在患有下值抑郁症或重度抑郁症的成年人中,与失眠相关的经济成本
Phuong Hong Le1, Long Khanh-Dao Le1, Joahna Kevin Perez1
1Health Economics Group, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
BJPsych open
|July 21, 2025
概括
失眠显著增加了澳大利亚成年人的医疗保健费用,患有低于值的抑郁症,但不是主要的抑郁症. 失眠患者的生产力损失也更高.
科学领域:
- 心理健康研究 心理健康研究
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 以前的研究表明,与抑郁症和失眠相关的重大成本是独立的条件.
- 了解这些共同疾病的综合经济负担对于医疗保健规划至关重要.
研究的目的:
- 估计澳大利亚成年人患有下值抑郁症或主要抑郁障碍 (MDD) 的失眠的医疗保健服务使用和相关成本.
主要方法:
- 利用了2020-2022年澳大利亚国家心理健康和福祉调查的数据.
- 通过使用DSM-IV标准评估失眠和抑郁症,对问题进行了调整.
- 使用加权的两部分模型来计算2021-2022年澳元平均年成本.
主要成果:
- 在1331名患有下值抑郁症或MDD的成年人样本中,失眠的患病率很高 (84%).
- 在MDD组的失眠和没有失眠的个体中,医疗费用和服务使用情况相似.
- 与没有失眠的成年人相比,患有低于值的抑郁症和失眠的成年人支付的医疗费用 (990澳元) 显著更高,尽管资源使用情况类似.
结论:
- 对于患有失眠或没有失眠的抑郁成年人来说,医疗保健资源的利用率是可比的.
- 失眠与增加的医疗费用有关,特别是在患有下值抑郁症的成年人中.
- 需要进一步的研究来阐明这些成本的驱动因素,并优化对伴随性抑郁症和失眠的护理.
相关概念视频
Insomnia
131
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...
131
Insufficient Sleep and Sleep Deprivation
222
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...
222
Management of Insomnia
323
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...
323
Depressive Disorders: MDD and Dysthymia
219
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
219
Substance Use Disorders Affecting Sleep
219
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,...
219
Depression: Overview
346
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
346


