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DSM–IV and ICSD–90 insomnia symptoms and sleep dissatisfaction

Published online by Cambridge University Press:  03 January 2018

Maurice M. Ohayon ,
Malijaï Caulet ,
Robert G. Priest  and
Christian Guilleminault
Maurice M. Ohayon*
Affiliation:
Centre de Recherche Philippe Pinel de Montréal, Montréal
Malijaï Caulet
Affiliation:
Centre de Recherche Philippe Pinel de Montréal, Montréal
Robert G. Priest
Affiliation:
University of London, Academic Department of Psychiatry, St Mary's Hospital, London, UK
Christian Guilleminault
Affiliation:
Stanford University School of Medicine, Sleep Disorders Center, Stanford, California, USA
*
Maurice M. Ohayon, Centre de Recherche Philippe Pinel de Montréal, 10905, boulevard Henri-Bourassa Est, Montréal (Québec) HIC IHI, Canada. 514-648-8461. Fax: 514-881-3701
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Abstract

Background

The complex nature of insomnia and its relationship with organic and mental disorders render diagnosis problematic for epidemiologists and physicians.

Method

A representative UK sample (non-institutionalised, > 14 years old) was interviewed by telephone (n=4972; 79.6% participation rate) with the Sleep-EVAL system. Subjects fell into three groups according to presence of insomnia symptom (s) and/or sleep dissatisfaction.

Results

Insomnia symptoms occurred in 36.2% of subjects. Most of these (75.9%), however, reported no sleep dissatisfaction. In comparison, those also with sleep dissatisfaction had higher prevalence of sleep and mental disorders and longer duration of insomnia symptoms, and were more likely to take sleep-promoting medication, dread bedtime, and complain of light sleep, poor night-time sleep and daytime sleepiness.

Conclusions

Insomnia sufferers differ as to whether they are satisfied or dissatisfied with sleep. Although insomnia symptoms are common in the general population, sleep disturbances among sleep-dissatisfied individuals are more severe. Sleep dissatisfaction seems a better indicator of sleep pathology than insomnia symptoms.

Type
Papers
Information
The British Journal of Psychiatry , Volume 171 , Issue 4 , October 1997 , pp. 382 - 388
Copyright
Copyright © 1997 The Royal College of Psychiatrists 

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