Medical and socio-professional impact of insomnia
Abstract
STUDY OBJECTIVES: Insomnia, a highly prevalent disorder with direct and indirect economic and professional consequences, affects daytime functioning, behavior, and quality of life. Several studies have shown that insomnia affects the workforce and is associated with an increased risk of accidents. Insomnia may also play a role in other disorders. Our study attempted to evaluate the socio-professional correlates of insomnia by comparing a group of insomniacs to a group of good sleepers. DESIGN: With a questionnaire focused on the socio-professional and medical consequences of insomnia, we surveyed a group of severe insomniacs and a group of good sleepers. Persons with psychiatric disorders according to the DSM-IV minimum criteria for anxiety and depression were eliminated from each group. After screening, 240 insomniacs and 391 good sleepers remained and were then compared. MEASUREMENTS AND RESULTS: Compared to good sleepers, severe insomniacs reported more medical problems, had more physician-office visits, were hospitalized twice as often, and used more medication. Severe insomniacs had a higher rate of absenteeism, missing work twice as often as did good sleepers. They also had more problems at work (including decreased concentration, difficulty performing duties, and more work-related accidents). CONCLUSIONS: Our study showed that insomnia has socio-professional consequences and is correlated with lower medical status.
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Optimal wakefulness and cognitive function occurring from NREM sleep are required for the intense physical and mental obligations of firefighting.
“Optimal wakefulness and cognitive function occurring from NREM sleep are required for the intense physical and mental obligations of firefighting [25].”
From The Cyclical Battle of Insomnia and Mental Health Impairment in Firefighters: A Narrative Review (2024) · cites this paper as [25]
Chronic insomnia patients are more likely to use health care resources, visit physicians, be absent or late for work, make errors or have accidents at work, and have more serious road accidents.
“Chronic insomnia patients are more likely to use health care resources, visit physicians, be absent or late for work, make errors or have accidents at work, and have more serious road accidents. 25,26”
From Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults (2008) · cites this paper as [25]
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“Negative consequences of insomnia are diverse and include daytime fatigue, reduced daytime performance, mood impairments, physical complaints, and neuropsychological consequences such as difficulties with concentration and memory (Katz and McHorney, 2002; Léger et al., 2002).”
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- Authors
- Léger, D., Guilleminault, C., Bader, G., Lévy, E., & Paillard, M.
- Affiliations
- Stanford University (US)
- Stanford Medicine (US)
- Corresponding author
- Guilleminault, Christian
- Venue
- Sleep
- Publisher
- Oxford University Press (OUP)
- Published
- 2002-09
- Volume
- 25
- Issue
- 6
- Pages
- 621-625
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- OpenAlex
- W13142413
- Cited by
- 468
- References
- 0
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 18 · 2023: 22 · 2022: 12 · 2021: 16 · 2020: 22 · 2019: 17 · 2018: 13 · 2017: 21 · 2016: 20 · 2015: 19 · 2014: 31 · 2013: 29 · 2012: 25
- FWCI
- 12.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- SLEEP (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Heart, Lung, and Blood Institute
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- insomnia, absenteeism, occupational accidents, daytime functioning, quality of life, comorbidities, hospitalization, medication use, physician visits
- MeSH terms
- Accidents, Occupational, Family, Female, France, Health Status, Hospitalization, Humans, Sleep Initiation and Maintenance Disorders, Male, Office Visits, Quality of Life, Surveys and Questionnaires, Prevalence, Health Care Costs, Workplace
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