Behavioural, medical &amp; environmental interventions to improve sleep quality for mental health inpatients in secure settings: a systematic review &amp; meta-analysis

Gardiner, P.M.; Kinnafick, Florence-Emilie; Breen, Kieran C.; Girardi, Alessandra; Hartescu, Iuliana

doi:10.1080/14789949.2022.2111320

Cited by 3 publications

(5 citation statements)

References 81 publications

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“…Findings were consistent with other studies showing the wide used of non-pharmacological interventions, particularly those based on CBT-i in psychiatric inpatient research (33, 35). CBT-i is the recommended first-line treatment for adults with chronic insomnia (74).…”

Section: Discussionsupporting

confidence: 91%

“…Over the past 50 years, there has been an increase in sleep intervention studies undertaken in psychiatric inpatient settings. Reviews have been published that combine studies from psychiatric inpatient settings with those from non-psychiatric inpatient settings (33), prisons (35) and psychiatric community settings (68). To our knowledge, this is the first scoping review of sleep intervention studies of adults with mental disorders admitted only to psychiatric wards.…”

Section: Discussionmentioning

confidence: 99%

“…No studies reported adverse effects of an intervention on sleep. In comparison, a larger meta-analysis of RCTs of sleep interventions in prisons and psychiatric hospitals also found that the majority of studies reported positive effects on sleep, whereas 2% found adverse effects on sleep (35).…”

Section: Discussionmentioning

confidence: 99%

“…To complement existing reviews, our search strategy included a larger number of databases, excluded studies that were not conducted in psychiatric inpatient settings (35), and did not exclude pharmacological interventions (33). However, we did not search grey literature which may have identified additional studies.…”

Section: Limitationsmentioning

confidence: 99%

“…Despite a growing body of literature on the use of sleep interventions in hospitals, the evidence specifically in psychiatric hospitals, where frequent patient observations are undertaken during the night (26), remains limited. Reviews have either excluded inpatients with a mental disorder (34), combined psychiatric populations with prison populations (35) or included them without separately examining their specific responses to sleep interventions (32, 33). Given the known associations between sleep, mental health and physical health, there is value in a review that systematically identifies studies of both pharmacological and non-pharmacological sleep interventions used among people with a mental disorder in psychiatric inpatient settings.…”

Section: Introductionmentioning

confidence: 99%

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Sleep interventions for adults admitted to psychiatric inpatient settings: a systematic scoping review

Aboaja

Dewa

Perry

et al. 2023

Preprint

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Sleep disturbances are common, affecting over half of adults with a mental disorder. For those admitted to a psychiatric ward, difficulties with sleep are compounded by factors relating to the inpatient setting. We conducted a scoping review of sleep intervention studies on adults admitted to psychiatric settings. We categorised the different types of sleep interventions and identified the effects on sleep and other health outcomes. Instruments used to measure sleep were also described. The search strategy yielded 2530 studies, of which 20 met the inclusion criteria. There was evidence of more non-pharmacological than pharmacological interventions having been tested in inpatient settings. Results indicated that non-pharmacological interventions based on cognitive behaviour therapy for insomnia improve sleep and may improve mental and physical health. Several distinct sleep measures were used in the studies. Objective sleep measures were not commonly used. Gaps in the literature were identified, highlighting the importance of research into a wider range of sleep interventions tested against a control using objective measures of sleep with evaluation of additional mental and physical health outcomes among adults in the psychiatric inpatient settings.

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Section: Discussionsupporting

confidence: 91%