Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: , Adnan Ezici, M.D[2] Insomnia Microchapters Home Patient Information Overview Historical Perspective Classification Pathophysiology Causes Differentiating Insomnia from other Diseases Epidemiology and Demographics Risk Factors Screening Natural History, Complications and Prognosis Diagnosis Diagnostic Study of Choice History and Symptoms Physical Examination Laboratory Findings Electrocardiogram X-ray Echocardiography and Ultrasound CT scan MRI Other Imaging Findings Other Diagnostic Studies Treatment Medical Therapy Non-Pharmacological Therapy Surgery Primary Prevention Secondary Prevention Cost-Effectiveness of Therapy Future or Investigational Therapies Case Studies Case #1 Insomnia On the Web Most recent articles Most cited articles Review articles CME Programs Powerpoint slides Images American Roentgen Ray Society Images of Insomnia :All Images :X'-'ray' 'X'-'rays :Ultrasound' 'Echo & Ultrasound :CT' 'CT Images :MRI' 'MRI Ongoing Trials at Clinical Trials.gov US National Guidelines Clearinghouse Template+loop+detected:+[[Template:Insomnia]]&searchType=guidance">NICE Guidance FDA on Insomnia CDC on Insomnia Insomnia in the news Blogs on Insomnia Directions to Hospitals Treating Insomnia Risk calculators and risk factors for Insomnia ## Overview[edit | edit source] The prevalence of insomnia disorder is 10,000-20,000 per 100,000 (10%-20%) in the primary care setting. There is no significant association between increased risk of death and insomnia. Insomnia is found to be higher in incidence among the population of age <35 years. There is no racial predilection to insomnia disorder. However, sleep disturbances more likely affect individuals of the black race. ## Epidemiology and Demographics[edit | edit source] ### Incidence and Prevalence[edit | edit source] Insomnia affects 10-50% of the population worldwide. The prevalence of insomnia disorder is 10,000-20,000 per 100,000 (10%-20%) in the primary care setting.[1]According to the U.S. Department of Health and Human Services in year 2007, approximately 64 million Americans suffer from insomnia each year.[2] Insomnia tends to increase with age and affects about 40 percent of women and 30 percent of men.[3] The average American gets 7 hours of sleep, instead of the 8 to 10 hours recommended by doctors. Children, however, are recommended more than 8 hours. ### Case-fatality rate/Mortality rate[edit | edit source] There is no significant association between increased risk of death and insomnia.[4] ### Age and Gender[edit | edit source] Insomnia is found to be higher in incidence among the population of age <35 years. The females are more affected than males but the values are statistically insignificant. [5].[6] ### Race[edit | edit source] There is no racial predilection to insomnia disorder. However, sleep disturbances more likely affect individuals of the black race.[7][8] ## References[edit | edit source] 1. ↑ Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558. 2. ↑ "Brain Basics: Understanding Sleep: National Institute of Neurological Disorders and Stroke (NINDS)". Retrieved 2007-12-16. 3. ↑ "Insomnia". Retrieved 2007-12-16. 4. ↑ Lovato N, Lack L (February 2019). "Insomnia and mortality: A meta-analysis". Sleep Med Rev. 43: 71–83. doi:10.1016/j.smrv.2018.10.004. PMID 30529432. 5. ↑ Bhaskar S, Hemavathy D, Prasad S. Prevalence of chronic insomnia in adult patients and its correlation with medical comorbidities. J Family Med Prim Care. 2016;5(4):780-784. doi:10.4103/2249-4863.201153 6. ↑ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6732697 7. ↑ Grandner MA, Williams NJ, Knutson KL, Roberts D, Jean-Louis G (2016). "Sleep disparity, race/ethnicity, and socioeconomic position". Sleep Med. 18: 7–18. doi:10.1016/j.sleep.2015.01.020. PMC 4631795. PMID 26431755.CS1 maint: Multiple names: authors list (link) 8. ↑ Petrov ME, Lichstein KL (2016). "Differences in sleep between black and white adults: an update and future directions". Sleep Med. 18: 74–81. doi:10.1016/j.sleep.2015.01.011. PMID 25754383.