{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T12:17:48Z","timestamp":1788178668947,"version":"build-2803163510"},"reference-count":47,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"unspecified","delay-in-days":61,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Fam Med Com Health"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To analyse the prevalence, the annual rate of insomnia diagnosis and the associated pharmacological prescription in Central Catalonia during the 2018\u20132024\u2009period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Population-based retrospective observational study using collected electronic primary care health records (ECAP) from 2018 to 2024. Sociodemographic and clinical characteristics, insomnia prevalence, annual diagnosis rates and associated pharmacological prescribing patterns were analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Primary care centres in Central Catalonia, Spain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Adult population of Central Catalonia diagnosed with insomnia between 2018 and 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The prevalence of insomnia increased by 43.4% during the study period, reaching 11.17% (95% CI 11.05 to 11.28) in 2024. The factors associated with higher prevalence were advanced age, female sex, residence in urban areas, polypharmacy and mental health comorbidity. The percentage of people with insomnia receiving pharmacological treatment increased from 47.88% (2018) to 55.11% (2024). Among patients receiving pharmacological treatment, anxiolytics were the most frequently prescribed medication class (36.68% in 2018 to 39.44% in 2024), followed by hypnotics and sedatives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The prevalence of insomnia and the use of pharmacological treatments among patients with insomnia\u2014including anxiolytics, hypnotics and sedatives\u2014have increased in recent years. These findings demonstrate the need to improve strategies in managing insomnia in primary care in order to promote the use of the first-line tool in the treatment of insomnia, cognitive behavioural therapy and thereby minimise pharmacological overprescription.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/fmch-2026-004152","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T11:45:25Z","timestamp":1788176725000},"page":"e004152","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Insomnia and associated pharmacological prescription in the adult population in primary care in Central Catalonia from 2018 to 2024"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1707-9956","authenticated-orcid":false,"given":"Berta","family":"Bertrans Vilar\u00f3","sequence":"first","affiliation":[{"name":"Unitat de Suport a la Recerca de la Catalunya Central, Fundaci\u00f3 Institut Universitari per a la Recerca a l\u2019Atenci\u00f3 Prim\u00e0ria de Salut Jordi Gol i Gurina, ICS, Sant Fruit\u00f3s de Bages, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7379-4671","authenticated-orcid":false,"given":"Queralt","family":"Mir\u00f3 Catalina","sequence":"additional","affiliation":[{"name":"Unitat de Suport a la Recerca de la Catalunya Central, Fundaci\u00f3 Institut Universitari per a la Recerca a l\u2019Atenci\u00f3 Prim\u00e0ria de Salut Jordi Gol i Gurina, ICS, Sant Fruit\u00f3s de Bages, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3527-4242","authenticated-orcid":false,"given":"Josep","family":"Vidal-Alaball","sequence":"additional","affiliation":[{"name":"Unitat de Suport a la Recerca de la Catalunya Central, Fundaci\u00f3 Institut Universitari per a la Recerca a l\u2019Atenci\u00f3 Prim\u00e0ria de Salut Jordi Gol i Gurina, ICS, Sant Fruit\u00f3s de Bages, Barcelona, Spain"},{"name":"Faculty of Medicine, Universitat de Vic\u2014Universitat Central de Catalunya, Vic, Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"2026083104451650000_14.3.e004152.1","unstructured":"Asociaci\u00f3n Americana de Psiquiatr\u00eda . 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