The Natural History of Insomnia and Its Relationship to Respiratory Symptoms

doi:10.1001/archinte.1995.00430160145014

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Vol. 155 No. 16, 11 SEPTEMBER 1995

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The Natural History of Insomnia and Its Relationship to Respiratory Symptoms

Russell Dodge, MD; Martha G. Cline, MS; Stuart F. Quan, MD

Arch Intern Med. 1995;155(16):1797-1800.

Abstract

Background
Although insomnia is a frequent complaint among patients, epidemiologicstudy has been limited. Researchers have reported a wide rangein the prevalence of this complaint in a variety of selectedpopulations. Other parameters, such as incidence and remissionrates, have not been reported.

Methods
Subjects of the Tucson (Ariz) Epidemiologic Study of ObstructiveLung Disease were asked questions about trouble sleeping inthe 1984-1985 (survey I) and 1990-1992 (survey II) surveys.Answers were analyzed along with responses to questions aboutage, sex, respiratory symptoms, and drug and alcohol use forsleep.

Results
The prevalence of insomnia was similar in both surveys, 34.4%in survey I and 34.1% in survey II. Women had a higher prevalenceof insomnia than men in both surveys, and insomnia was morecommon among older subjects (50.6% of the women aged 65 yearsor older had insomnia in survey II). In addition, the incidenceof new insomnia in survey II was higher in the same groups.Grouping subjects by respiratory symptoms, we found that theprevalence of insomnia was significantly related to cough, dyspnea,or wheeze. Furthermore, subjects with persistent or new respiratorysymptoms at survey II were less likely to have remission ofinsomnia by that survey (31.6% vs 51.5%; P<.05; odds ratio,0.43) and more likely to develop new insomnia (28.6% vs 14.5%;P<05; odds ratio, 2.36) than subjects with either no symptomsor disappearance of their symptoms by survey II.

Conclusions
In our population, insomnia is a common dynamic complaint whosefrequency waxes and wanes in association with respiratory symptoms.

(Arch Intern Med. 1995;155:1797-1800)

Author Affiliations

From the Respiratory Sciences and Sleep Disorders Centers and Department of Medicine, University of Arizona College of Medicine, Tucson.

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