Current status of sleep quality in Taiwan: a nationwide walk-in survey

Annals of General Psychiatry

Shu-Yu Tai²  Wen-Fu Wang¹  Yuan-Han Yang³ 

[1] Department of Neurology, Changhua Christian Hospital, Changhua, Taiwan

[2] Department of Family Medicine, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

[3] Department of and Master’s Program in Neurology, Faculty of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

关键词: Taiwan;    Hypnotics;    PSQI;    Sleep quality;    Walk-in screen;   

Others  :  1230178
DOI  :  10.1186/s12991-015-0078-7

 received in 2015-02-13, accepted in 2015-10-20,  发布年份 2015

【 摘 要 】

Background

Sleep disorder plays an important role in the overall health care system, because it can be co-morbid with many other physical or mental disorders. In this study, we conducted a screening survey to determine the current status of sleep quality in the general population of Taiwan.

Methods

During the period 1 March 2010 to 30 April 2013, we collaborated with the Fo-Guang Shan Compassion Foundation’s Mentality Protection Center (MPC) branches to conduct 53 walk-in screenings at the 59 branches distributed throughout Taiwan. We used the Pittsburgh Sleep Quality Index (PSQI) to assess multiple dimensions of sleep over a 1-month period after identifying the participants’ age, sex, and residence location. The participants were identified to have poor sleep quality if their PSQI-T total score was greater than five.

Results

In total, 760 participants, 195 from northern, 289 from central, 228 from southern, and 48 from eastern Taiwan with an average age of 54.2 years (SD 14.7) were recruited. We found that 46.6 % of all participants had poor sleep quality and that there were significantly different proportions among the four areas. Besides, 11.6 % of all participants and 21.8 % of individuals with poor sleep quality had used sedatives/hypnotics to help them fall asleep in the past 4 weeks, and the proportion was highest in the eastern area.

Conclusions

This survey suggested that the ratio of poor sleep quality in Taiwan is progressively increasing compared to the previous studies. In addition, there were significantly different proportions of individuals with poor sleep quality and hypnotics’ uses among the four areas.

