Psychological and health-related quality of life factors associated with insomnia in a population-based sample

LeBlanc, Mélanie; Beaulieu‐Bonneau, Simon; Mérette, Chantal; Savard, Josée; Ivers, Hans; Morin, Charles M.

doi:10.1016/j.jpsychores.2007.03.004

Cited by 258 publications

(180 citation statements)

References 44 publications

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“…Ménière's disease patients who are refractory to medication may fi nd themselves in a vicious cycle combining disease, quality of sleep, and stress. [5][6][7] When prescribing sedating drugs to Ménière's disease patients, the possibility should be kept in mind that such drugs could have unintended consequences, in that such medications may have suppressant properties but also increase the severity of preexisting sleep disturbances, thereby counteracting one set of benefi ts with another set of drawbacks. Although it may be only 10% of Ménière's disease patients who have concomitant OSAS, such patients may be refractory to pharmacotherapy for Ménière's disease and only respond positively to therapies that benefi t OSAS.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4] It is well known that insomnia is associated with increased psychological symptomatology and perceived stress, higher predisposition to arousal, and greater impairments to quality of health. [5][6][7] The relationship between Ménière's disease and stress is well documented, but that between Ménière's disease and insomnia is unclear. In our previous report, 8 we fi rst found result in Ménière's disease patients being refractory to medical management.…”

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confidence: 99%

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A Pilot Study on the Efficacy of Continuous Positive Airway Pressure on the Manifestations of Ménière's Disease in Patients with Concomitant Obstructive Sleep Apnea Syndrome

Nakayama

Masuda

Ando

et al. 2015

Journal of Clinical Sleep Medicine

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Objective:To evaluate the effect of continuous positive airway pressure (CPAP) therapy on Ménière's disease patients with concomitant obstructive sleep apnea syndrome (OSAS), since recent reports suggest OSAS may cause dysfunction of the vestibular system. Study Design: Prospective study using CPAP administered to patients diagnosed with "Defi nite Ménière's disease" according to the guidelines of the American Academy of OtolaryngologyHead and Neck Surgery and combined with OSAS. Pathologically, Ménière's disease is associated with hydropic distension of the endolymphatic system, but the etiology of such hydrops remains unknown. Episodes of vertigo, which are often accompanied by nausea and vomiting, are the most prominent and disabling features of the disease. The presentation of Ménière's disease is highly variable, and its clinical course is characterized by acute exacerbation and spontaneous remission. [2][3][4] It is well known that insomnia is associated with increased psychological symptomatology and perceived stress, higher predisposition to arousal, and greater impairments to quality of health. [5][6][7] The relationship between Ménière's disease and stress is well documented, but that between Ménière's disease and insomnia is unclear. In our previous report, 8 we fi rst found BRIEF SUMMARYCurrent Knowledge/Study Rationale: Recent reports indicate that OSAS may cause vestibular dysfunction. The current study was designed to determine whether treatment of patients with Ménière's disease and concomitant OSAS using CPAP ameliorate the manifestations of Ménière's disease.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

A Pilot Study on the Efficacy of Continuous Positive Airway Pressure on the Manifestations of Ménière's Disease in Patients with Concomitant Obstructive Sleep Apnea Syndrome

Nakayama

Masuda

Ando

et al. 2015

Journal of Clinical Sleep Medicine

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“…7 Insomnia is associated with increased psychological symptomatology and perceived stress, higher predisposition to arousal and higher impairment of health quality. 8 Insomnia has a close association with depression and anxiety. 9 Chronic insomnia affects approximately 9% to 12% of the population.…”

Section: Introductionmentioning

confidence: 99%

Mind-body interventions for the treatment of insomnia: a review

Kozasa

Hachul

Monson

et al. 2010

Rev. Bras. Psiquiatr.

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Objective: As insomnia is highly prevalent, and side effects of medication are well-known, mind-body interventions are increasingly being sought. The objective of this study is to present a narrative review regarding the effects of mind-body interventions for the treatment of insomnia. Method: A PubMed search was conducted including only randomized, controlled trials in which the main objective was to treat insomnia. Discussion: Twelve studies were selected. In three of the studies, objective parameters (polysomnography) were analyzed. Mind-body interventions were able to improve sleep efficiency and total sleep time. Most can ameliorate sleep quality; some can reduce the use of hypnotic drugs in those who are dependent on these drugs. Conclusion: According to the studies we selected, self-reported sleep was improved by all mind-body treatments, among them yoga, relaxation, Tai Chi Chih and music. Cognitive behavioral therapy seems to be the most effective mind-body intervention. Cognitive behavioral therapy was the only intervention that showed better results than medication. However, considering that only five of the twelve studies chosen reached a score of 3 in the Jadad scale, new studies with a higher methodological quality have to be conducted especially in mind-body interventions that belong to the complementary or alternative medicine field.

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“…[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. 7,16,17 Accurate identification of insomnia symptoms is crucial to foster timely diagnosis and management and reduce morbidity.…”

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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

257

156

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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.)

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Psychological and health-related quality of life factors associated with insomnia in a population-based sample

Cited by 258 publications

References 44 publications

A Pilot Study on the Efficacy of Continuous Positive Airway Pressure on the Manifestations of Ménière's Disease in Patients with Concomitant Obstructive Sleep Apnea Syndrome

A Pilot Study on the Efficacy of Continuous Positive Airway Pressure on the Manifestations of Ménière's Disease in Patients with Concomitant Obstructive Sleep Apnea Syndrome

Mind-body interventions for the treatment of insomnia: a review

Validation of the Insomnia Severity Index in Primary Care

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