Sleeping Pills, Insomnia, and Medical Practice Report of a Study (1979) / Chapter Skim
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Chapter 2: Epidemiology of Sleep Complaints and Prescribing Practices
Chapter 2: Epidemiology of Sleep Complaints and Prescribing Practices
Pages 47-62
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From page 47... ...
Surveys intended to measure the prevalence of sleep complaints are difficult to compare because of the ambiguity of the word insomnia, and the variation in survey formats, population types studied, sample designs, and the methods of administration. Nevertheless, the surveys show some consistent patterns that allow tentative conclusions to be drawn about the prevalence of sleep disturbance and the use of medication to alleviate this complaint.
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From page 48... ...
An additional 19 percent of the total sample was judged to have a minor problem with sleep. 3/ The Los Angeles Metropolitan Area Survey of 1,000 adults found that 32 percent of the sample currently complained of difficulty falling asleep, staying asleep or awakening too early, and the incidence of such complaints increased with age.
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From page 49... ...
Led Vl a, ~ ~ use Z;t ~ - 1 ~ C.' 1 - 1 _, :Z; ED O Can ~ -' ~ Z lo p U]
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From page 50... ...
During this period, prescriptions for chlordiazepoxide and meprobamate declined steadily from 25 million to 13 million and from 16 million to 8 million prescriptions, respectively, and prescriptions for the barbiturate (daytime) sedatives decreased by 42 percent from about 20 million to 12 million.
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From page 51... ...
— \ at, All Non-Barbiturate Hypnotics Flurazepam Non-Barbiturate Hypnotics (excluding flurazepam)
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From page 52... ...
This results in an additional five million prescriptions of non-hypnotic drugs prescribed specifically to aid sleep.
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From page 54... ...
The typical respondent felt that 70 to 75 percent of sleep complaints were attributable to some psychological cause, with the remainder due to some diagnosable medical illness. They estimated that about 12 percent of patients coming to see them over a two week period would complain of sleep disturbance, either as a primary complaint or secondary to some other problem.
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From page 55... ...
No reason given 20 20 16 Source: National Disease and Therapeutic Index, INS America Ltd., Ambler Pennsylvania * Less than 0.05 percent , ~ .
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From page 56... ...
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From page 57... ...
1 En A to v a)
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From page 58... ...
12/ Similarly, in a 1973 study of the San Diego Veterans Administration Hospital, 57 percent of patients had orders for hypnotic drugs and 30 percent of patients actually received a hypnotic on a single night. The Veterans Administration purchases approximately one hypnotic dosage per occupied inpatient bed per day, not counting sedatives like diazepam, chlordiazepoxide, or phenobarbital.
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From page 59... ...
Both surveys found that the proportion of people who had used a hypnotic increased with age. The 1971 national survey estimated that about 23 percent of those who had used a hypnotic within the past year had reached a "high" level of use - that is they reported using the drug every night or almost every night for two months or more at some time in their lives.
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From page 60... ...
and Bauer, M.L., Patterns of prescribing and use of hypnotic drugs in the United States. In Sleep Disturbance and Hypnotic Drug Dependence, ed.
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From page 61... ...
. National Institute on Drug Abuse; National Survey on Drug Abuse: 1977, Volume l, Main Findings (DHEW Publication No.
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