J Basic Clin Physiol Pharmacol. 2021 Apr 19; doi: 10.1515/jbcpp-2020-0319. Epub 2021 Apr 19.

Assessment of sleep quality and its predictors among newly diagnosed psychiatric patients.

Journal of basic and clinical physiology and pharmacology

Hemendra Singh, Gandlamandakal Shreyash, Sureshbabu Angondahalli Ramappa, Sri Prathima Kanneganti, Viswam Subeesh

PMID: 33866696 DOI: 10.1515/jbcpp-2020-0319

Abstract

OBJECTIVES: Poor sleep is a vital symptom observed in many psychiatric conditions and is the most neglected and underdiagnosed. The current study aims at assessment of sleep quality among psychiatric patients using the Pittsburgh Sleep Quality Index (PSQI) scale and to identify the predictors of sleep quality.

METHODS: A hospital-based cross-sectional observational study conducted in the Psychiatry department with a sample size of 256 patients for six months. PSQI scale was used to assess sleep quality and multiple logistic regression was used (to identify) the predictors for poor sleep quality.

RESULTS: The mean age of the study population was 37.95 ± 14.11 years, with 148 (58%) male study participants. 192 (75%) of the study population had poor sleep quality with respect to PSQI scale with a mean score of 9.05 ± 4.65 that was well above the expected range (0-5) suggestive of compromised quality of sleep (p=0.001). Poor sleep satisfaction, waking up after the sleep onset, anorexia, day time drowsiness and at least one completely sleepless night in the past one week of admission were identified as good predictors for poor sleep quality.

CONCLUSIONS: Our study addresses the importance of assessing sleep quality regardless of the psychiatric conditions. We recommend screening patients if they have Poor sleep satisfaction, waking up after the sleep onset, anorexia, day time drowsiness or at least one completely sleepless night in the past one week of admission predictors for comorbid sleep disorders.

© 2021 Walter de Gruyter GmbH, Berlin/Boston.

