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Predictors and Factors Associated with Insomnia in a Brazilian Sample: A Cross-Sectional Study
Isabela Mayumi Nishino Aizawa1, Felipe Alckmin-Carvalho2, Helder Sergio Lira Soares Filho1
1Department of Psychiatry, Universidade de São Paulo, São Paulo, SP, Brazil.
Sleep Science (Sao Paulo, Brazil)
|September 18, 2025
Summary
Male sex, lower education, older age, and higher anxiety/depression levels are linked to increased insomnia risk in Brazil. These findings highlight key biopsychosocial factors for potential prevention and treatment strategies.
Area of Science:
- Psychiatry
- Sleep Medicine
- Epidemiology
Background:
- Chronic insomnia presents significant functional and mental health challenges.
- Understanding associated factors is crucial for effective management.
Purpose of the Study:
- To investigate biopsychosocial variables linked to insomnia in a Brazilian adult population.
- To identify predictors for insomnia in a clinical sample.
Main Methods:
- Cross-sectional study with 1,435 adults in São Paulo, Brazil.
- Insomnia diagnosis based on DSM-5 and Insomnia Severity Index.
- Assessed anxiety and depression using the Hospital Anxiety and Depression Scale (HADS).
- Multivariable binary logistic regression analysis.
Main Results:
- Male sex (OR=1.93) and lacking a university degree (OR=1.89) increased insomnia odds.
- Each year of age (OR=1.05), depression score (OR=1.18), and anxiety score (OR=1.40) were associated with higher insomnia likelihood.
Conclusions:
- Biopsychosocial factors are significantly associated with insomnia in this Brazilian sample.
- Findings support the development of targeted preventive and treatment interventions.
- Further research can refine understanding of insomnia's complex etiology.
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