ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2010
Healthcare use in adults with insomnia: a longitudinal study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- A systematic review of the predictors of health service utilisation by adults with mental disorders in the UK.BMJ open · 2015Pooled it
- Stepped care for insomnia: an evaluation of implementation in routine practice.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2013Trial
- Insomnia symptom prevalence in England: a comparison of cross-sectional self-reported data and primary care records in the UK Biobank.BMJ open · 2024Article
- Sleep-related healthcare use prevalence among adults with insomnia symptoms in Hebei, China: a population-based cross-sectional study.BMJ open · 2022Article
- Associations of sleep duration with patient-reported outcomes and health care use in US adults with asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2020Article
- Article
- Patients' and clinicians' experiences and perceptions of the primary care management of insomnia: qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2015Article
- Insomnia symptoms and subsequent psychotropic medication: a register-linked study with 5-year follow-up.Social psychiatry and psychiatric epidemiology · 2014Article
- Integrating online communities and social networks with computerised treatment for insomnia: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Article
- Article
- The relationship of primary health care use with persistence of insomnia: a prospective cohort study.BMC family practice · 2012Article
- Questions for the GP Curriculum.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010Article
- Real-World Implementation and Impact of Digital CBT for Insomnia on Healthcare Utilization: A Propensity-Matched Controlled Study.Implementation research and practiceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
backgroundInsomnia is common and associated with high rates of anxiety and depression.
aimTo determine the association of insomnia with future primary care for sleep and mood problems, and explore the link with psychological distress. DESIGN OF STUDY: Questionnaire survey of adults aged >/=18 years, linked to primary care records.
settingFive UK general practices.
methodSurvey responses were linked to recorded consultations and prescribed medication for sleep and mood problems for 12 months following the survey. Baseline self-reported insomnia was defined as the presence of at least one of four sleep problems. Psychological distress was measured using the Hospital Anxiety and Depression Scale.
resultsA total of 2662 (56%) responded and 2192 (82%) consented to record review. Nineteen per cent had a subsequent recorded consultation or prescription for sleep or mood problems ('relevant healthcare use'). Self-reported insomnia was related to future relevant healthcare use (odds ratio = 1.77; 95% confidence interval = 1.35 to 2.33). This relationship was stronger in those with psychological distress. Sixty-three per cent of those with baseline insomnia and psychological distress had no relevant healthcare use. 'Trouble falling asleep' was most strongly associated with relevant healthcare use in persons without psychological distress; in persons with psychological distress, it was waking after a usual amount of sleep feeling tired and worn out.
conclusionSpecific symptoms of insomnia are associated with consultation for sleep or mood problems, regardless of the presence of anxiety and depression. There is a large group of people who have combined insomnia and anxiety or depression who do not contact primary care about either sleep or mood problems.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.