Université Paris Descartes, APHP, Centre du Sommeil et de la Vigilance, de Hôtel Dieu de Paris, Paris, France.
Sleep Med. 2010 Dec;11(10):999-1009. doi: 10.1016/j.sleep.2010.04.018. Epub 2010 Oct 20.
To assess the daytime consequences in outpatients suffering from different insomnia symptoms in primary care practice.
An international cross-sectional survey was conducted in 5293 outpatients complaining of sleep disturbances in primary care practice. A sleep questionnaire addressing daytime consequences, insomnia symptoms, socio-demographic characteristics, and other sleep variables was administered by 647 physicians in 10 countries.
Overall, 20-33% of subjects reported "severe" daytime impairments associated with sleep disturbances. Approximately 45% of patients complaining of sleep disturbances in primary care practice suffered from a combination of insomnia symptoms. Patients suffering from all insomnia symptoms reported the most severe daytime functioning impairments compared with patients suffering from initiation or maintenance insomnia only. Conversely, the majority of patients suffering from non-restorative sleep reported little daytime functioning impairments compared to the patients suffering from other combinations of insomnia symptoms. The strongest risk factor associated with "severe" daytime functioning impairments was sleep quality perception.
Primary insomnia disturbs subjective daytime functioning. A report of combined insomnia symptoms reflected the most damaging insomnia subtype and had a negative impact on a wide range of daytime functioning consequences.
评估初级保健实践中患有不同失眠症状的门诊患者的日间后果。
在初级保健实践中，对 5293 名抱怨睡眠障碍的门诊患者进行了一项国际横断面调查。由 10 个国家的 647 名医生管理了一份涉及日间后果、失眠症状、社会人口统计学特征和其他睡眠变量的睡眠问卷。
总体而言，20-33%的患者报告与睡眠障碍相关的“严重”日间损害。大约 45%的在初级保健实践中抱怨睡眠障碍的患者患有多种失眠症状。与仅患有起始或维持性失眠的患者相比，患有所有失眠症状的患者报告了最严重的日间功能障碍。相反，与患有其他失眠症状组合的患者相比，大多数患有非恢复性睡眠的患者报告的日间功能障碍较少。与“严重”日间功能障碍相关的最强风险因素是睡眠质量感知。
原发性失眠会干扰主观的日间功能。报告的混合性失眠症状反映了最具破坏性的失眠亚型，并对广泛的日间功能后果产生负面影响。
