2026-04-29T02:37:57Zhttps://repisalud.isciii.es/rest/oai/request
oai:repisalud.isciii.es:20.500.12105/233502024-11-29T06:08:22Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967
Repisalud author Torrens Darder, Isabel author Arguelles-Vazquez, Rosmary author Lorente-Montalvo, Patricia author Torrens-Darder, Maria Del Mar author Esteva, Magdalena 2024-09-18T06:45:04Z 2024-09-18T06:45:04Z 2021-01-01 Darder IT, Arguelles-Vazquez R, Lorente-Montalvo P, Torrens-Darder MD, Esteva M. Primary care is the frontline for help-seeking insomnia patients. Eur J Gen Pract. 2021 Jan 1;27(1):286-93. 1381-4788 https://hdl.handle.net/20.500.13003/19770 https://hdl.handle.net/20.500.12105/23350 34633282 10.1080/13814788.2021.1960308 1751-1402 European Journal of General Practice 2-s2.0-85116875901 706091800001 L2013920726 Background: Although insomnia is a very common disorder, few people seek medical help. Objectives: To determine the proportion of people who consult a healthcare professional about insomnia and examine reasons for help seeking. Methods: Descriptive study of 99 patients diagnosed with insomnia following a telephone survey of 466 adults assigned to a primary healthcare unit in Majorca (Spain). Data were obtained from interviews and subsequent review of electronic medical records. Results: Thirty-nine patients (39.8%) consulted at least once with one health care professional; 36(92.2%) consulted a general practitioner. Only 12.2% had an insomnia diagnosis registered in their medical record. Insomnia consultation was not associated with any sociodemographic variables analysed, anxiety, depression or comorbidities. Also, there was no association with sleep quality, duration, and sleep efficiency. Patients with clinical insomnia (OR, 2.48; 95% CI, 1.03-5.94), those who were more worried (OR, 2.93; 95% CI 1.08-7.95) or felt that others noticed the impact of insomnia on their quality of life (OR, 2.48; 95% CI, 1.02-19.08) are more likely to seek medical help. Patients taking sleep medication were 21.54 (95% CI, 7.34-63.20) times more likely to have asked for medical assistance. Conclusion: Insomnia is an under-reported problem for both patients and doctors. When patients decide to consult for insomnia problems, they first go to the GP, and the vast majority take medications for their sleep problem. Those who consult most are people with more severe insomnia and those who are more worried. eng Insomnia Primary care Help seek General practitioner Health care Nursing Primary care is the frontline for help-seeking insomnia patients research article