Insomnia among Attendants of Patients in a Tertiary Care Hospital at Visakhapatnam

Authors

  • Sanjeev Kumar GITAM Institute of Medical Science and Research, Visakhapatnam
  • Amrita Kumari GITAM Institute of Medical Science and Research, Visakhapatnam
  • Rongala Venkata Manasa GITAM Institute of Medical Science and Research, Visakhapatnam
  • Sai Chandan Das Govt Medical College & Hospital, Balasore
  • Vishwanath Ghoshal Kalinga Institute of medical Science, Bhubaneswar

Keywords:

Insomnia, Age, Attendants, Lifestyle factors, Athens Insomnia Scale

Abstract

Background: Insomnia is most frequent, under-reported and are often neglected because of lack of awareness of the impact of such condition in our daily life style. This study was therefore con- ducted to determine the prevalence of insomnia and its associated lifestyle factors among attendants of patients of a tertiary care hospital at Visakhapatnam.

Methodology: An institution based descriptive cross-sectional study was conducted from April to July 2018 at a teaching hospi- tal, by face to face interview according to Athens Insomnia Scaleby purposive sampling on a sample of 330 participants.

Results:The prevalence of insomnia was 13.3% with a female pre- ponderance (14.4%). By calculating bivariate and logistic regres- sion, we found that age > 40 years had 2.6 times and currently married had 4.6 times more chances of developing insomnia.

Conclusion: This study found a significant relationship of insom- nia with alcohol, tobacco consumption, married status, overcrowd- ing, non-vegetarian diet, and urban residence. Difficulty in sleep induction and frequent midnight awakeningwere the major com- plaints reported. Further community based studies are recom- mended to investigate the magnitude and the determinants of in- somnia.

References

Association AP. Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub; 2013.

Carskadon MA, Dement WC. Chapter 2 - Normal Human Sleep: An Overview. 2005;13–23. Available from: http://www.sciencedirect.com/science/article/pii/B07216 07977500094

Daniel J. Taylor P, ; Laurel J. Mallory, BA1 ; Kenneth L. Lichstein, PhD2 ; H. Heith Durrence, PhD3 ; Brant W. Riedel, PhD4 ; Andrew J. Bush P, 1The. Comorbidity of Chronic Insomnia With Medical Problems Daniel. Sleep. 2007;30, No.2:213–8.

Buysse DJ, Angst J, Gamma A, Ajdacic V, Eich D, Rössler W, et al. Prevalence , Course , and Comorbidity of Insomnia and Depression in Young Adults Cognitive Behavioral Therapy for Insomnia Enhances Depression Outcome in Pa- tients with Comorbid Major Depressive Disorder and In- somnia Is Insomnia a Perpetuating Factor for Late-Life De- pression in the IMPACT Cohort ? The Association Between Sleep Duration and Weight Gain in Adults : A 6-Year Pro- spective Study from the Quebec Family Study. 2008;31(4):2– 4.

Schutte-rodin S, Broch L, Ph D, Buysse D, Dorsey C, Ph D, et al. Clinical guideline for the evaluation and management of chronic insomnia in adults. J Clin Sleep Med. 2008;4(5):487–504.

Panda S, Taly A, Sinha S, Gururaj G, Girish N, Nagaraja D. Sleep-related disorders among a healthy population in South India. Neurol India [Internet]. 2012;60(1):68. Available from: http://www.neurologyindia.com/text.asp?2012/60/1/68/ 93601

Suri JC, Sen MK, Ojha UC, Adhikari T. Epidemiology of sleep disorders in the elderly – A questionnaire survey. 2009;4(1):12–8.

Bhattacharya D, Sen MK, Suri JC. Epidemiology of insom- nia: A review of the global and Indian scenario. Indian J Sleep Med [Internet]. 2013;8(3):100. Available from: http://www.indianjournals.com/ijor.aspx?target=ijor:ijsm &volume=8&issue=3&article=001

Suri JC, Sen MK, Adhikari T. Epidemiology of Sleep Disor- ders in the Adult Population of Delhi: A Questionnaire Based Study. 2008;3(4):128–37.

