Université Paris Descartes, APHP, Centre du Sommeil et de la Vigilance, Hôtel Dieu de Paris, 75004 Paris, France.
Sleep Med. 2010 Dec;11(10):987-98. doi: 10.1016/j.sleep.2010.04.019. Epub 2010 Nov 18.
To describe the characteristics of insomnia in primary care physicians' (PCPs') practices in 10 countries and to understand how the difficulty of maintaining sleep (DMS) was or was not associated with other insomnia symptoms such as difficulty initiating sleep (DIS), early morning awakenings (EMA) or nonrestorative sleep (NRS) in PCPs patients with insomnia.
International, noninterventional, cross-sectional, observational survey conducted in a primary care setting in subjects complaining of sleep disturbances in 10 countries. A questionnaire based on DSM-IV and ICSD criteria was administered.
Thirteen thousand one hundred twenty-four subjects were enrolled by 647 physicians; 5293 of them (32.6%) had insomnia and were surveyed. The population was predominantly female (63.9%) with a mean age of 47.8±15.3 years; 39.9% of these patients have already been treated for sleep difficulties. Combination of all types of insomnia symptoms (DIS+DMS+EMA+NRS) was the most frequently reported combination (38.6% of the subjects), while the percentage of subjects presenting with only one type of insomnia symptom (DIS, DMS, EMA or NRS) was very low: 3%, 1.8%, 0.9% and 1.4% respectively. DMS was on average the most commonly reported insomnia symptom (80.2%). Multiple logistic regression showed that DMS, EMA and NRS symptoms were significantly linked with each other and also to other insomnia criteria (sleep satisfaction, sleep quality, sleep duration, number of hours of sleep, frequency of insomnia symptoms, wake up rested / unrested and non restorative sleep).
Patients visiting PCPs with insomnia are likely to present with severe and poly-symptomatic insomnia.
描述 10 个国家初级保健医生（PCP）实践中失眠的特征，并了解 PCP 失眠患者的睡眠维持困难（DMS）与其他失眠症状（如入睡困难（DIS）、早醒（EMA）或睡眠质量差（NRS））之间的关系。
这是一项在 10 个国家的初级保健环境中进行的、以国际、非干预性、横断面、观察性研究为设计的、针对睡眠障碍患者的调查。采用基于 DSM-IV 和 ICSD 标准的问卷进行调查。
共纳入 13124 名由 647 名医生接诊的患者，其中 5293 名（32.6%）有失眠症状并接受了调查。患者以女性为主（63.9%），平均年龄为 47.8±15.3 岁；39.9%的患者已接受过睡眠困难的治疗。所有类型的失眠症状（DIS+DMS+EMA+NRS）的组合是最常报告的组合（占 38.6%的患者），而仅有一种失眠症状（DIS、DMS、EMA 或 NRS）的患者比例非常低：分别为 3%、1.8%、0.9%和 1.4%。DMS 是最常见的失眠症状（80.2%）。多因素逻辑回归显示，DMS、EMA 和 NRS 症状彼此显著相关，且与其他失眠标准（睡眠满意度、睡眠质量、睡眠时间、睡眠时间、失眠症状频率、醒来时休息/未休息和非恢复性睡眠）相关。
就诊于 PCP 的失眠患者很可能存在严重的、多症状的失眠。
