A systematic review of the nature and correlates of sleep disturbance in early psychosis

Davies, Gabriel; Haddock, Gillian; Yung, Alison R.; Mulligan, Lee D.; Kyle, Simon D.

doi:10.1016/j.smrv.2016.01.001

Cited by 128 publications

(117 citation statements)

References 80 publications

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“…These findings indicate that the YSR thought problems and sleep disturbance scales are of incremental value in the statistical prediction of SI via the SIQ, beyond the moderate effect of the wellknown, and oft-evaluated, risk factor of depression. These results are consistent with prior research indicating links between suicide risk and both psychosis spectrum symptoms (e.g., hallucinations, delusions) and sleep difficulties (Li et al 2016;Davies et al 2017), demonstrated here in an acute population of psychiatrically hospitalized adolescents. Results also showed a significant but small interaction between thought problems and sleep disturbance in the statistical prediction of SIQ scores.…”

Section: Discussionsupporting

confidence: 92%

“…Another essential consideration for treatment is the likely bidirectional relationship between sleep disturbances and psychiatric symptoms, including depression and thought problems. Although increased sleep disturbances are linked to greater severity of mental health problems (Davies et al 2017), sleep difficulty is often considered a byproduct of psychiatric disorders and thus, not given priority within the context of treatment. The finding that sleep problems are uniquely linked to SI in hospitalized adolescents indicates that sleep interventions may be useful, and perhaps more proximally beneficial than longer term focus on mood and thought problems, in the treatment of suicidality.…”

Section: Discussionmentioning

confidence: 99%

“…T he experience of thought problems in adolescence, including hallucinations, disorganized thoughts and behaviors, or delusional ideas, warrants attention due to the associated distress, functional interference, and increased risk for safety concerns. Youth with thought problems often experience comorbid sleep disturbances and suicidal ideation (SI), which can cause additional distress and impairment in functioning (Davies et al 2017). Sleep difficulties have been linked to thought problems and related distress among nonclinical samples of young adults (Andorko et al 2017).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Youth Self Report Thought Problems and Sleep Difficulties Are Linked to Suicidal Ideation Among Psychiatrically Hospitalized Adolescents

Thompson

Fox

Lapomardo

et al. 2020

Journal of Child and Adolescent Psychopharmacology

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Objectives: Thought problems, such as hallucinations and delusional or disorganized ideas, have been associated with increased sleep problems and risk for suicidal ideation (SI). Sleep problems have also been linked directly to suicidality in adolescence. The nature of the relationship between these symptoms among adolescents with acute suicidality is not well understood. This study aims to examine the interrelationships between thought problems, sleep difficulties, and SI in adolescents psychiatrically hospitalized for safety concerns, with the goal of informing suicide risk screening and intervention for this population. Methods: Participants included adolescents (n = 690) aged 11-18. A retrospective chart review was used to obtain scores on study measures, including the Suicidal Ideation Questionnaire Junior (SIQ-Jr), the thought problems and sleep disturbance scales on the Youth Self Report (YSR), and mental health diagnoses using the Children's Interview for Psychiatric Syndromes (ChIPS). Results: Findings indicate that SIQ-Jr scores are moderately correlated with both YSR thought problems (r = 0.51, p < 0.001) and YSR sleep disturbance (r = 0.47, p < 0.001). Further, linear regression analyses support the hypotheses that thought problems (b = 0.28) and sleep difficulties (b = 0.11) are uniquely associated with SI, beyond the significant effects of depression (b = 0.36) and female sex (b =-0.07); R 2 = 0.43, F (8, 673) = 62.49, p < 0.001). Conclusions: These results suggest that sleep interventions and treatment of thought problems may be important for reducing SI, within and outside the context of depression. Furthermore, the adolescent version of the YSR may be a useful tool to evaluate these risk factors alongside other psychiatric concerns.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Youth Self Report Thought Problems and Sleep Difficulties Are Linked to Suicidal Ideation Among Psychiatrically Hospitalized Adolescents

