alexa Patient Reported Health-related Quality of Life in Co-morbid Insomnia: Results from a Survey of Primary Care Patients in the United States
ISSN: 2167-1079

Primary Healthcare: Open Access
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Research Article

Patient Reported Health-related Quality of Life in Co-morbid Insomnia: Results from a Survey of Primary Care Patients in the United States

Anuja N Roy* and Suresh Madhavan

West Virginia University, USA

Corresponding Author:
Anuja N Roy
West Virginia University, USA
Tel: 2014001671

Received date: March 26, 2014; Accepted date: May 23, 2014; Published date: June 2, 2014

Citation: Roy AN, Madhavan S (2014) Patient Reported Health-related Quality of Life in Co-morbid Insomnia: Results from a Survey of Primary Care Patients in the United States. Primary Health Care 4:160. doi:10.4172/2167-1079.1000160

Copyright: ©2014 Anuja N Roy, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Background: This study attempts to establish the incremental burden of co-morbid Insomnia in an indigent and underserved population among patients with other primary Chronic diagnoses. Methods: Adult patients with primary chronic diseases were categorized for co-morbid Insomnia using the Insomnia Severity Index (ISI). One-way ANOVA and regression were conducted to assess group differences in SF-36 domain scores and independent associations between insomnia and HRQL, adjusting for inherent differences. Results: 962 respondents were categorized as: 230 "Insomnia" and 732 "No Insomnia". Patients with insomnia had worse mean Physical Component Summary (PCS) and Mental Component Summary (MCS) scores across most disease categories. Patients with insomnia had lower scores in all of the SF-36 scales for all disease groups except OAD. Conclusion: Findings suggest a strong association of poverty levels with increase in sleep problems - especially among women, and make a case for treating co-morbid insomnia independently of the primary condition.

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