Prevalence of insomnia in elderly general practice attenders and the current treatment modalities

Hohagen, Fritz; Käppler, Christoph; Schramm, Elisabeth; Rink, K.; Weyerer, Siegfried; Riemann, Dieter; Berger, Thomas

doi:10.1111/j.1600-0447.1994.tb01563.x

Cited by 126 publications

(73 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[2][3][4] A variety of effective treatment options has been developed in recent years, 5,6 but hypnotic drugs have remained the treatment of choice in primary care settings. 7,8 In England, for example, the total volume of general practice prescriptions for hypnotics [British National Formulary (BNF 4.1.1)] showed only a modest decline from 13.6 million in 1980 to 10.6 million in 2000 (a 22% fall).…”

Section: Introductionmentioning

confidence: 99%

Psychological treatment for insomnia in the regulation of long-term hypnotic drug use

Morgan

Dixon²,

Mathers³

et al. 2004

Health Technol Assess

196

117

View full text Add to dashboard Cite

Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. NHS libraries can subscribe free of charge. Public libraries can subscribe at a very reduced cost of £100 for each volume (normally comprising 30-40 titles). The commercial subscription rate is £300 per volume. Please see our website for details. Subscriptions can only be purchased for the current or forthcoming volume. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTA NHS R&D HTA ProgrammeT he NHS R&D Health Technology Assessment (HTA) Programme was set up in 1993 to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and provide care in the NHS.Initially, six HTA panels (pharmaceuticals, acute sector, primary and community care, diagnostics and imaging, population screening, methodology) helped to set the research priorities for the HTA Programme. However, during the past few years there have been a number of changes in and around NHS R&D, such as the establishment of the National Institute for Clinical Excellence (NICE) and the creation of three new research programmes: Service Delivery and Organisation (SDO); New and Emerging Applications of Technology (NEAT); and the Methodology Programme.This has meant that the HTA panels can now focus more explicitly on health technologies ('health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care) rather than settings of care. Therefore the panel structure was replaced in 2000 by three new pan...

show abstract

Section: Introductionmentioning

confidence: 99%

Psychological treatment for insomnia in the regulation of long-term hypnotic drug use

Morgan

Dixon²,

Mathers³

et al. 2004

Health Technol Assess

196

117

View full text Add to dashboard Cite

show abstract

“…2 Prevalence estimates in primary care are higher than in the general population, with rates varying between 10% and 40% across studies. [5][6][7][8][9][10] Strong associations have been found between chronic insomnia and functional impairment, psychological and medical conditions, health-related quality of life, and health care utilization. 5,[11][12][13][14][15] Despite the high prevalence of insomnia and its important morbidity, it still remains under-recognized and under-diagnosed.…”

mentioning

confidence: 99%

Validation of the Insomnia Severity Index in Primary Care

Gagnon

Bélanger

Ivers

et al. 2013

The Journal of the American Board of Family Medicine

256

156

View full text Add to dashboard Cite

Background: Although insomnia is a prevalent complaint with significant consequences on quality of life, health, and health care utilization, it often remains undiagnosed and untreated in primary care settings. Brief, reliable, and valid instruments are needed to facilitate screening for insomnia in general practice. This study examined psychometric indices of the Insomnia Severity Index (ISI) to identify individuals with clinically significant insomnia in primary care settings.Methods: A sample of 410 patients recruited from 6 general medical clinics completed the ISI before their appointment with a primary care physician. A subsample of 101 individuals also completed a semistructured clinical interview by telephone to determine the presence or absence of an insomnia disorder. Reliability and validity indices were computed, as was the discriminative capacity of each individual item. Convergence between ISI total score and the diagnosis derived from the interview was investigated. Receiver operator characteristic analyses were used to determine the optimal ISI cutoff score that correctly identified individuals with an insomnia disorder.Results: ISI internal consistency was excellent (Cronbach ␣ ‫؍‬ 0.92), and each individual item showed adequate discriminative capacity (r ‫؍‬ 0.65-0.84). The area under the receiver operator characteristic curve was 0.87 and suggested that a cutoff score of 14 was optimal (82.4% sensitivity, 82.1% specificity, and 82.2% agreement) for detecting clinical insomnia. Agreement between the ISI cut score and the diagnostic interview was moderate ( ‫؍‬ 0.62).Conclusions: These findings suggest that the ISI is a valid screening instrument for detecting insomnia among patients consulting in primary care settings. (J Am Board Fam Med 2013;26:701-710.)

show abstract

“…Physicians most commonly rely on medications to address sleep problems of their patients (10). Medication treatments can be effectively combined with various non-pharmacological interventions for insomnia (7, 11, 12).…”

Section: Discussionmentioning

confidence: 99%

“…The findings call for better assessment, monitoring and management of sleep problems among patients with severe mental disorders. Behavioral interventions alone or in conjunction with sleep aid medications have been shown to be effective in treatment of sleep problems in a range of clinical conditions (7, 10). Future research needs to specifically assess the feasibility and effectiveness of these interventions among patients with severe mental disorders treated in routine practice settings.…”

Section: Discussionmentioning

confidence: 99%

Sleep Problems, Psychiatric Hospitalization, and Emergency Department Use Among Psychiatric Patients With Medicaid

Kaufmann

Spira

Rae

et al. 2011

Psychiatric Services

View full text Add to dashboard Cite

OBJECTIVE This study examined the prevalence of sleep problems, and their relationship with the use of inpatient and emergency department services among Medicaid psychiatric patients. METHODS Participants were 1,560 Medicaid psychiatric patients identified in a ten-state random survey of psychiatrists. Sleep problems were assessed by clinician ratings. RESULTS Over 75% of Medicaid psychiatric patients experienced a sleep problem, and in approximately 50% of patients these problems were moderate to severe. Greater sleep problem severity was associated with an increased risk of psychiatric hospitalization and emergency department visits for mental health reasons. CONCLUSIONS Sleep problems are highly prevalent among Medicaid patients, and are associated with greater inpatient and emergency mental health service use. More careful monitoring and management of sleep problems in this patient population would address a common clinical need and might also help to reduce costly service use.

show abstract

Prevalence of insomnia in elderly general practice attenders and the current treatment modalities

Cited by 126 publications

References 27 publications

Psychological treatment for insomnia in the regulation of long-term hypnotic drug use

Psychological treatment for insomnia in the regulation of long-term hypnotic drug use

Validation of the Insomnia Severity Index in Primary Care

Sleep Problems, Psychiatric Hospitalization, and Emergency Department Use Among Psychiatric Patients With Medicaid

Contact Info

Product

Resources

About