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epidemiology of insomnia a longitudinal strongstudystrong in a uk
Epidemiology of Insomnia: a Longitudinal Study in a UK Population
1 1 1 2 1
Hannah Morphy, MMedSci , Kate M. Dunn, PhD ; Martyn Lewis, PhD ; Helen F. Boardman, PhD ; Peter R. Croft, MD
1 2
Primary Care Musculoskeletal Research Centre, Keele University, Keele, UK; Centre for Pharmacy, Health and Society, University of Nottingham,
Nottingham, UK
Study Objectives: To investigate the incidence, persistence, and con- months was 15%, and this was significantly associated with baseline anxi-
sequences of insomnia and their associations with psychological health ety, depression, and pain. Of those who did have insomnia at baseline,
and pain. 69% had insomnia at 12-month follow-up; persistence of insomnia was
Design: A population based, longitudinal, cohort study using postal ques- significantly associated with older age. Insomnia at baseline was signifi-
tionnaires at baseline and 12-month follow-up. Sleep problems in the past cantly associated with incidence of anxiety, depression, and widespread
month were assessed using 4 questions: insomnia was defined as having pain at 12-month follow-up.
at least 1 of the sleep problems “on most nights.” Questions about psycho- Conclusions: Insomnia is common and often persistent. Older people
logical health, presence of pain at different sites, and demographic details appear more vulnerable to persistent symptoms. Our results provide
were included in the questionnaire. evidence that the common problems of insomnia, pain, and psychologi-
Setting: Five general pract
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