title: Chronic insomnia and health care utilization in young adults.
abstract: Chronic insomnia is prevalent, contributes a significant economic burden, and people with insomnia have increased health care utilization (HCU). The purpose of this study was to investigate the relationship between chronic insomnia and HCU in a population with fewer medical/mental health problems, using current operational definitions of chronic insomnia and multiple measures of HCU. Participants with chronic insomnia had greater HCU than normal sleepers. Participants with chronic insomnia plus a comorbid condition had greater HCU than normal sleepers with a medical/mental health problem and participants with only chronic insomnia. The relationship between chronic insomnia and HCU was moderated by comorbid medical/mental health problems. Early identification and intervention of chronic insomnia may help reduce HCU and costs associated with chronic insomnia.
authors.affiliation: VISN 4 Mental Illness Research, Education, and Clinical Center, Pittsburgh Healthcare System, USA. adam.bramoweth@va.gov
authors.forename: Adam D
authors.initials: AD
authors.lastname: Bramoweth
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Taylor
mesh_terms: D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D003695:Delivery of Health Care / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D012720:Severity of Illness Index; D007319:Sleep Initiation and Maintenance Disorders / Q000628:therapy*; D011795:Surveys and Questionnaires