Association between insomnia and coping style in Japanese patients with type 2 diabetes mellitus

Kazutaka Yoshida,1 Hideyuki Otaka,2 Hiroshi Murakami,2 Hirofumi Nakayama,1 Masaya Murabayashi,2 Satoru Mizushiri,2 Koki Matsumura,2 Jutaro Tanabe,2 Yuki Matsuhashi,2 Miyuki Yanagimachi,2 Norio Sugawara,3 Kazuhiko Nakamura,1 Makoto Daimon,2 Norio Yasui-Furukori1 1Department of Neuropsychiatry, Hirosaki University Graduate School of Medicine, Hirosaki, Japan; 2Department of Endocrinology and Metabolism, Hirosaki University Graduate School of Medicine, Hirosaki, Japan; 3Department of Clinical Epidemiology, Translational Medical Center, National Center of Neurology and Psychiatry, Tokyo, Japan Purpose: Insomnia, which is associated with type 2 diabetes mellitus (DM), results in a low quality of life, and several relationships exist between insomnia and coping style. Thus, we clarified the association between some coping styles and insomnia among Japanese type 2 DM patients. Subjects and methods: The subjects included 503 type 2 DM patients (mean age 63.9±12.5years). Sleep disturbance and personality traits were evaluated using the Japanese version of the Pittsburgh Sleep Quality Index and the Brief Scale for Coping Profile, respectively. Lifestyle factors, glycated hemoglobin A1c (HbA1c) levels, and the depression statuses of the patients were also included in the analyses. Results: Among the 503 subjects with type 2 DM, 141 (28.0%) subjects exhibited probable insomnia. After adjusting for confounders, being female, living alone, and using “avoidance and suppression” were significantly correlated with current insomnia. No other relationships were found between insomnia and HbA1c or lifestyle factors, such as smoking, drinking alcohol, and exercise frequency. Conclusion: The prevalence of insomnia in individuals with type 2 DM was high, and the protective factors included some emotion-focused coping styles. Future prospective studies are required to confirm the therapeutic effects of behavioral interventions on insomnia in patients with type 2 DM. Keywords: cross-sectional studies, coping style, Japanese, insomnia, type 2 DM