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Insomnia: prevalence and its impact on excessive daytime sleepiness and psychological well-being in the adult Taiwanese population

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Abstract

Objectives

This study examined the national age- and sex-specific prevalence rates of insomnia and excessive daytime sleepiness (EDS), the associations of insomnia symptoms with daytime consequences, and the impact of insomnia on EDS and psychological well-being.

Methods

Data of 36,743 men and women aged 18 years and above from the 2005 Survey of Social Development Trends—Health Security in Taiwan were analyzed.

Results

Over 25% of the Taiwanese adults experienced insomnia. Difficulty initiating sleep (14.6%) was the most common type of insomnia, followed by early morning awakening (13.9%) and difficulty maintaining sleep (13.4%). The risk of EDS was three times as high for individuals with insomnia as for those without (95% confidence interval of odds ratio: 2.77–3.71). Insomnia status predicted poor psychological well-being even after controlling for sociodemographic factors and health status.

Conclusions

Taiwanese adults had a high prevalence of insomnia. Insomnia contributed at least partially to an individual’s psychological well-being.

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Abbreviations

EDS:

Excessive daytime sleepiness

EMA:

Early morning awakening

DIS:

Difficulty initiating sleep

DMS:

Difficulty maintaining sleep

NT:

Taiwanese dollar

OR:

Odds ratio

χ 2 :

Chi-square test

References

  1. Ancoli-Israel, S., & Roth, T. (1999). Characteristics of insomnia in the United States: Results of the 1991 National Sleep Foundation Survey. I. Sleep, 22(Suppl 2), S347–S353.

    PubMed  Google Scholar 

  2. Leger, D., Guilleminault, C., Dreyfus, J. P., Delahaye, C., & Paillard, M. (2000). Prevalence of insomnia in a survey of 12,778 adults in France. Journal of Sleep Research, 9, 35–42. doi:10.1046/j.1365-2869.2000.00178.x.

    Article  PubMed  CAS  Google Scholar 

  3. Ohayon, M. M., & Partinen, M. (2002). Insomnia and global sleep dissatisfaction in Finland. Journal of Sleep Research, 11, 339–346. doi:10.1046/j.1365-2869.2002.00317.x.

    Article  PubMed  Google Scholar 

  4. Ohayon, M. M., & Hong, S. C. (2002). Prevalence of insomnia and associated factors in South Korea. Journal of Psychosomatic Research, 53, 593–600. doi:10.1016/S0022-3999(02)00449-X.

    Article  PubMed  Google Scholar 

  5. Kim, K., Uchiyama, M., Okawa, M., Liu, X., & Ogihara, R. (2000). An epidemiological study of insomnia among the Japanese general population. Sleep, 23, 41–47.

    PubMed  CAS  Google Scholar 

  6. Nomura, K., Yamaoka, K., Nakao, M., & Yano, E. (2005). Impact of insomnia on individual health dissatisfaction in Japan, South Korea, and Taiwan. Sleep, 28, 1328–1332.

    PubMed  Google Scholar 

  7. Li, C. Y., Chen, P. C., Sung, F. C., & Lin, R. S. (2002). Residential exposure to power frequency magnetic field and sleep disorders among women in an urban community of northern Taiwan. Sleep, 25, 428–432.

    PubMed  Google Scholar 

  8. Li, R. H., Wing, Y. K., Ho, S. C., & Fong, S. Y. (2002). Gender differences in insomnia—a study in the Hong Kong Chinese population. Journal of Psychosomatic Research, 53, 601–609. doi:10.1016/S0022-3999(02)00437-3.

    Article  PubMed  CAS  Google Scholar 

  9. American Sleep Disorders Association (US). (1997). The international classification of sleep disorders, revised. Rochester, MN: The Association.

    Google Scholar 

  10. World Health Organization. (1992). The ICD-10classification of mental and behavioural disorder: Diagnostic criteria for research (10th reversion). Geneva: The Organization.

    Google Scholar 

  11. Taylor, D. J., Lichstein, K. L., & Durrence, H. H. (2003). Insomnia as a health risk factor. Behavioral Sleep Medicine, 1, 227–247. doi:10.1207/S15402010BSM0104_5.

    Article  PubMed  Google Scholar 

  12. Doi, Y., Minowa, M., Okawa, M., & Uchiyama, M. (2000). Prevalence of sleep disturbance and hypnotic medication use in relation to sociodemographic factors in the general Japanese adult population. Journal of Epidemiology, 10, 79–86.

    PubMed  CAS  Google Scholar 

  13. Reyner, L. A., Horne, J. A., & Reyner, A. (1995). Gender- and age-related differences in sleep determined by home-recorded sleep logs and actimetry from 400 adults. Sleep, 18, 127–134.

    PubMed  CAS  Google Scholar 

  14. Doi, Y., & Minowa, M. (2003). Gender differences in excessive daytime sleepiness among Japanese workers. Social Science and Medicine, 56, 883–894. doi:10.1016/S0277-9536(02)00089-8.

