Insomnisymtom i primärvården: Prediktorer för svårighetsgrad, behandling och hjälpsökande
(2026) PSPR14 20252Department of Psychology
- Abstract
- Sleep difficulties are frequently reported in the general population, and insomnia is among the most prevalent of sleep disorders, with substantial consequences for daytime functioning and psychological well-being. Prior studies have linked insomnia to several sociodemographic and clinical factors. However, knowledge is limited in how these factors together relate to symptom severity, treatment patterns, and willingness to receive help for sleep problems in primary care. The aim of this study was to investigate predictors of insomnia severity, previous or ongoing treatment types for sleep problems, and willingness to receive help for sleep problems among adult primary care
patients. The study employed a cross-sectional design and was... (More) - Sleep difficulties are frequently reported in the general population, and insomnia is among the most prevalent of sleep disorders, with substantial consequences for daytime functioning and psychological well-being. Prior studies have linked insomnia to several sociodemographic and clinical factors. However, knowledge is limited in how these factors together relate to symptom severity, treatment patterns, and willingness to receive help for sleep problems in primary care. The aim of this study was to investigate predictors of insomnia severity, previous or ongoing treatment types for sleep problems, and willingness to receive help for sleep problems among adult primary care
patients. The study employed a cross-sectional design and was based on a consecutive sample recruited at health centres in three municipalities in southern Sweden (N = 471). The data were analysed using hierarchical multiple linear regression as well as binary and multinomial logistic regression. Results showed that poorer self-rated general health, younger age, and foreign-born status (i.e., outside Sweden) were associated with greater insomnia symptom severity. Older age was associated with a lower likelihood of having received psychological treatment compared with pharmacological treatment only. Among participants with clinically significant insomnia symptoms, shorter self-reported sleep duration and greater sleep-related functional impairment were associated with increased willingness to receive help. In conclusion, insomnia severity, previous or ongoing treatment types, and willingness to receive help for sleep problems in primary care show substantial variation and are partly consistent with, but also diverge from, previous research. (Less) - Abstract (Swedish)
- Sömnsvårigheter är vanliga i befolkningen och insomni utgör en av de mest förekommande sömnstörningarna med påtagliga konsekvenser för dagtida funktion och psykiskt välbefinnande. Flera sociodemografiska och kliniska riskfaktorer har identifierats, men kunskapen är begränsad om hur dessa faktorer tillsammans samvarierar med symtomens svårighetsgrad, behandling och önskemål om hjälp i primärvården. Mot denna bakgrund var syftet med föreliggande studie att undersöka (1) i vilken utsträckning är patientfaktorer associerade med svårighetsgrad av insomnisymtom, (2) i vilken utsträckning är de associerade till typ av tidigare eller pågående behandling för sömnproblem samt (3) i vilken utsträckning är de associerade med önskemål om vårdhjälp... (More)
- Sömnsvårigheter är vanliga i befolkningen och insomni utgör en av de mest förekommande sömnstörningarna med påtagliga konsekvenser för dagtida funktion och psykiskt välbefinnande. Flera sociodemografiska och kliniska riskfaktorer har identifierats, men kunskapen är begränsad om hur dessa faktorer tillsammans samvarierar med symtomens svårighetsgrad, behandling och önskemål om hjälp i primärvården. Mot denna bakgrund var syftet med föreliggande studie att undersöka (1) i vilken utsträckning är patientfaktorer associerade med svårighetsgrad av insomnisymtom, (2) i vilken utsträckning är de associerade till typ av tidigare eller pågående behandling för sömnproblem samt (3) i vilken utsträckning är de associerade med önskemål om vårdhjälp bland patienter med kliniskt signifikanta insomnisymtom. Studien hade en tvärsnittsdesign och baserades på ett konsekutivt urval av patienter som rekryterades vid primärvårdsmottagningar i södra Sverige (N = 471). Data analyserades med regressionsmodeller anpassade till respektive frågeställning. Resultaten visade att sämre självskattad allmän hälsa, yngre ålder och att vara född utanför Sverige var associerade med högre grad av insomnisymtom. Högre ålder var associerad med lägre odds att ha fått psykologisk behandling jämfört med enbart farmakologisk behandling. Kortare sömn och sömnrelaterad nedsättning i dagligt fungerande var associerade med högre odds att önska hjälp från vården för sömnproblem. Sammantaget indikerar resultaten svårighetsgrad av insomni, tidigare eller pågående behandling samt orientering till vårdhjälp för sömnproblem i primärvården uppvisar stor variation och delvis överensstämmer med, men också avviker från, tidigare forskning. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/student-papers/record/9221582
- author
- Horescu, Anna Gabriella LU and Rontsinsky, Damien LU
- supervisor
- organization
- course
- PSPR14 20252
- year
- 2026
- type
- H3 - Professional qualifications (4 Years - )
- subject
- keywords
- Insomnia, primary care, patients, help-seeking, treatment choice, Insomnia Severity Index, insomni, primärvården, patienter, hjälpsökande, behandlingsval
- language
- Swedish
- id
- 9221582
- date added to LUP
- 2026-02-04 14:33:53
- date last changed
- 2026-02-04 14:33:53
@misc{9221582,
abstract = {{Sleep difficulties are frequently reported in the general population, and insomnia is among the most prevalent of sleep disorders, with substantial consequences for daytime functioning and psychological well-being. Prior studies have linked insomnia to several sociodemographic and clinical factors. However, knowledge is limited in how these factors together relate to symptom severity, treatment patterns, and willingness to receive help for sleep problems in primary care. The aim of this study was to investigate predictors of insomnia severity, previous or ongoing treatment types for sleep problems, and willingness to receive help for sleep problems among adult primary care
patients. The study employed a cross-sectional design and was based on a consecutive sample recruited at health centres in three municipalities in southern Sweden (N = 471). The data were analysed using hierarchical multiple linear regression as well as binary and multinomial logistic regression. Results showed that poorer self-rated general health, younger age, and foreign-born status (i.e., outside Sweden) were associated with greater insomnia symptom severity. Older age was associated with a lower likelihood of having received psychological treatment compared with pharmacological treatment only. Among participants with clinically significant insomnia symptoms, shorter self-reported sleep duration and greater sleep-related functional impairment were associated with increased willingness to receive help. In conclusion, insomnia severity, previous or ongoing treatment types, and willingness to receive help for sleep problems in primary care show substantial variation and are partly consistent with, but also diverge from, previous research.}},
author = {{Horescu, Anna Gabriella and Rontsinsky, Damien}},
language = {{swe}},
note = {{Student Paper}},
title = {{Insomnisymtom i primärvården: Prediktorer för svårighetsgrad, behandling och hjälpsökande}},
year = {{2026}},
}