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Insomnia in Adults With Chronic Hepatitis B , Liver Failure, and Cirrhosis: A Case–Control Study
Author(s) -
Guo HuiMin,
Liu Mei,
Xiang YuTao,
Zhao Jing,
Ungvari Gabor S.,
Correll Christoph U.,
Ng Chee H.,
Chiu Helen F.K.,
Duan ZhongPing
Publication year - 2017
Publication title -
perspectives in psychiatric care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.538
H-Index - 35
eISSN - 1744-6163
pISSN - 0031-5990
DOI - 10.1111/ppc.12138
Subject(s) - cirrhosis , medicine , chronic hepatitis , liver failure , gastroenterology , insomnia , psychiatry , immunology , virus
Purpose To determine the frequency and socio‐demographic/clinical correlates of insomnia in patients with chronic hepatitis B , hepatitis B virus ( HBV )‐related liver failure, and cirrhosis. Design and Methods Up to 120 patients with HBV ‐related diseases and 40 matched healthy controls were recruited. Depressive and anxiety symptoms, early, middle, and late insomnia were measured. Findings The frequency of ≥1 type of insomnia was 64.2% in patients and 35.0% in controls; frequencies of early, middle, and late insomnia in patients were 39.2%, 42.5%, and 48.3%, respectively, compared to 22.5%, 10.0%, and 25.0% in controls. Urban residency was independently associated with less insomnia of any type, accounting for 22.6% of the variance. Practice Implications A considerable proportion of patients with HBV ‐related diseases suffer from insomnia that warrants more attention in clinical practice.