When I die .. I want insomnia on my death certificate .. that’s the root of my problems

Thursday, 20th May 2010.

Seems a bit extreme or so you might think, but this is the statement of a patient who took part in a study just published in the British Journal of General Practice.

This in-depth research, conducted by researchers in Lincoln and Nottingham, reports in detail on the experiences of 30 patients with insomnia, and of 15  GPs who struggle daily to deal with this all too common problem. 

It comes as a plea from the heart, someone crying out for recognition that insomnia is such a big deal, only wishing that it could be taken more seriously. Indeed, this was a common theme that came up from the focus group discussions, with patients feeling they had to convince their GPs that their sleep difficulties were serious.

GPs recognised that insomnia was related to physical and mental health complaints, but it seems they often believe that the insomnia just a symptom caused by such problems. This contrasts with the patient’s view e.g. “I think a lot of it is because I’m so tired, that is what causes my depression”.

Actually the patients are right in the sense that many research studies conducted worldwide shows that persistent insomnia is a risk factor for developing depression in the first place. Maybe the NHS needs to listen to the patients more often!

This paper is great to have in a major scientific journal. Even better, BJGP invite folks to contribute comments on the article at a Discussion Forum  http://www.rcgp.org.uk/bjgp-discuss.   Get writing!

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