The socioeconomic impact of insomnia

Author(s): Chilcott LA1, Shapiro CM


Insomnia is an extremely common symptom both de novo and in the context of other medical and psychiatric disorders. The impact of insomnia is often ignored both by the individual and by society in terms of its clinical and socioeconomic ramifications. Insomnia is therefore under-appreciated and almost certainly under-treated, thus making it a serious health concern. It is estimated that more than 60 million Americans suffer from insomnia annually, and this figure is expected to grow to 100 million by the middle of the 21st century. Whether it be difficulty initiating or maintaining sleep, the disruption of nocturnal sleep will invariably impact on daytime activities and often results in daytime fatigue, performance deficits (including memory and other cognitive deficits), an increase in the number of sick days taken by an individual and accidents (some catastrophic). This review examines the costs directly related to insomnia in various sectors of healthcare, the indirect costs associated with accidents, sick days and decreased work productivity, and related costs resulting from insomnia but which meet neither the criteria of direct nor indirect cost categories. The total direct, indirect and related costs of insomnia are conservatively estimated at $US30 to 35 billion annually in the US (1994 dollars). Economic gains can be made by treating patients on an outpatient basis in sleep centres.

Similar Articles

Sleep symptoms, race/ethnicity, and socioeconomic position

Author(s): Grandner MA, Petrov ME, Rattanaumpawan P, Jackson N, Platt A, et al.

Insomnia in primary care patients

Author(s): Shochat T, Umphress J, Israel AG, Ancoli-Israel S

Prevalence of insomnia: a survey of the enrollees at five managed care organizations

Author(s): Hatoum HT, Kania CM, Kong SX, Wong JM, Mendelson WB

Insomnia, health-related quality of life and healthcare resource consumption

Author(s): Hatoum HT, Kong SX, Kania CM, Wong JM, Mendelson WB

Management of insomnia in office-based practice

Author(s): Radecki SE, Brunton SA

Medical and socio-professional impact of insomnia

Author(s): Léger D, Guilleminault C, Bader G, Lévy E, Paillard M

Socioeconomic impact of insomnia in working populations

Author(s): Metlaine A, Leger D, Choudat D

Failure of physicians to recognize functional disability in ambulatory patients

Author(s): Calkins DR, Rubenstein LV, Cleary PD, Davies AR, Jette AM, et al.

The functional status of patients

Author(s): Nelson EC, Landgraf JM, Hays RD, Wasson JH, Kirk JW

Detection and management of mental health problems of older patients by primary care providers

Author(s): German PS, Shapiro S, Skinner EA, Von Korff M, Klein LE, et al.

Detection of depressive disorder for patients receiving prepaid or fee-for-service care

Author(s): Wells KB, Hays RD, Burnam MA, Rogers W, Greenfield S, et al.