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Evaluation of Insomnia Frequency, Beliefs and Attitudes Related Insomina in Primary Care
Author(s) -
Zerrin Gamsızkan,
Selçuk Aslan
Publication year - 2014
Publication title -
journal of cognitive-behavioral psychotherapy and research
Language(s) - English
Resource type - Journals
eISSN - 2636-8765
pISSN - 2146-9490
DOI - 10.5455/jcbpr.38154
Subject(s) - primary care , insomnia , primary insomnia , psychology , clinical psychology , medicine , psychiatry , family medicine , sleep disorder
OBJECTÝVE: Sleep disorders; are a health problem affecting the quality of life of individuals in society. We aimed to determine the prevalence of insomnia disorders, understand cognitive aprasials of pateints about their insomnia symptoms, and perpeutuating factors and coping mechanism to cope with insomnia problems. METHOD: In this study; patients with sleep problems were examined in a outpatient family medicine clinic in Ankara between 2009 and 2012. Insomnia Severity Index (ISI), and dysfunctional beliefs and attitudes about sleep (DBAS) ; were performed in patients with sleep disorder. Sleep problems history (difficulty falling asleep, excessive sleep, etc.), demographic information, additional chronic diseases, smoking, tea and coffee consumption and sleep habits were analyzed. RESULTS: 230 patients were enrolled to the study. Of those 180 (78.4%) were female and 50 (21.6%) male patients. 92 female patients (40.1%) stated that they were menopausal period. 137 patients (%60) had comorbid chronic disease, and 93 patients (%40) had no chronic diseases. DBAS score was significantly higher in female patients (p <0.001). Insomnia severity index (ISI) was not significantly different between male and female patients . With a detailed analyze; diffuculty falling asleep in female patients was signicantly higher (p <0.001). on the contrary; diffuculty maintaining sleep, early morning awakings and poor sleep quality were significantly higher in male patients (p<0.001). DBAS scores in postmenopousal patients were significantly higher than those without menopousal period (p<0.01). ISI scores were not significantly different between menopousal and fertil patients. CONCLUSIONS: Falling asleep, difficulty maintaining sleep problems are common seen problems in family medicine clinics. Sleep disorders in patients with restless legs, heaviness, difficulty maintaining sleep and poor sleep quality were commonly seen in female patients. Evaluating patients with sleep disorder quastionnares are important in order to assess sleep disorder patients. [JCBPR 2014; 3(3.000): 156-161

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