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Charles F. Reynolds III, MD

JAMA. 1989;262(11):1514.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The article by Ford and Kamerow¹ in this issue of THE JOURNAL has implications for clinicians, epidemiologists, and policymakers in the area of health care utilization and planning. Using a household probability sample,² a conservative definition of sleep complaints, structured psychiatric interviewing, systematic follow-up, and logistic regression modeling, this is probably one of the most scientifically rigorous epidemiologic investigations of sleep disturbance and psychopathology ever reported.

A surprising result is the high prevalence of psychiatric disorders among respondents complaining of hypersomnia or excessive daytime sleepiness, variously 45.6% to 64%. Over the past quarter-century, most studies of excessive daytime sleepiness, which have been based on treatment-prevalence data (rather than on a household probability sample, as in the article by Ford and Kamerow), have noted the strong association of excessive daytime sleepiness with sleep apnea and narcolepsy-cataplexy but not with psychiatric disorders (see, for example, Coleman et al³). Thus, . . . [Full Text PDF of this Article]

Author Affiliations
University of Pittsburgh (Pa) School of Medicine

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