Chronic Insomnia and Healthcare Utilization in Young Adults Metadata

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Title

  • Main Title Chronic Insomnia and Healthcare Utilization in Young Adults

Creator

  • Author: Bramoweth, Adam Daniel
    Creator Type: Personal

Contributor

  • Chair: Taylor, Daniel J.
    Contributor Type: Personal
    Contributor Info: Major Professor
  • Committee Member: Boals, Adriel, 1973-
    Contributor Type: Personal
  • Committee Member: Guarnaccia, Charles A.
    Contributor Type: Personal

Publisher

  • Name: University of North Texas
    Place of Publication: Denton, Texas
    Additional Info: Web: www.unt.edu

Date

  • Creation: 2011-08

Language

  • English

Description

  • Content Description: Chronic insomnia is a highly prevalent disorder in general and young adult populations, and contributes a significant economic burden on society. Previous studies have shown healthcare utilization (HCU) is significantly higher for people with insomnia than people without insomnia. One limitation with previous research is accurate measurement of HCU in people with insomnia is difficult due to a high co-morbidity of medical and mental health problems as well as varying operational definitions of insomnia. Assessing HCU in people with insomnia can be improved by applying research diagnostic criteria (RDC) for insomnia, using a population with low rates of co-morbid medical/mental health problems, and measuring HCU with subjective, objective, and predictive methods. The current study found young adults with chronic insomnia had greater HCU than normal sleepers, specifically on number of medications, and chronic disease score (CDS) estimates of total healthcare costs, outpatient costs, and predicted number of primary care visits. The presence of a medical and/or mental health problem acted as a moderating variable between chronic insomnia and HCU. Simple effects testing found young adults with chronic insomnia and a medical/mental health problem had the greatest HCU followed by normal sleepers with a medical/mental health problem, chronic insomnia, and normal sleepers. Exploratory analyses found young adults with chronic insomnia had a greater likelihood of emergency room visits and overnight hospital admissions. More efforts for early identification and intervention of insomnia are necessary to help reduce costs associated with chronic insomnia co-morbid with medical and/or mental health problems.

Subject

  • Keyword: Insomnia
  • Keyword: young adults
  • Keyword: comorbidity
  • Keyword: health expenditures

Collection

  • Name: UNT Theses and Dissertations
    Code: UNTETD

Institution

  • Name: UNT Libraries
    Code: UNT

Rights

  • Rights Access: public
  • Rights Holder: Bramoweth, Adam Daniel
  • Rights License: copyright
  • Rights Statement: Copyright is held by the author, unless otherwise noted. All rights reserved.

Resource Type

  • Thesis or Dissertation

Format

  • Text

Identifier

  • Accession or Local Control No: bramoweth_adam
  • Archival Resource Key: ark:/67531/metadc84179

Degree

  • Degree Grantor: University of North Texas
  • Academic Department: Department of Psychology
  • Degree Discipline: Heath Psychology and Behavioral Medicine
  • Degree Level: Doctoral
  • Degree Name: Doctor of Philosophy
  • Degree Publication Type: disse
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