Title: The Implications of Sleep Disturbance Epidemiology
Abstract:The article by Ford and Kamerow<sup>1</sup>in this issue ofThe Journalhas implications for clinicians, epidemiologists, and policymakers in the area of health care utilization and planning. Using a ho...The article by Ford and Kamerow<sup>1</sup>in this issue ofThe Journalhas implications for clinicians, epidemiologists, and policymakers in the area of health care utilization and planning. Using a household probability sample,<sup>2</sup>a conservative definition of sleep complaints, structured psychiatric interviewing, systematic follow-up, and logistic regression modeling, this is probably one of the most scientifically rigorous epidemiologic investigations of sleep disturbance and psychopathology ever reported. A surprising result is the high prevalence of psychiatric disorders among respondents complaining of hypersomnia or excessive daytime sleepiness, variously 45.6% to 64%. Over the past quarter-century, most studies of excessive daytime sleepiness, which have been based on treatment-prevalence data (rather than on a household probability sample, as in the article by Ford and Kamerow), have noted the strong association of excessive daytime sleepiness with sleep apnea and narcolepsy-cataplexy but not with psychiatric disorders (see, for example, Coleman et al<sup>3</sup>). Thus,Read More
Publication Year: 1989
Publication Date: 1989-09-15
Language: en
Type: editorial
Indexed In: ['crossref', 'pubmed']
Access and Citation
Cited By Count: 12
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