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Sleep in Relation to Somatic Health, Mental Health and Pain
B. Akerström M.D, J. Selander M.D, S.U. Marnetoft, M.D, Ragnar Asplund M.D., Ph.D
The present study, a questionnaire survey, was undertaken to assess the influence of
somatic health, mental health, pain and age on sleep in a group of men and women.
The survey comprised 1948 randomly selected persons (47.7% men) of ages 20-64
years. Poor somatic health was reported by 12.5% of the men and 15.3% of the
women and poor mental health by 8.7% of the men and 10.6% of the women.
Among the men very good sleep was reported by 34.7% and rather good, rather
poor and very poor sleep by 52.8%, 10.9%, and 1.6%, respectively. The
corresponding frequencies in women were 32.7%, 51.9%, 12.9% and 2.5%,
respectively (NS). No or very light pain was reported by 50.7% of the men and rather
light, rather severe or very severe pain by 35.7%, 12.0%, and 1.6%, respectively. The
corresponding frequencies in women were 48.1%, 35.4%, 14.1% and 2.4%,
respectively (NS). A forward stepwise regression analysis showed that in men, more
severe sleep disturbances were associated with poorer mental health (R2=0.227), pain
(R2=0.292) and poorer somatic health (R2=0.304). Correspondingly, more severe sleep
disturbances were associated with poorer somatic health (R2 = 0.218), poorer mental
health (R2=0.280) and pain (R2=0.326) in women. Age, education, being gainfully
employed and income were deleted by the regression model in both sexes. It is
concluded that poor mental health exerts the most detrimental influence on sleep in
men, somatic health in women, and that age does not independently affect sleep at
all.
| Keywords: age, education, employment status, mental health, pain, sleep, somatic health |
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