TY  - JOUR
T1  - THe implications of sleep disturbance epidemiology
AU  - Reynolds CF, III
Y1  - 1989/09/15
N1  - 10.1001/jama.1989.03430110104040
JO  - JAMA
SP  - 1514
EP  - 1514
VL  - 262
IS  - 11
N2  - The article by Ford and Kamerow1 in this issue of The Journal has implications for clinicians, epidemiologists, and policymakers in the area of health care utilization and planning. Using a household probability sample,2 a conservative definition of sleep complaints, structured psychiatric interviewing, systematic follow-up, and logistic regression modeling, this is probably one of the most scientifically rigorous epidemiologic investigations of sleep disturbance and psychopathology ever reported.A surprising result is the high prevalence of psychiatric disorders among respondents complaining of hypersomnia or excessive daytime sleepiness, variously 45.6% to 64%. Over the past quarter-century, most studies of excessive daytime sleepiness, which have been based on treatment-prevalence data (rather than on a household probability sample, as in the article by Ford and Kamerow), have noted the strong association of excessive daytime sleepiness with sleep apnea and narcolepsy-cataplexy but not with psychiatric disorders (see, for example, Coleman et al3). Thus,
SN  - 0098-7484
M3  - doi: 10.1001/jama.1989.03430110104040
UR  - http://dx.doi.org/10.1001/jama.1989.03430110104040
ER  -