Shukla G, Gupta A, Srivastava A, Goyal V, Behari M, Sharma P. Primary sleep disorders seen at a Neurology ser- vice-based sleep clinic in India: Patterns over an 8-year pe- riod. Ann Indian Acad Neurol [Internet]. 2013;16(2):146. Available from: http://www.annalsofian.org/text.asp? 2013/16/2/146/112444

Yardi N, Adsule S. A cross-sectional observational study to determine the prevalence of insomnia amongst Indian cor- porate employees. J Assoc Physicians India. 2015;63:20–5.

Roy S, Bhattacharjee A, Chakraborti C, Singh R. Prevalence of insomnia in urban population of West Bengal: A commu- nity-based cross-sectional study. Int J Med Public Heal [Internet]. 2015; 5(4): 293. Available from: http://ijmedph.org/article/403

Bhaskar S, Hemavathy D, Prasad S. Prevalence of chronic insomnia in adult patients and its correlation with medical comorbidities. J Fam Med Prim Care [Internet]. 2016;5(4):780. Available from: http://www.jfmpc.com/text.asp?2016/5/4/780/201153

Basu M, Chatterjee S, De A, Sinha D, Ahamed A, Misra R. A Study on Prevalence of Chronic Insomnia and it ’ s Associa- tion with Medical Co morbidities among Patients Attending General Out Patient Department ( OPD ) of a Tertiary Care Hospital of Kolkata , India. 2017;4(5):1042–7.

Su TP, Huang SR, Chou P. Prevalence and risk factors of insomnia in community-dwelling Chinese elderly: A Tai- wanese urban area survey. Aust N Z J Psychiatry. 2004;38(9):706–13.

Morgan K. Risk factors for late-life insomnia in a represen- tative general practice sample. Br J Gen Pract. 1997;47(416):166–9.

Kumar VM, Bajaj JS. Sleep Medicine Education in India : Policy Initiatives of National Academy of Medical Sciences (India ). Ann Natl AAcAd Med Sci. 2015;51(1):39–44.

Gambhir IS, Chakrabarti SS, Sharma AR, Saran DP. Journal of Clinical Gerontology & Geriatrics Insomnia in the elderly d A hospital-based study from North India. 2014;5:117–21.

Roehrs T, Zwyghuizen-Doorenbos A, Timms V, Zorick F, Roth T. Sleep extension, enhanced alertness and the sedat- ing effects of ethanol. Pharmacol Biochem Behav. 1989;34(2):321–4.

Zwyghuizen-Doorenbos A, Roehrs T, Lamphere J, Zorick F, Roth T. Increased daytime sleepiness enhances ethanol’s sedative effects. Neuropsychopharmacology. 1988 Dec;1(4):279–86.

Michelow IC, Katz K, McCracken GH, Hardy RD. Systemic cytokine profile in children with community-acquired pneumonia. Pediatr Pulmonol. 2007;42(7):640–5.

Kuppermann M, Lubeck DP, Mazonson PD, Patrick DL, Stewart AL, Buesching DP, et al. Sleep problems and their correlates in a working population. J Gen Intern Med. 1995 Jan;10(1):25–32.

Karacan I, Thornby JI, Anch AM, Booth GH, Williams RL, Salis PJ. Dose-related sleep disturbances induced by coffee and caffeine. Clin Pharmacol Ther. 1976;20(6):682–9.

Kadam YR, Patil SR, Waghachavare V, Gore AD. Influence of Various Lifestyle and Psychosocial Factors on Sleep Dis- turbances among the College Students : A Cross-Sectional Study from an Urban Area of India. 2016;5(3):51–60.

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Published

2018-09-30

How to Cite

1.
Kumar S, Kumari A, Manasa RV, Das SC, Ghoshal V. Insomnia among Attendants of Patients in a Tertiary Care Hospital at Visakhapatnam. Natl J Community Med [Internet]. 2018 Sep. 30 [cited 2024 May 10];9(09):709-13. Available from: https://njcmindia.com/index.php/file/article/view/800

Issue

Vol. 9 No. 09 (2018)

Section

Original Research Articles

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