    Article  PubMed  Google Scholar 

  15. Accounting and Statistics. Executive Yuan (Taiwan). (2006). The 2005 Survey of Social Development Trends in Taiwan—Health Security. Taipei: The Executive Yuan.

    Google Scholar 

  16. Chen, Y. Y., Kawachi, I., Subramanian, S. V., Acevedo-Garcia, D., & Lee, Y. J. (2005). Can social factors explain sex differences in insomnia? Findings from a national survey in Taiwan. Journal of Epidemiology and Community Health, 59, 488–494. doi:10.1136/jech.2004.020511.

    Article  PubMed  Google Scholar 

  17. Ohayon, M. M. (2005). Prevalence and correlates of nonrestorative sleep complaints. Archives of Internal Medicine, 165, 35–41. doi:10.1001/archinte.165.1.35.

    Article  PubMed  Google Scholar 

  18. Murata, C., Yatsuya, H., Tamakoshi, K., Otsuka, R., Wada, K., & Toyoshima, H. (2007). Psychological factors and insomnia among male civil servants in Japan. Sleep Medicine, 8, 209–214. doi:10.1016/j.sleep.2007.01.008.

    Article  PubMed  Google Scholar 

  19. Foley, D., Ancoli-Israel, S., Britz, P., & Walsh, J. (2004). Sleep disturbances and chronic disease in older adults: Results of the 2003 National Sleep Foundation Sleep in America Survey. Journal of Psychosomatic Research, 56, 497–502. doi:10.1016/j.jpsychores.2004.02.010.

    Article  PubMed  Google Scholar 

  20. Phillips, B., Hening, W., Britz, P., & Mannino, D. (2006). Prevalence and correlates of restless legs syndrome: Results from the 2005 National Sleep Foundation Poll. Chest, 129, 76–80. doi:10.1378/chest.129.1.76.

    Article  PubMed  Google Scholar 

  21. Silva, G. E., Goodwin, J. L., Sherrill, D. L., Arnold, J. L., Bootzin, R. R., Smith, T., et al. (2007). Relationship between reported and measured sleep times: The sleep heart health study (SHHS). Journal of Clinical Sleep Medicine, 3, 622–630.

    PubMed  Google Scholar 

  22. Weaver, E. M., Kapur, V., & Yueh, B. (2004). Polysomnography vs self-reported measures in patients with sleep apnea. Archives of Otolaryngology—Head & Neck Surgery, 130, 453–458. doi:10.1001/archotol.130.4.453.

    Article  Google Scholar 

  23. Vanable, P. A., Aikens, J. E., Tadimeti, L., Caruana-Montaldo, B., & Mendelson, W. B. (2000). Sleep latency and duration estimates among sleep disorder patients: Variability as a function of sleep disorder diagnosis, sleep history, and psychological characteristics. Sleep, 23, 71–79.

    PubMed  CAS  Google Scholar 

  24. Fang, S. C., Huang, C. J., Yang, T. T., & Tsai, P. S. (2008). Heart rate variability and daytime functioning in insomniacs and normal sleepers: Preliminary results. Journal of Psychosomatic Research, 65, 23–30. doi:10.1016/j.jpsychores.2008.02.003.

    Article  PubMed  Google Scholar 

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Acknowledgments

This study was sponsored by the Taipei Medical University-Wan Fang Hospital (96TMU-WFH-14). Data analyzed in this paper were collected by the 2005 Survey of Social Development Trends—Health Security conducted by the Directorate-General of Budget, Accounting and Statistics, Executive Yuan, Taiwan. The Center for Survey Research of Academia Sinica is responsible for the data distribution. The authors appreciate the assistance in providing data by the institutes aforementioned. The views expressed herein are the authors' own.

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Authors and Affiliations

  1. College of Nursing, Taipei Medical University, 250 Wu Hsing St, Taipei, 110, Taiwan

    Ching-Chiu Kao & Pei-Shan Tsai

  2. Department of Nursing Service, Taipei Medical University-Wan Fang Medical Center, Taipei, Taiwan

    Ching-Chiu Kao

  3. Department of Anesthesiology, Mackay Memorial Hospital, Taipei, Taiwan

    Chun-Jen Huang

  4. Cardinal Tien College of Healthcare & Management, Hsin-Den, Taipei County, Taiwan

    Mei-Yeh Wang

Authors
  1. Ching-Chiu Kao
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  2. Chun-Jen Huang
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  3. Mei-Yeh Wang
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  4. Pei-Shan Tsai
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Corresponding author

Correspondence to Pei-Shan Tsai.

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Kao, CC., Huang, CJ., Wang, MY. et al. Insomnia: prevalence and its impact on excessive daytime sleepiness and psychological well-being in the adult Taiwanese population. Qual Life Res 17, 1073–1080 (2008). https://doi.org/10.1007/s11136-008-9383-9

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  • DOI: https://doi.org/10.1007/s11136-008-9383-9

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