Cited by 468Sleep and related disordersSleep and Work-Related FatigueObstructive Sleep Apnea Research

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Medical and Socio-Professional Impact of Insomnia

Léger, Damien, Guilleminault, Christian, Bader, Gary, Lévy, Emile, Paillard, Michel·2002·Sleep

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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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Background
Prevalence of insomnia and its impact on daily function amongst Malaysian primary care patients
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The association between insomnia and prescription opioid use: results from a community sample in Northeast Florida
Serdarevic, M., Osborne, V., Striley, C. W., & Cottler, L. B. (2017) · Sleep Health · doi:10.1016/j.sleh.2017.07.007 · Cited by 30
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“Poor sleep affects cognitive and physical functioning, and insomnia is associated with a greater risk of falls and accidents, [20] higher rates of absenteeism, [21] and increased health care utilization [21].”
Background
Is sleep-related attentional bias due to sleepiness or sleeplessness?
Spiegelhalder, K., Espie, C. A., & Riemann, D. W. (2008) · Cognition & Emotion · doi:10.1080/02699930802022129 · Cited by 29
Right arcuate fasciculus and superior longitudinal fasciculus abnormalities in primary insomnia
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Factors Contributing to Sleep Disturbance and Hypnotic Drug Use in Hemodialysis Patients
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Background
Female executives are particularly prone to the sleep‐disturbing effect of isolated high‐strain jobs: a cross‐sectional study in German‐speaking executives
Gadinger, M. C., Fischer, J. E., Schneider, S. O., Fischer, G. C., FRANK, G., & Kromm, W. (2009) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2008.00715.x · Cited by 31
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Symptoms of Nervous System Related Disorders Among Workers Exposed to Occupational Noise and Vibration in Korea
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Cost-Effectiveness of Eszopiclone for the Treatment of Adults with Primary Chronic Insomnia
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Insomnia medication use and the probability of an accidental event in an older adult population
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Effectiveness of a CBT Intervention for Persistent Insomnia and Hypnotic Dependency in an Outpatient Psychiatry Clinic
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“Chronic insomnia is associated with lower health status, lower quality of life, and negative social and professional consequences [2].”
Background
Chapter 81 – Pharmacologic Treatment of Insomnia: Benzodiazepine Receptor Agonists
Walsh, J., & Roth, T. (2010) · Elsevier eBooks · doi:10.1016/b978-1-4160-6645-3.00081-5 · Cited by 26
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Psychiatric aspects of late-life insomnia
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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
ORCID: Léger, Damien
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
DOI: 10.1093/sleep/25.6.621
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 (medical) › 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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