Clinical study of insomnia, a common disorder in primary care: from a viewpoint of consultation-liaison psychiatry.
A total of 100 new patients was investigated who consulted the Department of Psychiatry of Tosei General Hospital concerning insomnia as a chief complaint. The average age of the subjects was 52, with an age range of 13-88, and a male female ratio of 1:22. According to the DSM-III-R classification, primary sleep disorder was most frequent (39%), followed by affective disorders (34%), organic mental disorders (9%), anxiety disorders (6%), psychoactive substance use disorders (4%), psychotic disorders not elsewhere classified (4%), and others. Various psychosocial stressors were observed in 40% of the subjects, and concurrent major physical disorders in 44% of the subjects. Based on the results, the role of consultation-liaison psychiatry in treatment of sleep disorders and primary care was discussed.
Hattori
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Department of Psychiatry, Tosei General Hospital, Seto, Japan.
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D005260:Female; D006778:Hospitals, Psychiatric; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D001523:Mental Disorders / Q000150:complications / Q000453:epidemiology; D008875:Middle Aged; D011320:Primary Health Care; D011570:Psychiatry; D012017:Referral and Consultation; D012737:Sex Factors; D007319:Sleep Initiation and Maintenance Disorders / Q000453:epidemiology* / Q000628:therapy