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Clinical Study of Insomnia, a Common Disorder in Primary Care: From a Viewpoint of Consultation‐Liaison Psychiatry
Author(s) -
Hattori Takao
Publication year - 1991
Publication title -
psychiatry and clinical neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.609
H-Index - 74
eISSN - 1440-1819
pISSN - 1323-1316
DOI - 10.1111/j.1440-1819.1991.tb00516.x
Subject(s) - psychiatry , primary insomnia , insomnia , psychosocial , primary care , anxiety , medicine , sleep disorder , psychology , family medicine
:A total of 100 new patients was investigated who consulted the Department of Psychiatry of Tosei General Hospital concerning insomnia as a chief complaint. The average age of the subjects was 52, with an age range of 13–88, and a male female ratio of 1: 22. According to the DSM‐HI‐R classification, primary sleep disorder was most frequent (39%), followed by affective disorders (34%), organic mental disorders (9%), anxiety disorders (6%), psychoactive substance use disorders (4%), psychotic disorders not elsewhere classified (4%), and others. Various psychosocial stressors were observed in 40% of the subjects, and concurrent major physical disorders in 44% of the subjects. Based on the results, the role of consultation‐liaison psychiatry in treatment of sleep disorders and primary care was discussed.