Insomnia in rural communities and Dysfunctional Beliefs and Attitudes about Sleep as a risk factor of Insomnia

The aim of the study was to define the prevalence of insomnia symptoms in rural regions and to determine the relationship between insomnia and the dysfunctional beliefs and attitudes about insomnia, and other risk factors. We used an own survey that included the Insomnia Severity Index and the Dysfunctional Beliefs and Attitudes about Sleep Scale. The study population was composed of individuals aged from 18 to 65 years from two rural areas. In total, 523 individuals were included in our study. Insomnia symptoms prevalence was determined as: 37.3% subthreshold insomnia, 9.2% moderate severe insomnia and 0.4% severe insomnia. Significant risk factors for insomnia were having at least one of the problems of sleep walking, sleep talking and sleep bruxism (OR: 2.163 CI: 1.320-3.543) and dysfunctional beliefs and attitudes such as worrying about insomnia (OR: 1.068 CI: 1.037-1.100). According to the multiple regression analysis, the following are also determinants of insomnia score: the worry about insomnia (β=0.380) and the use of medication (β=0.098) dimensions of Dysfunctional Beliefs and Attitudes About Sleep Index, having at least one of the problems of sleep walking, sleep talking and sleep bruxism (β=0.131) and being obese or overweight (β=0.083).