ArticleJournal of multidisciplinary healthcare2016
Psychosocial factors are strongly associated with insomnia in users and nonusers of prescribed sleep medication: evidence from the HUNT3 study.
Article in Journal of multidisciplinary healthcare, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- A Meta-Analytic Review of the Associations of the Big Five Personality Traits with Subjective Poor Sleep Quality and Insomnia, and Meta-Regression of Some Potential Moderators.International journal of behavioral medicine · 2025Pooled it
- Prevalence of exposure to benzodiazepines among pregnant women in Taiwan: A nationwide longitudinal study.Journal of sleep research · 2022Article
- A study of high neuroticism in long-term survivors of childhood, adolescence, and young adult cancers.Scientific reports · 2022Article
- Benzodiazepine high-doses: The need for an accurate definition.International journal of methods in psychiatric research · 2021Review
- Insomnia Disorder Among Coronavirus Disease Survivors: A South Korean Nationwide Cohort Study.Psychiatry investigation · 2021Article
- Associations between Lifetime Adversity and Obesity Treatment in Patients with Morbid Obesity.Obesity facts · 2019Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim of this study was to examine how neuroticism, stressful life events, self-rated health, life satisfaction, and selected lifestyle factors were related to insomnia both by sex and among users and nonusers of prescribed sleep medication (PSM).
designCross-sectional data from the Norwegian Nord-Trøndelag Health Study (HUNT3, 2006-2008), a population-based health survey, were linked to individual data from the Norwegian Prescription Database.
methodsLogistic regression analyses were used to investigate the associations between the selected variables and insomnia in both males and females and among subjects using and not using PSM. Individuals were considered to have a presumptive diagnosis of insomnia disorder if they reported difficulty with sleep initiation, sleep maintenance, or early morning awakening several days per week for the last 3 months. PSMs were categorized as anxiolytics or hypnotics; the dose was estimated according to defined daily dose (DDD).
resultsOf the total 50,805 participants, 6,701 (13.2%) used PSM. The proportions of PSM users were larger among elderly participants. Increased risk of insomnia was strongly associated with poor self-rated health and higher level of neuroticism. These associations were evident for both sexes and were similar among both users and nonusers of PSM. Low satisfaction with life was strongly related to insomnia, but only among nonusers of PSM. Increased doses of PSM were not associated with reduced likelihood of insomnia.
conclusionInsomnia is a problem among both users and nonusers of PSM and is associated with psychosocial factors. Our findings suggest that successful treatment for sleep problems should take individual variation into account, such as age, sex, personality traits, satisfaction with life, and health perception.
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