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首页> 外文期刊>Journal of psychiatric research >Determining the level of sleepiness in the American population and its correlates
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Determining the level of sleepiness in the American population and its correlates

机译：确定美国人口的嗜睡程度及其相关性

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Objective: To assess the prevalence, to determine the risk factors and to evaluate the impacts of excessive sleepiness in the general population. Method: It is a cross-sectional telephone study using a representative sample consisting of 8937 non-institutionalized individuals aged 18 or over living in Texas, New York and California. They represented a total of 62.8 million inhabitants. The participation rate was 85.6% in California, 81.3% in New York and 83.2% in Texas. Interviews were managed by the Sleep-EVAL expert system. The questionnaire included questions on sleeping habits, life habits, health, DSM-IV mental disorders, DSM-IV and ICSD sleep disorders. Results: As many as 19.5% of the sample reported having moderate excessive sleepiness and 11.0% reported severe excessive sleepiness. Moderate excessive sleepiness was comparable between men and women but severe excessive sleepiness was higher in women (8.6% vs. 13.0%). Factors associated with moderate excessive sleepiness were sleeping 6 h or less per main sleep episode (OR:2.0); OSAS (OR:2.0); insomnia disorder (OR:2.4); Restless Legs Syndrome (OR: 1.8) major depressive disorder (OR: 1.7); anxiety disorder (OR:1.5) and use of tricyclic antidepressant (OR: 2.1) presence of heart disease (OR: 1.5), cancer (1.8) and chronic pain (1.3). Factors associated with severe excessive sleepiness were similar with the addition of being a woman (OR:1.5), alcohol dependence (OR: 1.4), bipolar disorder (OR: 2.1), use of over-the-counter sleeping pills (OR: 2.5), narcotic analgesics (OR: 3.4), Antidepressants (other than SSRI or tricyclic) and presence of gastro-esophageal reflux disease (OR:1.6). Sleepy individuals were twice as likely than non-sleepy participants to have had accidents while they were at the wheel of a vehicle during the previous year. Conclusions: Excessive sleepiness is highly prevalent in the American population. It was strongly associated with insufficient sleep and various sleep disorders as well as mental and organic diseases.
机译：目的：评估患病率，确定危险因素并评估过度嗜睡对普通人群的影响。方法：这是一项横断面电话研究，使用的代表性样本由8937名18岁或以上的非机构化个体组成，分别居住在德克萨斯州，纽约和加利福尼亚州。他们代表了6280万居民。加州的参与率为85.6％，纽约为81.3％，德克萨斯为83.2％。采访由Sleep-EVAL专家系统管理。问卷包括关于睡眠习惯，生活习惯，健康，DSM-IV精神障碍，DSM-IV和ICSD睡眠障碍的问题。结果：多达19.5％的样本报告有中度过度嗜睡，而11.0％的样本报告有严重过度嗜睡。男女之间有中等程度的过度嗜睡，但女性严重过度嗜睡的发生率较高（8.6％比13.0％）。与中度过度嗜睡有关的因素是每次主要睡眠发作睡眠6小时或更短时间（OR：2.0）; OSAS（OR：2.0）;失眠症（OR：2.4）;不安腿综合征（OR：1.8）重度抑郁症（OR：1.7）;焦虑症（OR：1.5）和使用三环类抗抑郁药（OR：2.1）存在心脏病（OR：1.5），癌症（1.8）和慢性疼痛（1.3）。与严重过度嗜睡有关的因素与增加女性（OR：1.5），酒精依赖（OR：1.4），躁郁症（OR：2.1），使用非处方安眠药（OR：2.5）相似。 ），麻醉性镇痛药（OR：3.4），抗抑郁药（SSRI或三环类药物除外）和存在胃食管反流病（OR：1.6）。在上一年中，昏昏欲睡的人发生意外的可能性是非昏昏欲睡的参与者的两倍。结论：过度嗜睡在美国人群中非常普遍。它与睡眠不足和各种睡眠障碍以及精神和器质性疾病密切相关。

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