Insomnia in adolescents: Prevalence, help-seeking behaviors, and types of interventions

Abstract

Background: Little is known about the DSM-IV diagnosis of insomnia among adolescents. Their help-seeking behaviors and self-help strategies for insomnia remain largely unclear. Method: A cross-sectional, interview-based study of 290 Chinese adolescents. Results: The prevalence of insomnia symptoms was 40%, among which 9.3% had DSM-IV insomnia. Primary insomnia accounted for 7.9%, whereas insomnia associated with psychiatric disorders constituted 1.4%. Adolescents with DSM-IV insomnia had more severe and frequent insomnia, higher GHQ scores, and were more likely to have a history of sleep paralysis than those with insomnia symptoms alone. About 22% of adolescents with insomnia symptoms sought help and 32% attempted various strategies to improve sleep. Conclusions: Many adolescents were troubled by insomnia, but they seldom sought help from healthcare professionals or received proper treatments. © 2012 Association for Child and Adolescent Mental Health.