Related Experiment Video
Updated: Jun 25, 2026
04:33
Association Between Sleep Quality and Cognitive Symptoms in Patients with Major Depressive Disorder
Published on: April 26, 2024
Sleep problems in out-patient of primary care unit
Saisunee Tubtimtes1, Chakrit Sukying, Somjit Prueksaritanond
1Department of Family Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Summary
More than half of primary care patients experience sleep problems like insomnia and excessive daytime sleepiness, yet few seek medical advice. Anxiety and psychological factors are linked to insomnia, highlighting the need for better management.
Area of Science:
- Primary Care Medicine
- Sleep Medicine
- Psychiatry
Background:
- Sleep problems are prevalent in primary care settings.
- Insomnia and excessive daytime sleepiness significantly impact patient well-being.
- Effective management of sleep disorders in family medicine requires understanding associated factors.
Purpose of the Study:
- To determine the prevalence of sleep problems among family medicine outpatients.
- To identify factors associated with insomnia and excessive daytime sleepiness.
- To assess the current management of sleep problems in this population.
Main Methods:
- A descriptive study involving 512 outpatients from a family medicine clinic.
- Sleep problems assessed via questionnaires; excessive daytime sleepiness (EDS) using the Epworth Sleepiness Scale.
- Analysis included Chi-square, Odds Ratio, 95% CI, and binary logistic regression.
Main Results:
- 50.4% of patients had chronic diseases; 69.9% were female.
- Prevalence of insomnia was 57.9%, and sleepiness was 19.5%.
- Insomnia was associated with anxiety, female gender, and illness perception; snoring was more common in men.
Conclusions:
- Over half of primary care patients experience sleep problems, particularly insomnia and EDS.
- Few patients consult doctors for sleep issues, indicating a gap in care.
- Addressing psychological factors and anxiety is crucial for managing insomnia and improving sleep quality.
Related Concept Videos
01:19Management of Insomnia
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
01:27Insomnia
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
01:24Sleep-Wake Cycles
Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
01:24Substance Use Disorders Affecting Sleep
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
01:13Insufficient Sleep and Sleep Deprivation
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
01:17Sedatives and Hypnotics Drugs: Miscellaneous Agents
Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...