Help-Seeking for Insomnia among Adult Patients in Primary Care
Open accessAbstract
OBJECTIVE: To clarify the patient characteristics associated with seeking medical help for insomnia. METHODS: A consecutive sample (n = 700) of adults attending a non-urgent primary care appointment was screened for sleep problems. A follow-up mailed survey then assessed insomnia symptoms, daytime impairment, beliefs about sleep, medication use, sleepiness and fatigue, and medical help-seeking. RESULTS: Fifty-two percent of patients with probable insomnia reported discussing this with a physician. Multivariate logistic regression analyses indicated that discussing one's probable insomnia with a physician was independently associated with having a greater number of medical conditions (OR, 2.19 [95% CI, 1.13 to 4.22]), being more highly educated (1.67 [95% CI, 1.11 to 2.51]), sleeping less per night (OR, 0.71 [95% CI, 0.52 to 0.96]), and greater perceived daytime impairment due to insomnia (OR, 2.07 [95% CI, 1.06 to 4.03]). CONCLUSIONS: Primary care patients often seek medical help when they experience insomnia. Clinical treatment ought to especially target poor sleepers presenting with significant insomnia-related impairment, medical morbidity, or both. Future research should further clarify the role of medical and psychiatric comorbidities and determine whether resolution of insomnia and its consequences improves the outcomes of common medical conditions.
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- Authors
- Aikens, J. E., & Rouse, M. E.
- Affiliations
- University of Michigan (US)
- ORCID
- Aikens, J. E.
- Venue
- The Journal of the American Board of Family Medicine
- Published
- 2005-07-01
- Volume
- 18
- Issue
- 4
- Pages
- 257-261
- ISSN
- 1557-2625 (ISSN-L)
- 1558-7118
- OpenAlex
- W2136015389
- Cited by
- 114
- References
- 23
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 8 · 2023: 8 · 2022: 6 · 2021: 3 · 2020: 9 · 2019: 6 · 2018: 7 · 2017: 5 · 2016: 8 · 2015: 9 · 2014: 3 · 2013: 6 · 2012: 6
- FWCI
- 3.45
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Journal of the American Board of Family Medicine (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
- insomnia, help-seeking, primary care, daytime dysfunction, comorbidities, sleep duration, daytime sleepiness, fatigue, sleep beliefs, sleep medication use, physician-patient communication
- MeSH terms
- Adult, Data Collection, Female, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Patient Acceptance of Health Care, Primary Health Care, Surveys and Questionnaires, United States, Logistic Models
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