Evidence map›Paper›PMID 34633282›Full record

ArticleThe European journal of general practice2021

Primary care is the frontline for help-seeking insomnia patients.

Isabel Torrens Darder, Rosmary Argüelles-Vázquez, Patricia Lorente-Montalvo, Maria Del Mar Torrens-Darder, Magdalena Esteva

Open access · goldAbstract read
In one paragraph

Article in The European journal of general practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 31 citations in OpenAlex.

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  9. 'Let's talk about sleep health' within primary care: a qualitative study of patients' willingness to engage in psychological interventions for insomnia.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 3 countries.

Isabel Torrens DarderMajorca Primary Care Department, Calviá Primary Health Center, Balearic Islands, Spain.ORCID 0000-0003-3949-7635
Rosmary Argüelles-VázquezMajorca Primary Care Department, Muntanya Primary Health Center, Balearic Islands, Spain.
Patricia Lorente-MontalvoMajorca Primary Care Department, Calviá Primary Health Center, Balearic Islands, Spain.
Maria Del Mar Torrens-DarderMajorca Primary Care Department, Calviá Primary Health Center, Balearic Islands, Spain.
Magdalena EstevaHealth Research Institute of the Balearic Islands (IdISBa), Balearic Islands, Spain.
Primary Health Care · QAHealth Research Institute of the Balearic Islands · ESRed de Investigación en Actividades Preventivas y Promoción de la Salud · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough insomnia is a very common disorder, few people seek medical help.

objectivesTo determine the proportion of people who consult a healthcare professional about insomnia and examine reasons for help seeking.

methodsDescriptive study of 99 patients diagnosed with insomnia following a telephone survey of 466 adults assigned to a primary healthcare unit in Majorca (Spain). Data were obtained from interviews and subsequent review of electronic medical records.

resultsThirty-nine patients (39.8%) consulted at least once with one health care professional; 36(92.2%) consulted a general practitioner. Only 12.2% had an insomnia diagnosis registered in their medical record. Insomnia consultation was not associated with any sociodemographic variables analysed, anxiety, depression or comorbidities. Also, there was no association with sleep quality, duration, and sleep efficiency. Patients with clinical insomnia (OR, 2.48; 95% CI, 1.03-5.94), those who were more worried (OR, 2.93; 95% CI 1.08-7.95) or felt that others noticed the impact of insomnia on their quality of life (OR, 2.48; 95% CI, 1.02-19.08) are more likely to seek medical help. Patients taking sleep medication were 21.54 (95% CI, 7.34-63.20) times more likely to have asked for medical assistance.

conclusionInsomnia is an under-reported problem for both patients and doctors. When patients decide to consult for insomnia problems, they first go to the GP, and the vast majority take medications for their sleep problem. Those who consult most are people with more severe insomnia and those who are more worried.

Indexed as

Sleep Initiation and Maintenance DisordersAdultComorbidityHumansPrimary Health CareQuality of LifeReferral and Consultationgeneral practitionerhealth carehelp seekInsomnianursingprimary care

Identifiers

PMID34633282
PMCPMC8510604
OpenAlexW3207218885

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.