Biopsychobehavioral correlates of insomnia. IV: Diagnosis based on DSM-III.
DSM-III diagnoses were established for 100 patients with chronic insomnia. Principal and additional diagnoses on axis I and II (psychiatric and personality disorders) were extremely prevalent. Only five patients had a principal diagnosis on axis III (physical disorders). The most common diagnoses on axis I were dysthymic, anxiety, somatoform, and substance use disorders. Compulsive personality disorder or trait was the most common axis II diagnosis. Ninety-five patients had multiple diagnoses. This study confirms that patients with chronic insomnia have a high prevalence of psychopathology and characteristic internalizing patterns of anxiety, depression, obsessive-compulsiveness, phobia, and excessive somatic concerns.
D000275:Adjustment Disorders / Q000175:diagnosis; D000293:Adolescent; D000328:Adult; D000368:Aged; D001008:Anxiety Disorders / Q000175:diagnosis; D002908:Chronic Disease; D003193:Compulsive Personality Disorder / Q000175:diagnosis; D005260:Female; D006801:Humans; D008950:MMPI; D008297:Male; D008370:Manuals as Topic; D001523:Mental Disorders / Q000175:diagnosis*; D008875:Middle Aged; D019964:Mood Disorders / Q000175:diagnosis; D010554:Personality Disorders / Q000175:diagnosis; D010698:Phobic Disorders / Q000175:diagnosis; D012890:Sleep; D007319:Sleep Initiation and Maintenance Disorders / Q000150:complications* / Q000523:psychology; D013001:Somatoform Disorders / Q000175:diagnosis