Keywords: PSQI scale; insomnia; predictors; sleep disorders

References

1. Buysse, DJ. Sleep health: can we define it? Does it matter? Sleep 2014;37:9–17. https://doi.org/10.5665/sleep.3298. - PubMed
2. Åslund, L, Lekander, M, Wicksell, RK, Henje, E, Jernelöv, S. Cognitive-behavioral therapy for insomnia in adolescents with comorbid psychiatric disorders: a clinical pilot study. J Child Psychol Psychiatry 2020;25:958–71. - PubMed
3. Talih, F, Ajaltouni, J, Ghandour, H, Abu-Mohammad, AS, Kobeissy, F. Insomnia in hospitalized psychiatric patients: prevalence and associated factors. Neuropsychiatric Dis Treat 2018;14:969–75. https://doi.org/10.2147/NDT.S160742. - PubMed
4. Ford, DE, Cooper-Patrick, L. Sleep disturbances and mood disorders: an epidemiologic perspective. Depress Anxiety 2001;14:3–6. https://doi.org/10.1002/da.1041. - PubMed
5. Cole, MG, Dendukuri, N. Risk factors for depression among elderly community subjects: a systematic review and meta-analysis. T Am J Psychiatry 2003;160:1147–56. https://doi.org/10.1176/appi.ajp.160.6.1147. - PubMed
6. Chang, PP, Ford, DE, Mead, LA, Cooper-Patrick, L, Klag, MJ. Insomnia in young men and subsequent depression. The Johns Hopkins precursors study. Am J Epidemiol 1997;146:105–14. https://doi.org/10.1093/oxfordjournals.aje.a009241. - PubMed
7. Glozier, N, O’Dea, B, McGorry, PD, Pantelis, C, Amminger, GP, Hermens, DF, et al.. Delayed sleep onset in depressed young people. BMC Psychiatr 2014;14:33. https://doi.org/10.1186/1471-244X-14-33. - PubMed
8. Zhou, G, Liu, S, Yu, X, Zhao, X, Ma, L, Shan, P. High prevalence of sleep disorders and behavioral and psychological symptoms of dementia in late-onset Alzheimer disease: a study in Eastern China. Medicine 2019;98:e18405. https://doi.org/10.1097/MD.0000000000018405. - PubMed
9. Soeffing, JP, Lichstein, KL, Nau, SD, McCrae, CS, Wilson, NM, Aguillard, RN, et al.. Psychological treatment of insomnia in hypnotic-dependant older adults. Sleep Med 2008;9:165–71. https://doi.org/10.1016/j.sleep.2007.02.009. - PubMed
10. Szelenberger, W, Soldatos, C. Sleep disorders in psychiatric practice. World Psychiatr: Off J World Psychiatr Assoc (WPA) 2005;4:186–90. - PubMed
11. Ohayon, MM, Lemoine, P. [A connection between insomnia and psychiatric disorders in the French general population]. L’Encephale 2002;28:420–8. - PubMed
12. Ancoli-Israel, S, Ayalon, L. Diagnosis and treatment of sleep disorders in older adults. Am J Geriatr Psychiatr : Off J Am J Geriatr Psychiatry 2006;14:95–103. https://doi.org/10.1097/01.JGP.0000196627.12010.d1. - PubMed
13. Bryant, RA, Creamer, M, O’Donnell, M, Silove, D, McFarlane, AC. Sleep disturbance immediately prior to trauma predicts subsequent psychiatric disorder. Sleep 2010;33:69–74. https://doi.org/10.1093/sleep/33.1.69. - PubMed
14. Zetterqvist, V, Lundén, C, Herrmann, A, Hasbar, L, Khalifa, N, Lekander, M, et al.. Internet-delivered cognitive behaviour therapy for adolescents with insomnia comorbid to psychiatric conditions: a non-randomised trial. Clin Child Psychol Psychiatr 2020;26:475–89. https://doi.org/10.1177/1359104520978464. - PubMed
15. Kales, JD, Kales, A, Bixler, EO, Soldatos, CR, Cadieux, RJ, Kashurba, GJ, et al.. Biopsychobehavioral correlates of insomnia, V: clinical characteristics and behavioral correlates. Am J Psychiatr 1984;141:1371–6. https://doi.org/10.1176/ajp.141.11.1371. - PubMed
16. Gierz, M, Scott, S, Campbell, SS. Sleep disturbances in various nonaffective psychiatric disorders. Psychiatr Clin N Am 1987;10:565–81. https://doi.org/10.1016/S0193-953X(18)30534-3. - PubMed
17. Ogbolu, RE, Aina, OF, Famuyiwa, OO, Erinfolami, AR. A study of insomnia among psychiatric out-patients in Lagos Nigeria. J Sleep Disord Ther 2012;1:1–5. - PubMed
18. Buysse, DJ, Reynolds, CF, Monk, TH, Berman, SR, Kupfer, DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. J Sleep Disord Ther 1989;28:193–213. https://doi.org/10.4172/2167-0277.1000104. - PubMed
19. Bertisch, SM, Herzig, SJ, Winkelman, JW, Buettner, C. National use of prescription medications for insomnia: NHANES 1999–2010. Sleep 2014;37:343–9. https://doi.org/10.5665/sleep.3410. - PubMed
20. Moloney, ME, Konrad, TR, Zimmer, CR. The medicalization of sleeplessness: a public health concern. Am J Publ Health 2011;101:1429–33. https://doi.org/10.2105/AJPH.2010.300014. - PubMed
21. Neubauer, DN. New and emerging pharmacotherapeutic approaches for insomnia. Int Rev Psychiatr 2014;26:214–24. https://doi.org/10.3109/09540261.2014.888990. - PubMed
22. Thompson, W, Quay, TAW, Rojas-Fernandez, C, Farrell, B, Bjerre, LM. Atypical antipsychotics for insomnia: a systematic review. Sleep Med 2016;22:13–7. https://doi.org/10.1016/j.sleep.2016.04.003. - PubMed
23. Viswam, SK, Gouri, N, Sriram, N, Shivashankar, V, Seema, S, Mamatha, K. Assessment of sleep quality among hypnotic users in geriatric population – a prospective observational study. Am J PharmTech Res 2015;5:642–52. - PubMed
24. Thichumpa, W, Howteerakul, N, Suwannapong, N, Tantrakul, V. Sleep quality and associated factors among the elderly living in rural Chiang Rai, northern Thailand. Epidemiol Health 2018;40:e2018018. - PubMed

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