ISSN 0031-5125 DOI 10.2466/15.06.PMS.118k20w3
Perceptual & Motor Skills: Physical Development & Measurement
PREVALENCE AND CORRELATES OF INSOMNIA AND EXCESSIVE
SLEEPINESS IN ADULTS WITH OBSTRUCTIVE SLEEP
APNEA SYMPTOMS
1
BJØRN BJORVATN
Department of Global Public
Health and Primary Care
STÅLE PALLESEN
Department of Psychosocial
Science
JANNE GRØNLI
Department of Biological and
Medical Psychology
University of Bergen, Norway
Norwegian Competence Center for Sleep Disorders, Haukeland University Hospital, Norway
BØRGE SIVERTSEN
Division of Mental Health, Norwegian Institute of Public Health, Norway
Uni Health, Uni Research, Bergen, Norway
Department of Psychiatry, Helse Fonna HF, Haugesund, Norway
SVERRE LEHMANN
Norwegian Competence Center for Sleep Disorders, Haukeland University Hospital, Norway
Section for Thoracic Medicine, Department of Clinical Science, University of Bergen, Norway
Summary.—This study investigated the prevalence and correlates of insomnia
and excessive sleepiness in adults presenting symptoms of obstructive sleep apnea
(OSA) in the general population. Randomly selected participants ( N = 1,502; 50.7%
men, 49.3% women), ages 40 to 70 yr. ( M = 53.6, SD = 8.5) were interviewed over the
telephone. Insomnia and excessive sleepiness (hypersomnia) were assessed with
the Bergen Insomnia Scale and the Epworth Sleepiness Scale, respectively. OSA
symptoms were identified by self- or spouse reports on snoring, breathing cessa-
tions during sleep, and being tired or sleepy. The prevalence of OSA was 6.2%.
Among these participants with OSA, 57.6% reported insomnia and 30.1% reported
excessive sleepiness. Furthermore, OSA symptoms were associated with self-
reported obesity, hypertension, diabetes, and depression, but only in participants
with comorbid insomnia or excessive sleepiness.
Obstructive sleep apnea (OSA) is a common sleep disorder, charac-
terized by repetitive episodes of complete or partial upper-airway ob-
struction occurring during sleep. OSA is associated with several neg-
ative health effects. Hypertension (Peppard, Young, Palta, & Skatrud,
2000; Calhoun, 2010), diabetes (Rasche, Keller, Tautz, Hader, Hergenc,
Antosiewicz, et al., 2010), increased mortality and cardiovascular disease
© Perceptual & Motor Skills 2014 2014, 118, 2, 571-586.
1
Address correspondence to Bjørn Bjorvatn, M.D., Ph.D., Department of Global Public
Health and Primary Care, University of Bergen, Kalfarveien 31, N-5018 Bergen, Norway or
e-mail (bjorn.bjorvatn@isf.uib.no).