PSYCHOSOCIAL CORRELATES OF INSOMNIA SEVERITY IN PRIMARY CARE FUNDING SOURCE: American Academy of Family Physicians Foundation Grant. WORD COUNT: 2,684 INTRODUCTION: Chronic insomnia is defined as difficulty initiating or maintaining sleep or non-restorative sleep that impairs daytime functioning

PSYCHOSOCIAL CORRELATES OF INSOMNIA SEVERITY IN PRIMARY CARE FUNDING SOURCE: American Academy of Family Physicians Foundation Grant. WORD COUNT: 2,684 INTRODUCTION: Chronic insomnia is defined as difficulty initiating or maintaining sleep or non-restorative sleep that impairs daytime functioning. 1 An estimated 40 to 70 million Americans are affected with insomnia intermittently and 10 to 20 percent are affected chronically. 2 Placed in perspective, this figure is double the prevalence of major depression (6.6 percent per year). 3 Insomnia consequences are substantive and include mood disturbances, medication habituation, memory impairment, daytime fatigue, vocational and interpersonal difficulties, increased healthcare utilization, impaired health status, 4, 5, 6 and accidents. 7 Insomnia costs exceed 42 billion dollars each year. 8 Insomnia is thus a primary care concern in view of its prevalence, consequences and costs.