Kuppermann M, Lubeck D P, Mazonson P D, Patrick D L, Stewart A L, Buesching D P, Fifer S K
Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco 94120, USA.
J Gen Intern Med. 1995 Jan;10(1):25-32. doi: 10.1007/BF02599573.
To measure the prevalence of sleep problems in a working population and examine their association with health problems, health-related quality-of-life measures, work-related problems, and medical expenditures. Also, to explore the usefulness of a sleep-problems screen for mental health conditions and underlying sleep disorders.
Cross-sectional survey administered via voice mail and telephone interview.
A San Francisco Bay Area telecommunications firm.
Volunteer sample of 588 employees who worked for a minimum of six months at the company and were enrolled in its fee-for-service health plan.
Thirty percent of respondents reported currently experiencing sleep problems and were found to have worse functioning and well-being (general health, cognitive functioning, energy), more work-related problems (decreased job performance and lower satisfaction, increased absenteeism), and a greater likelihood of comorbid physical and mental health conditions than were the respondents who did not have sleep problems. They also demonstrated a trend toward higher medical expenditures.
Self-perceived sleep problems were common among the respondents and were associated with poorer health and health-related quality of life. A single question about sleep problems may serve as an effective screen for identifying primary care patients with mental health problems, as well as underlying sleep disorders.
测量在职人群中睡眠问题的患病率，并研究其与健康问题、健康相关生活质量指标、工作相关问题及医疗费用之间的关联。此外，探讨睡眠问题筛查对于心理健康状况及潜在睡眠障碍的效用。
通过语音邮件和电话访谈进行的横断面调查。
旧金山湾区一家电信公司。
588名员工的志愿者样本，这些员工在公司工作至少六个月，并参加了公司的按服务收费的健康计划。
30%的受访者报告目前存在睡眠问题，结果发现他们在功能和幸福感方面（总体健康、认知功能、精力）较差，有更多工作相关问题（工作表现下降、满意度降低、旷工增加），与无睡眠问题的受访者相比，合并身心疾病的可能性更大。他们的医疗费用也有升高的趋势。
自我感觉的睡眠问题在受访者中很常见，且与较差的健康状况及健康相关生活质量相关。一个关于睡眠问题的简单问题可能是识别有心理健康问题的初级保健患者以及潜在睡眠障碍的有效筛查方法。
