You are feeling sleepy
Stuff has a story about an increase in sleeping-pill prescriptions in young people.
The increase in prescriptions is real. What’s more dubious is the explanation that it reflects an increase in sleeping difficulties is being caused by electronic devices, rather than trends in treatment. It’s not that it’s implausible for gadgets to affect sleep — the mechanisms are fairly clear — it’s more that there isn’t any evidence supplied that sleeping problems are becoming hugely more common.
With the help of the Google and PubMed, I found a few papers looking at time trends in sleep. A recent US paper looked at time-use studies from 1975 to 2006, and found that
Unadjusted percentages of short sleepers ranged from 7.6% in 1975 to 9.3% in 2006.
A Finnish study found about a 4% decrease in average sleep duration from 1972 to 2005, about half a minute per year.
Other research in both kids and adults seems to agree that sleep duration is decreasing slowly, but not by anything like enough to justify Stuff’s lead:
Your tablet computer, smartphone or other mobile device could be the reason you are not sleeping – and the ubiquitous devices are being cited as a possible cause for a 50 per cent jump in the number of young people scoffing sleeping pills.
It doesn’t make matters better that the “50 per cent jump” is really just for one region in NZ (the Waikato). Or that taking a single 165mg tablet per night is described as “scoffing sleeping pills”.
Thomas Lumley (@tslumley) is Professor of Biostatistics at the University of Auckland. His research interests include semiparametric models, survey sampling, statistical computing, foundations of statistics, and whatever methodological problems his medical collaborators come up with. He also blogs at Biased and Inefficient See all posts by Thomas Lumley »
Describing zopiclone as a 165 mg tablet is a bit meaningless: the active ingredient is 7.5 mg, and for older benzodiazepines, lower still. The fact that a tablet doesn’t weigh much (compared to 500 mg paracetamol? To a sandwich? To a leg of lamb?) doesn’t have much relevance to whether it is being consumed excessively. Excess usage should be judged relative to recommended maxima, just as it would be for carbohydrates and so on, rather than by weight.
Taking a “single 165 mg tablet per night” would indded be validly described as scoffing if it continues for any length of time. Even though zopiclone is seen as relatively benign compared to earlier generations of medications, it should ideally be taken for only a few nights. Prescribing guidelines from MedSafe say treatment should not exceed four weeks, including any tapering-off period
11 years ago
I agree that there is probably overprescribing — that’s the whole point of the post, the fact that we’re not seeing a huge increase in sleep disturbance but instead a change in treatment.
I still don’t think taking one pill a day as prescribed (however unwisely) can be called ‘scoffing sleeping pills’. I just checked a couple of dictionaries to confirm that there is typically an implication of rapidly and greedily in ‘scoffing’.
11 years ago