Abstract:
OBJECTIVES:To evaluate the perceived health status of elderly patients with insomnia, whether primary, secondary to a medical illness, or associated with another mental disorder. METHODS:We conducted a cross-sectional study in a representative sample of 926 persons aged over 65 years. A psychiatric interview was used to verify the presence of insomnia (DSM-IV-TR, Diagnostic and Statistical Manual of Mental Disorders, fourth ed., revised text). Interviews were conducted by health professionals to assess perceived health status (EuroQol-5D), health problems, and socio-demographic characteristics. RESULTS:The prevalence of primary insomnia was 8.9% (95% CI: 7.1-11.0), that of insomnia associated with another mental disorder was 9.3% (95% CI: 7.5-11.4) and that of insomnia secondary to medical illness was 7.0% (95% CI: 5.4-8.9). Patients with insomnia who used hypnotics/sedatives scored lower in self-reported health (57.6; 95% CI: 53.7-61.4), significantly lower (p<0.05) than participants with insomnia not taking these drugs (65.1; 95% CI: 53.7-61.4). The mean health status score in individuals without insomnia was 0.87 and was significantly lower (p<0.05) in persons with any type of insomnia: 0.80 in primary insomnia, 0.73 in insomnia secondary to a mental disorder and 0.76 in insomnia associated with medical illness. CONCLUSIONS:Health status was worse in older people with insomnia, whether primary, secondary to other mental illnesses or organic, and when the elderly patients consumed hypnotics/sedatives. Limitations were less severe in primary insomnia.
journal_name
Gac Sanitjournal_title
Gaceta sanitariaauthors
López-Torres Hidalgo J,avarro Bravo BN,Párraga Martínez I,Andrés Pretel F,Rabanales Sotos J,Simarro Herráez MJdoi
10.1016/j.gaceta.2011.11.014subject
Has Abstractpub_date
2013-01-01 00:00:00pages
47-52issue
1eissn
0213-9111issn
1578-1283pii
S0213-9111(12)00061-1journal_volume
27pub_type
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