The Management of Sleep Disturbances in Patients with Schizophrenia: A Case Series.

NREM sleep REM sleep actigraphy antipsychotics cognitive behavioral therapy hypnotics polysomnography schizophrenia sleep symptomatology

Journal

Psychology research and behavior management
ISSN: 1179-1578
Titre abrégé: Psychol Res Behav Manag
Pays: New Zealand
ID NLM: 101514563

Informations de publication

Date de publication:
2022
Historique:
received: 20 09 2022
accepted: 28 11 2022
entrez: 22 12 2022
pubmed: 23 12 2022
medline: 23 12 2022
Statut: epublish

Résumé

Patients with schizophrenia commonly encounter a variety of sleep disorders. Disturbed sleep can be found in 30-80% of patients, depending on the degree of psychotic symptomatology. Difficulty falling asleep, maintaining, or achieving restful sleep is associated with symptom severity and has been reported as a prodromal symptom of psychotic relapse. Although some sleep disorders improve with antipsychotic treatment, in many cases, even during disease remission, sleep continues to be fragmented, or even different pathophysiological mechanism is causing sleep disruption. Moreover, it may be complicated if the patient needs specific treatment, such as positive airway pressure (PAP) therapy, due to sleep-disordered breathing. The article presents case reports of patients with schizophrenia with sleep disturbances. As presented in our case reports, cognitive behavioral therapy seems effective in treating comorbid insomnia, even in patients with schizophrenia. The second and third case reports emphasise the need for broader clinical considerations, a cross-diagnostic approach, and cooperation in care for patients with severe mental disorders.

Identifiants

pubmed: 36544913
doi: 10.2147/PRBM.S388702
pii: 388702
pmc: PMC9762406
doi:

Types de publication

Case Reports

Langues

eng

Pagination

3673-3681

Informations de copyright

© 2022 Vanek et al.

Déclaration de conflit d'intérêts

The authors report no conflicts of interest in this work.

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Auteurs

Jakub Vanek (J)

Department of Psychiatry, University Hospital Olomouc, Faculty of Medicine, Palacky University in Olomouc, Olomouc, The Czech Republic.

Jan Prasko (J)

Department of Psychiatry, University Hospital Olomouc, Faculty of Medicine, Palacky University in Olomouc, Olomouc, The Czech Republic.
Department of Psychological Sciences, Faculty of Social Science and Health Care, Constantine the Philosopher University in Nitra, Nitra, The Slovak Republic.
Department of Psychotherapy, Institute for Postgraduate Training in Health Care, Prague, The Czech Republic.
Rehabilitation Hospital Beroun, Jessenia Inc, Akeso Holding, Závodí, The Czech Republic.

Samuel Genzor (S)

Department of Respiratory Medicine, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc, Olomouc, The Czech Republic.

Jan Mizera (J)

Department of Respiratory Medicine, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc, Olomouc, The Czech Republic.

Classifications MeSH