Abstract：
BACKGROUND:Prevalence of insomnia symptoms in the general population is high. Insomnia is linked with high health care use and within primary care there are a number of treatment options available. The objective of this study was to determine the association of persistence and remission of insomnia with primary health care using a longitudinal study. METHODS:A postal survey of registered adult (over 18 years) populations of five UK general practices, repeated after 1 year, linked to primary care records. Baseline survey responders were assessed for persistence of insomnia symptoms at 12 months. The association of primary care consultation or prescription for any mood disorder (defined as anxiety, depression, stress, neurosis, or insomnia) in the 12 months between baseline and follow-up surveys with persistence of insomnia was determined. RESULTS:474 participants reporting insomnia symptoms at baseline were followed up at 12 months. 131(28%) consulted for mood problem(s) or received a relevant prescription. Of these 100 (76%) still had insomnia symptoms at one year, compared with 227 (66%) of those with no contact with primary care for this condition (OR 1.37; 95% CI 0.83, 2.27). Prescription of hypnotics showed some evidence of association with persistence of insomnia at follow-up (OR 3.18; 95% CI 0.93, 10.92). CONCLUSION:Insomniacs continue to have problems regardless of whether or not they have consulted their primary care clinician or received a prescription for medication over the year. Hypnotics may be associated with persistence of insomnia. Further research is needed to determine more effective methods of identifying and managing insomnia in primary care. There may however be a group who have unmet need such as depression who would benefit from seeking primary health care.
journal_name
BMC Fam Practjournal_title
BMC family practiceauthors
Hayward RA,Jordan KP,Croft Pdoi
10.1186/1471-2296-13-8subject
Has Abstractpub_date
2012-02-16 00:00:00pages
8issn
1471-2296pii
1471-2296-13-8journal_volume
13pub_type
杂志文章abstract：BACKGROUND:The benefit of a "diagnosis" of pre-diabetes in very elderly patients is debated. How clinicians manage pre-diabetic blood results in these patients is unknown. This study aims to understand how clinicians are "diagnosing" older patients with pre-diabetic blood parameters. METHODS:Semi-structured interviews...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-019-0981-0
更新日期：2019-06-29 00:00:00
abstract：BACKGROUND:As obesity is rapidly becoming a major medical and public health problem, the aim of our study was to determine: 1) if obesity in Caucasian adolescents at 5 different Tanner stages are associated with obesity in adulthood and its obesity-associated abnormal glucose and lipid profiles, 2) the type of fat dist...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-3-18
更新日期：2002-10-14 00:00:00
abstract：BACKGROUND:A cluster randomised trial was conducted to determine the effectiveness of locally adapted practice guidelines and education about paediatric asthma management, delivered to general practitioners (GPs) in small group interactive workshops. METHODS:Twenty-nine practices were randomly allocated to one of thre...
journal_title：BMC family practice
pub_type： 杂志文章,随机对照试验
doi：10.1186/1471-2296-9-22
更新日期：2008-04-20 00:00:00
abstract：BACKGROUND:There is extensive evidence of health inequality across ethnic groups. Inequity is a complex social phenomenon involving several underlying factors, including ethnic discrimination. In the field of health care, it has been established that ethnic discrimination stems partially from bias or prejudice on the p...
journal_title：BMC family practice
pub_type： 杂志文章,随机对照试验
doi：10.1186/1471-2296-15-89
更新日期：2014-05-09 00:00:00
abstract：BACKGROUND:The aim of this study is in a general practice trial setting to identify predictive factors for weight loss after 1 year among young adults who are over-weight or obese and who have several psychosocial problems. METHODS:Twenty-eight general practitioners recruited 495 patients aged 20-45 years with psychos...
journal_title：BMC family practice
pub_type： 杂志文章,随机对照试验
doi：10.1186/s12875-016-0437-8
更新日期：2016-04-11 00:00:00
abstract：BACKGROUND:People with long term conditions (LTCs) make most of the daily decisions and carry out the activities which affect their health and quality of life. Only a fraction of each contact with a health care professional (HCP) is spent supporting this. This paper describes how care and support planning (CSP) and an ...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-019-1042-4
更新日期：2019-11-08 00:00:00
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journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-015-0381-z
更新日期：2015-11-11 00:00:00
abstract：:Multimorbidity is a growing issue and poses a major challenge to health care systems around the world. Multimorbidity is related to ageing but many studies have now shown that it is also socially patterned, being more common and occurring at an earlier age in areas of high socioeconomic deprivation. There is lack of r...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-015-0344-4
更新日期：2015-10-14 00:00:00
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journal_title：BMC family practice
pub_type： 杂志文章
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更新日期：2020-04-23 00:00:00
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journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-018-0806-6
更新日期：2018-07-18 00:00:00
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journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-017-0596-2
更新日期：2017-02-08 00:00:00
abstract：BACKGROUND:Very Brief Advice on smoking (VBA) is an evidence-based intervention designed to increase quit attempts among patients who smoke. VBA has been widely disseminated in general practice settings in the United Kingdom, however its transferability to Southern European settings is not well established. This study ...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-020-01195-w
更新日期：2020-06-24 00:00:00
abstract：BACKGROUND:Acceptance to a family practice is key to access and continuity of care. While Canadian patients increasingly report not being able to acquire acceptance to a family practice, little is known about the association between requiring opioids and acceptance. We aim to determine the proportion of family physicia...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-019-1027-3
更新日期：2019-10-23 00:00:00
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journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-020-1101-x
更新日期：2020-02-13 00:00:00
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pub_type： 杂志文章
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更新日期：2020-07-01 00:00:00
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journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-15-145
更新日期：2014-08-26 00:00:00
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journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-017-0654-9
更新日期：2017-08-22 00:00:00
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journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-12-90
更新日期：2011-08-23 00:00:00
abstract：BACKGROUND:Primary care physicians struggle to treat chronic noncancer pain while limiting opioid misuse, abuse, and diversion. The objective of this study was to understand how primary care physicians perceive their decisions to prescribe opioids in the context of chronic noncancer pain management. This question is im...
journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-015-0264-3
更新日期：2015-04-14 00:00:00
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journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-4-2
更新日期：2003-03-27 00:00:00
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pub_type： 杂志文章
doi：10.1186/1471-2296-7-33
更新日期：2006-05-24 00:00:00
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pub_type： 杂志文章
doi：10.1186/1471-2296-11-46
更新日期：2010-06-04 00:00:00
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journal_title：BMC family practice
pub_type： 杂志文章
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更新日期：2020-04-22 00:00:00
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journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-5-18
更新日期：2004-09-06 00:00:00
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journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-12-19
更新日期：2011-04-15 00:00:00
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journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-11-96
更新日期：2010-12-03 00:00:00
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journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/1471-2296-15-103
更新日期：2014-05-25 00:00:00
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journal_title：BMC family practice
pub_type： 杂志文章
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更新日期：2014-07-21 00:00:00
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journal_title：BMC family practice
pub_type： 杂志文章
doi：10.1186/s12875-014-0204-7
更新日期：2014-12-12 00:00:00
