Comorbidity of Chronic Insomnia With Medical Problems
Abstract
Study objectives Determine the comorbidity of insomnia with medical problems. Design Cross-sectional and retrospective. Participants Community-based population of 772 men and women, aged 20 to 98 years old. Measurements Self-report measures of sleep, health, depression, and anxiety. Results People with chronic insomnia reported more of the following than did people without insomnia: heart disease (21.9% vs 9.5%), high blood pressure (43.1% vs 18.7%), neurologic disease (7.3% vs 1.2%), breathing problems (24.8% vs 5.7%), urinary problems (19.7% vs 9.5%), chronic pain (50.4% vs 18.2%), and gastrointestinal problems (33.6% vs 9.2%). Conversely, people with the following medical problems reported more chronic insomnia than did those without those medical problems: heart disease (44.1% vs 22.8%), cancer (41.4% vs 24.6%), high blood pressure (44.0% vs 19.3%), neurologic disease (66.7% vs 24.3%), breathing problems (59.6% vs 21.4%), urinary problems (41.5% vs 23.3%), chronic pain (48.6% vs 17.2%), and gastrointestinal problems (55.4% vs 20.0%). When all medical problems were considered together, only patients with high blood pressure, breathing problems, urinary problems, chronic pain, and gastrointestinal problems continued to have statistically higher levels of insomnia than those without these medical disorders. Conclusion This study demonstrates significant overlap between insomnia and multiple medical problems. Some research has shown it is possible to treat insomnia that is co…
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Patients with comorbid medical and psychiatric conditions are at particularly increased risk of insomnia, with psychiatric and chronic pain disorders having insomnia rates as high as 50% to 75%.
“Patients with comorbid medical and psychiatric conditions are at particularly increased risk, with psychiatric and chronic pain disorders having insomnia rates as high as 50% to 75%. 11-13”
From Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults (2008) · cites this paper as [11]
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Self-citation
- Authors
- Taylor, D. J., Mallory, L. J., Lichstein, K. L., Durrence, H. H., Riedel, B. W., & Bush, A. J.
- Affiliations
- University of North Texas (US)
- University of Alabama (US)
- University of Memphis (US)
- University of Tennessee Health Science Center (US)
- Corresponding author
- Taylor, Daniel J.
- ORCID
- Taylor, Daniel J.
- Venue
- Sleep
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-02
- Volume
- 30
- Issue
- 2
- Pages
- 213-218
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- OpenAlex
- W2323457822
- Cited by
- 875
- References
- 8
- Citations by year
- 2026: 22 · 2025: 51 · 2024: 41 · 2023: 65 · 2022: 67 · 2021: 82 · 2020: 58 · 2019: 44 · 2018: 47 · 2017: 51 · 2016: 55 · 2015: 50 · 2014: 34 · 2013: 35 · 2012: 47
- FWCI
- 35.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- SLEEP (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- chronic insomnia, comorbidities, heart disease, hypertension, chronic pain, gastrointestinal problems, urinary dysfunction, breathing problems, neurological disorders, cancer, depression, anxiety, sleep disorders
- MeSH terms
- Adult, Aged, Aged, 80 and over, Chronic Disease, Cross-Sectional Studies, Female, Health Status, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Surveys and Questionnaires, Retrospective Studies, Prevalence
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