Thompson

Fox

Lapomardo

et al. 2020

Journal of Child and Adolescent Psychopharmacology

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“…Symptoms of hypersomnolence such as daytime sleepiness have been reported in people with psychosis ranging from 32-58% [12,13]. These findings coupled with a number of extensive reviews on this topic provides strong evidence that sleep disruption is common in people diagnosed with schizophrenia [14][15][16][17] The relationship between sleep disturbances and paranoia Increased sleep disruption is associated with an increase in level of positive symptoms [1,4]. In particular, strong relationships between sleep disruption and paranoia have being found in both clinical and non-clinical samples [18,19].…”

Section: Sleep Disruption In Psychosismentioning

confidence: 99%

The role of sleep in predicting paranoia in non-affective psychosis: an experience sampling study

a¹,

Lee²,

Biello³

et al. 2019

Preprint

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Introduction: Growing evidence suggests a relationship between sleep disturbance and paranoid thinking, in both clinical and non-clinical populations. Research also suggests that this relationship is mediated by negative affect. The aims of this study were to 1) examine whether sleep disturbance predicted paranoia and the dimensions of paranoia, including distress, preoccupation and conviction and 2) to test whether there was a time-lagged, relationship between sleepiness and paranoia, and whether this was mediated by negative affect. Method: Sleep was measured subjectively via questionnaires, sleep diary and this was used to test the first aim. Experience sampling methods were also used and these were used to test the second aim. Momentary assessments of sleepiness, mood, and paranoia were measured 8 times a day, for 8 days, at semi-random intervals. Multi-level modelling was then used to assess relationships between the variables. Results: Twenty- three patients with a diagnosis of non-affective psychosis took part in the study, and 20 completed the experience sampling procedure. There was no relationship between sleep diary variables and paranoia, or its dimensions. There was no time-lagged relationship between sleepiness and paranoia. A subset of individuals in the sample were identified who did not report any variation or fluctuations in their measurements. Discussion: There was no relationship between subjective sleep and paranoia. Lack of power may be why no relationship was found. However sleep disturbances were common in people with non-affective psychosis. Our findings support the treatment of sleep problems in this sample, but not in relation to paranoia.

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“…Sleep disturbances have been reportedly associated with schizophrenia even at premorbid or very early stages of the illness, when the association cannot be attributed to chronicity, substance abuse, medical illness or medication [42,44]. Moreover, a predictive link has been found between childhood parasomnias and the onset of schizophrenia in adolescence [45,46].…”

Section: Well-being Dream Valence Sleep Psychiatric Disorders Andmentioning

confidence: 99%

Sleep, Nightmares and Schizophrenia

Seeman¹

2017

J Sleep Disord Manag

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Sleep problems are recognized as widespread in patients with psychosis. Other facts are known as well -that not only can psychiatric illness result in sleep problems, but that these same problems can exacerbate psychopathology and that they constitute risk factors for suicide. Sleep difficulties are known to respond well to appropriate treatment and yet, with the exception of insomnia, sleep quality is not routinely inquired about during psychiatric assessments. This narrative review focuses on nightmares in the context of schizophrenia and the results suggest that they are both common and distressing. They are also potentially dangerous. The alleviation of nightmares can improve the quality of life for persons suffering from schizophrenia and can lower the risk of suicide.

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A systematic review of the nature and correlates of sleep disturbance in early psychosis

Cited by 128 publications

References 80 publications

Youth Self Report Thought Problems and Sleep Difficulties Are Linked to Suicidal Ideation Among Psychiatrically Hospitalized Adolescents

Youth Self Report Thought Problems and Sleep Difficulties Are Linked to Suicidal Ideation Among Psychiatrically Hospitalized Adolescents

The role of sleep in predicting paranoia in non-affective psychosis: an experience sampling study

Sleep, Nightmares and Schizophrenia

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