【 授权许可】

   
2015 Tai et al.

【 参考文献 】

• [1]Sateia MJ: International classification of sleep disorders-third edition: highlights and modifications. Chest 2014, 146:1387-1394.
• [2]Ohayon MM, Reynolds CF 3rd: Epidemiological and clinical relevance of insomnia diagnosis algorithms according to the DSM-IV and the International Classification of Sleep Disorders (ICSD). Sleep Med 2009, 10:952-960.
• [3]Uhlig B, Engstrøm M, Ødegård S, Hagen K, Sand T: Headache and insomnia in population-based epidemiological studies. Cephalalgia 2014, 34:745-751.
• [4]Roth T. Insomnia: definition, prevalence, etiology, and consequences. J Clin Sleep Med. 2007;3:S7–10.
• [5]Britt H MG, Charles J, Henderson J, Bayram C, Pan Y, Valenti L, Harrison C, O’Halloran J, Fahridin S. General practice activity in Australia 2009–10. Canberra: Australian Institute of Health and Welfare, 2010; 2010.
• [6]Baglioni C, Battagliese G, Feige B, Spiegelhalder K, Nissen C, Voderholzer U, Lombardo C, Riemann D: Insomnia as a predictor of depression: a meta-analytic evaluation of longitudinal epidemiological studies. J Affect Disord 2011, 135:10-19.
• [7]Riedel BW, Lichstein KL: Insomnia and daytime functioning. Sleep Med Rev 2000, 4:277-298.
• [8]Strine TW, Chapman DP: Associations of frequent sleep insufficiency with health-related quality of life and health behaviors. Sleep Med 2005, 6:23-27.
• [9]Chen X, Beydoun MA, Wang Y: Is sleep duration associated with childhood obesity? A systematic review and meta-analysis. Obesity 2008, 16:265-274.
• [10]Vgontzas AN, Liao D, Pejovic S, Calhoun S, Karataraki M, Bixler EO: Insomnia with objective short sleep duration is associated with type 2 diabetes A population-based study. Diabetes Care 2009, 32:1980-1985.
• [11]Vozoris NT: The relationship between insomnia symptoms and hypertension using United States population-level data. J Hypertens 2013, 31:663-671.
• [12]Fullerton D: The economic impact of insomnia in managed care: a clearer picture emerges. Am J Manag Care 2006, 12:S246-S252.
• [13]Ministry of Health and Welfare,Statistics,. http://www.mohw.gov.tw/EN/Ministry/Statistic.aspx?f_list_no=474. Accessed 2015 July 28.
• [14]Nomura K, Yamaoka K, Nakao M, Yano E: Impact of insomnia on individual health dissatisfaction in Japan, South Korea, and Taiwan. Sleep 2005, 28:1328-1332.
• [15]Kao CC, Huang CJ, Wang MY, Tsai PS: Insomnia: prevalence and its impact on excessive daytime sleepiness and psychological well-being in the adult Taiwanese population. Qual Life Res 2008, 17:1073-1080.
• [16]Susan Shur-Fen GAU: Prevalence of sleep problems and their association with inattention/hyperactivity among children aged 6–15 in Taiwan J Sleep Res 2006, 15:403-414.
• [17]Huang YS, Wang CH, Guilleminault C: An epidemiologic study of sleep problems among adolescents in North Taiwan. Sleep Med 2010, 11:1035-1042.
• [18]Chen HC, Su TP, Chou P: A nine-year follow-up study of sleep patterns and mortality in community-dwelling older adults in Taiwan. Sleep 2013, 36:1187-1198.
• [19]Chueh K-H, Yang M-S, Chen C-S, Chiou S-M: Poor sleep quality and alcohol use problems among elderly Taiwanese aboriginal women. Int Psychogeriatr 2009, 21:593.
• [20]Chen W-C, Lim P-S, Wu W-C, Chiu H-C, Chen C-H, Kuo H-Y, Tsai T-W, Chien P-I, Su Y-J, Su Y-L: Sleep behavior disorders in a large cohort of Chinese (Taiwanese) patients maintained by long-term hemodialysis. Am J Kidney Dis 2006, 48:277-284.
• [21]Hsu YW, Ho CH, Wang JJ, Hsieh KY, Weng SF, Wu MP: Longitudinal trends of the healthcare-seeking prevalence and incidence of insomnia in Taiwan: an 8-year nationally representative study. Sleep Med 2013, 14:843-849.
• [22]Yang YH, Galvin JE, Morris JC, Lai CL, Chou MC, Liu CK: Application of AD8 questionnaire to screen very mild dementia in Taiwanese. Am J Alzheimers Dis Other Demen 2011, 26:134-138.
• [23]Radloff LS: The use of the center for epidemiologic studies depression scale in adolescents and young adults. J Youth Adolesc 1991, 20:149-166.
• [24]Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ: The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989, 28:193-213.
• [25]Buysse DJ, Reynolds Iii CF, Monk TH, Berman SR, Kupfer DJ: The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Res 1989, 28:193-213.
• [26]Buysse DJ, Reynolds CF 3rd, Monk TH, Hoch CC, Yeager AL, Kupfer DJ: Quantification of subjective sleep quality in healthy elderly men and women using the Pittsburgh Sleep Quality Index (PSQI). Sleep 1991, 14:331-338.
• [27]Tzeng JI, Fu YW, Lin CC: Validity and reliability of the Taiwanese version of the Pittsburgh Sleep Quality Index in cancer patients. Int J Nurs Stud 2012, 49:102-108.
• [28]Department of Civil affair, Ministry of the Interior, Taiwan.. http://sowf.moi.gov.tw/stat/month/elist.htm
• [29]Department of Statistics, Minister of the Interior. Statistical Yearbook of Interior. http://www.moi.gov.tw/stat/english/index.asp. Accessed March 31, 2014.
• [30]Busto UE, Ruiz I, Busto M, Gacitua A: Benzodiazepine use in Chile: impact of availability on use, abuse, and dependence. J Clin Psychopharmacol 1996, 16:363-372.
• [31]De Las Cuevas C, Sanz E, De La Fuente JA, Cabrera C, Mateos A: Prescribed daily doses and ‘risk factors’ associated with the use of benzodiazepines in primary care. Pharmacoepidemiol Drug Saf 1999, 8:207-216.
• [32]Zandstra SM, Furer JW, van de Lisdonk EH, van’t HM, Bor JH, van Weel C, Zitman FG: Different study criteria affect the prevalence of benzodiazepine use. Soc Psychiatry Psychiatr Epidemiol 2002, 37:139-144.
• [33]Morin CM, Bélanger L, LeBlanc M, et al.: The natural history of insomnia: a population-based 3-year longitudinal study. Arch Intern Med 2009, 169:447-453.
• [34]Tsou M-T: Prevalence and risk factors for insomnia in community-dwelling elderly in northern Taiwan. J Clin Gerontol Geriatr 2013, 4:75-79.
• [35]Buysse DJ, Reynolds CF, III, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Research, 28:193–213.