Assessment of sleep quality and its predictors among newly diagnosed psychiatric patients
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Hemendra Singh
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.
Acknowledgments
The authors gratefully thank Dr. Abin Chandrakumar, University of Manitoba, Winnipeg, Canada, Dr. Faizan Mazhar, Università Di Milano and Dr. Neha Reddy for their technical assistance and language editing. The author thanks Head of Institute as well as all the staffs of department of pharmacy practice who made this research possible. We would like to express our gratitude to all the study participants who showed their willingness to participate in the study. We acknowledge Ms. Radhika, Statistician, for her insights into the data analysis.
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Research funding: None declared.
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Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
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Competing interests: All authors declare no conflict of interest.
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Informed consent: Informed consent was obtained from all individuals included in this study.
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Ethical approval: Ethical committee approval was taken before starting of the study and comply with all guidelines.
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.Search in Google Scholar PubMed PubMed Central
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;25:958–71.10.1177/1359104520929376Search in Google Scholar 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.Search in Google Scholar PubMed PubMed Central
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.Search in Google Scholar 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.Search in Google Scholar 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.Search in Google Scholar 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.Search in Google Scholar PubMed PubMed Central
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.Search in Google Scholar PubMed PubMed Central
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.Search in Google Scholar PubMed PubMed Central
10. Szelenberger, W, Soldatos, C. Sleep disorders in psychiatric practice. World Psychiatr: Off J World Psychiatr Assoc (WPA) 2005;4:186–90.Search in Google Scholar
11. Ohayon, MM, Lemoine, P. [A connection between insomnia and psychiatric disorders in the French general population]. L’Encephale 2002;28:420–8.Search in Google Scholar
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.Search in Google Scholar 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.Search in Google Scholar
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.Search in Google Scholar
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.Search in Google Scholar
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.Search in Google Scholar
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;1:1–5.10.4172/2167-0277.1000104Search in Google Scholar
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.Search in Google Scholar
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.Search in Google Scholar PubMed PubMed Central
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.Search in Google Scholar PubMed PubMed Central
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.Search in Google Scholar 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.Search in Google Scholar 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.Search in Google Scholar
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:e2018018.10.4178/epih.e2018018Search in Google Scholar PubMed PubMed Central
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Articles in the same Issue
- Frontmatter
- Minireview
- Can pulse wave velocity (PWV) alone express arterial stiffness? A neglected tool for vascular function assessment
- Review
- Hyponatremia in heart failure: not just 135 to 145
- Original Articles
- Effects of berberine on cholinesterases and monoamine oxidase activities, and antioxidant status in the brain of streptozotocin (STZ)-induced diabetic rats
- Paradoxical sleep deprivation induces oxidative stress in the submandibular glands of Wistar rats
- Terminalia arjuna supplementation ameliorates high fat diet-induced oxidative stress in nephrotoxic rats
- Decreased expression of annexin A2 and loss of its association with vascular endothelial growth factor leads to the deficient trophoblastic invasion in preeclampsia
- Algogen-induced vasosensory reflexes modulate short-term heart rate variability parameters in experimental rat models
- Assessment of sleep quality and its predictors among newly diagnosed psychiatric patients
- Ovalbumin/lipopolysaccharide induced vasculitis in rats: a new predictive model
- Dose-dependent and time-dependent metabolic, hemodynamic, and redox disturbances in dexamethasone-treated Wistar rats
- Effects of sleeve gastrectomy on neutrophil–lymphocyte ratio
- Effect of luteolin on the gene level expression of apoptosis-associated speck-like protein containing a caspase recruitment domain of NLRP3 inflammasome and NF-κB in rats subjected to experimental pancreatitis – influence of HSP70
- Effects of Onosma dichroanthum Boiss. root extract on AGS human gastric cancer cell-line
- Feasibility, face, and content validity of quantitative computed tomography in interstitial lung disease related to connective tissue diseases
- In vitro anticoagulant activity of selected medicinal plants: potential interactions with warfarin and development of new anticoagulants
- Normal reference value of orthodromic and antidromic sensory nerve conduction velocity of median nerve with intact palmaris longus tendon in apparently healthy individuals
- Short Communication
- Chemokine receptor antagonists with α1-adrenergic receptor blocker activity
