Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea; Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Republic of Korea.
Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea; Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Republic of Korea; Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Psychiatry Res. 2016 Nov 30;245:259-266. doi: 10.1016/j.psychres.2016.08.047. Epub 2016 Aug 17.
Medical utilization due to organic sleep disorders has increased remarkably in South Korea, which may contribute to the deterioration of mental health in the population. We analyzed the relationship between organic sleep disorders and risk of hospitalization due to mood disorder. We used data from the National Health Insurance Service (NHIS) National Sample Cohort 2002-2013, which included medical claims filed for the 15,537 patients who were newly diagnosed with a mood disorder in a metropolitan region, and employed Poisson regression analysis using generalized estimating equation (GEE) models. By the results, there was a 0.53% hospital admission rate among 244,257 patients with outpatient care visits. Patients previously diagnosed with an organic sleep disorder before specific outpatient care had a higher risk for hospitalization. Such associations were significant in females, patients with a longer duration of disease, or those who lived in the largest cities. In conclusion, considering that experiencing a sleep disorder by a patient with an existing mood disorder was associated with deterioration of their status, health policy makers need to consider insurance coverage for all types of sleep disorders in patients with psychological conditions.
韩国因器质性睡眠障碍导致的医疗利用率显著增加，这可能导致人群心理健康状况恶化。我们分析了器质性睡眠障碍与因心境障碍住院风险之间的关系。我们使用了国家健康保险服务（NHIS）2002-2013 年全国样本队列的数据，其中包括在大都市地区新诊断为心境障碍的 15537 名患者的医疗索赔，并使用广义估计方程（GEE）模型进行泊松回归分析。结果显示，在 244257 名接受门诊治疗的患者中，有 0.53%的患者住院。先前在特定门诊治疗前被诊断为器质性睡眠障碍的患者住院的风险更高。这种关联在女性、疾病持续时间较长的患者或居住在最大城市的患者中更为显著。总之，考虑到患有现有心境障碍的患者出现睡眠障碍与病情恶化有关，卫生政策制定者需要考虑为心理状况患者的所有类型的睡眠障碍提供保险。
