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卡塔尔普通人群中 DSM-5 失眠障碍的患病率及相关因素。

Prevalence and associated factors of DSM-5 insomnia disorder in the general population of Qatar.

机构信息

Social and Economic Survey Research Institute as opposed to Research Institute seperate from Social and Economic Survey, Qatar University, P.O. Box: 2713, Doha, Qatar.

College of Medicine, QU-Health and not the other way around, Doha, Qatar.

出版信息

BMC Psychiatry. 2021 Feb 8;21(1):84. doi: 10.1186/s12888-020-03035-8.

DOI:10.1186/s12888-020-03035-8
PMID:33557765
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7869071/
Abstract

BACKGROUND

Epidemiological studies of insomnia in the Middle East remain scarce. The present study aimed to estimate the prevalence of insomnia and explore its associations in the general population of Qatar. With almost 100 nationalities, Qatar is one of the most culturally diverse, richest, and fastest developing countries in the Arabian Peninsula.

METHODS

A probability sample of community-dwelling adults were surveyed in February of 2019. A total of 1611 respondents completed face-to-face interviews in Arabic or English. Logistic regression modeled associations with insomnia, our dependent variable, as defined by a score of ≤16 on the eight-item Sleep Condition Indicator or according to criteria for insomnia in the Diagnostic & Statistical Manual of Mental Disorders, fifth edition or DSM-5.

RESULTS

Approximately, 5.5% of the sample screened positive for insomnia and the 30-day prevalence of those who met all the DSM-5 criteria for insomnia disorder was 3.0%. In addition, 2.0% of the sample screened positive for depression and 3.4% for anxiety in the past 2 weeks. Multivariable analysis showed the following were significantly associated with insomnia: Arab ethnicity, young age, unemployment, being married, having less than high school education, fair or poor health, anxiety, and depression.

CONCLUSIONS

Insomnia prevalence was in the lower range of previously reported DSM-defined estimates from developed Western countries. Our findings highlight the need for raising awareness and improving sleep hygiene in potential risk groups such as younger adults and those of Arab ethnicity, in addition to incorporating insomnia screening in the provision of mental health services.

摘要

背景

中东地区的失眠症流行病学研究仍然很少。本研究旨在评估卡塔尔普通人群中失眠的患病率,并探讨其相关性。卡塔尔是阿拉伯半岛上文化最多元化、最富有、发展最快的国家之一,拥有近 100 个国籍。

方法

2019 年 2 月,对社区居民进行了概率抽样调查。共有 1611 名受访者以阿拉伯语或英语完成了面对面访谈。使用逻辑回归模型对与失眠(我们的因变量)相关的因素进行建模,失眠的定义是睡眠状况指标的 8 项得分≤16,或根据精神障碍诊断与统计手册,第五版(DSM-5)的失眠症标准。

结果

约有 5.5%的样本筛查出患有失眠症,符合 DSM-5 失眠障碍所有标准的人群在过去 30 天的患病率为 3.0%。此外,在过去 2 周内,该样本中有 2.0%的人筛查出患有抑郁症,3.4%的人筛查出患有焦虑症。多变量分析显示,以下因素与失眠显著相关:阿拉伯民族、年轻、失业、已婚、受教育程度低于高中、健康状况一般或较差、焦虑和抑郁。

结论

失眠症的患病率处于之前报告的来自发达西方国家的 DSM 定义估计的较低范围。我们的研究结果强调需要提高意识,改善潜在风险群体(如年轻成年人和阿拉伯民族)的睡眠卫生,此外还需要在提供心理健康服务时纳入失眠筛查。

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