PracticeUpdate Conference Series European Congress of Psychiatry 2019

Insomnia Associated With Reduced Health- Related Quality of Life Other factors negatively affecting quality of life were stress, aging and chronic pain. H aving insomnia is linked with having a poorer quality of life as it relates to physical health, according to a Bekaa. Overall, 65% of participants were female.

With regard to mental health, having a psychiatric disease was associated with an increase in the SF-12-MCS score (beta coefficient = 1.951; P = .041). Factors asso- ciated with a lower SF-12 MCS were aging (beta coefficient = –0.048; P < .001) and chronic pain (beta coefficient = –1.344; P = .028). “This study adds to the evidence that insomnia, along with other factors, can have a detrimental impact on quality of life and highlights the importance of manag- ing all contributing/associated factors with insomnia for a personalized treatment of patients with sleep disorders,” concluded the authors in their poster. “Insomnia and poorer quality of life go hand-in-hand, regardless of ethnic or national background,” Dennis Butler, PhD, Professor Emeritus of Family Medicine at the Medical College of Wisconsin in Milwaukee, told Elsevier’s PracticeUpdate in a comment on the study. “In this study of Lebanese subjects, the common factors relating sleep problems and quality of life were verified: stress, increases in insomnia severity, chronic pain conditions, and sleep problems related to aging were all associated with a decline in quality of life. “For primary care providers and public health officials, the real challenge is increasing patients’ awareness of this relationship and getting them motivated to do something about it. Most patient education handouts on sleep hygiene contain well-founded suggestions for improving sleep latency, duration and quality, although in my experience many patients don’t read them in depth. There are also many self-help books on healthy sleeping that can be recommended. An approach with good evidence of success is to refer sleep-disrupted patients to a behavioral therapist or health coach who then leads patients through a psycho- educational treatment program for four to six sessions over a few weeks in order to stabilize sleep patterns.”

Participants completed a number of val- idated scales that assess psychological factors (physical and mental distress, anxiety, depression), insomnia and quality of life. This included the medical outcome survey Short Form-12 Physical Component Summary (SF-12 PCS) and Mental Component Summary (SF-12 MCS). Higher scores on the SF-12 represent bet- ter self-reported health. Having a family history of insomnia prob- lems was significantly associated with an elevated score on the SF-12 PCS (beta coefficient = 1.037; P = .041). Factors associated with a lower SF-12 PCS score were increased stress (beta coefficient = –0.056; P = .031) and increased insomnia severity (beta coefficient = –0.135; P = .016).

poster presented at EPA 2019. In their poster, the study investigators, led by Souheil Hallit, PhD, of Holy Spirit University of Kaslik USEK in Jounieh, Lebanon, noted that, “sleep disorders, particularly insomnia, are currently rec- ognized as a major public health concern with a devastating impact on the quality of life of patients. The aim of our study was to assess if insomnia, along with other fac- tors, can impact the physical and mental quality of life of the general population.” Dr. Hallit and colleagues conducted a cross-sectional study between August 2017 and April 2018 in a proportionate ran- dom sample of 756 community dwellers in Lebanese Mohafazat, which comprises Beirut, Mount Lebanon, North, South and

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EPA 2019 • PRACTICEUPDATE CONFERENCE SERIES 19