance of Health Care, Population Surveillance, Risk Factors, Time Factors, United States, Comorbidity, Prevalence, Case-Control Studies
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