Evaluating DSM-5 Insomnia Disorder and the Treatment of Sleep Problems in a Psychiatric Population

Seow, Lee Seng Esmond; Verma, Swapna; Mok, Yee Ming; Kumar, Sunita; Chang, Sherilyn; Satghare, Pratika; Hombali, Aditi; Vaingankar, Janhavi Ajit; Chong, Siow Ann; Subramaniam, Mythily

doi:10.5664/jcsm.6942

Cited by 84 publications

(60 citation statements)

References 47 publications

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“…There is a gender imbalance in our insomniacs and non-insomniacs group with the significantly prevalent female population among those reporting insomnia symptoms. However, it corresponds to other studies data which showed that women are more likely to have lower sleep quality and shorter sleep [7,23].…”

Section: Study Limitationssupporting

confidence: 90%

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Is self-reported insomnia a risk factor for subclinical carotid atherosclerosis?

Korostovtseva

Alieva

Rotar

et al. 2019

Arterial Hypertension

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Background. Insomnia is considered an additional cardiovascular (CV) risk factor (RF). However, the data on its association with vascular damage is controversial. We analyzed the relation between self-reported insomnia and carotid atherosclerosis in the population-based sample. Material and methods. We selected 985 (males -38%; mean age 45.2 ± 11.6 years) participants of the St Petersburg population-based sample (the ESSE-RF study) who did not have previously known CV events. All subjects underwent a structured interview (lifestyle, medical history). Insomnia was diagnosed when complaints occurred ≥ 3 times/week (the questions: "How often did you have difficulties in falling asleep for > 30 min after going to bed in the last month?", "How often did you have difficulties in falling asleep after midnight awakening in the last month?"). Subclinical atherosclerosis was assessed by carotid intima-media thickness (IMT): normal ≤ 0.9 mm, increased IMT 0.9-13 mm, IMT > 13 mm indicated an atherosclerotic plaque. Results. In total, 209 subjects reported at least one insomnia complaint; 79 participants (8%) reported both sleeponset and sleep-maintenance problems. IMT thickening was found in 142 subjects (14.4%). IMT values were higher in those with frequent nocturnal awakenings vs. non-insomniacs (0.75 ± 0.18 vs. 0.71 ± 0.17 mm, p = 0.006). They also showed greater prevalence of thickened IMT (c 2 = 4.6, p = 0.026). Mean IMT weakly correlated with insomnia complaints (r = 0.10, p = 0.002), but the association was no longer significant after adjustment for age, BP and total cholesterol level. Conclusion. We demonstrated an association between insomnia complaints and subclinical carotid atherosclerosis, although we assume it to be weak compared to the common CV RF.

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Section: Study Limitationssupporting

confidence: 90%

“…However, there is lack of evidence of the relation between insomnia and vascular atherosclerotic involvement. There are only few studies assessing the presence of subclinical atherosclerosis in insomniacs, and their data are highly controversial [5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Is self-reported insomnia a risk factor for subclinical carotid atherosclerosis?

Korostovtseva

Alieva

Rotar

et al. 2019

Arterial Hypertension

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“…International studies on insomnia among the population with severe mental disorders, and specifically among people with schizophrenic disorder who undergo follow-up and monitoring at outpatient centers, report varying results depending on the diagnostic criteria applied and the diagnostic tool used, either the most frequently used manuals, such as the ICD-10, DSM-IV or ICSD-2, or the most current, like the DSM-V or ICSD-3 [15][16][17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Insomnia in Schizophrenia Patients: Prevalence and Quality of Life

Batalla-Martín¹,

Eraso

Garijo³

et al. 2020

IJERPH

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Sleep disorders are often not regarded as an important health problem, despite their impact on heath. Insomnia is the most frequent sleep disorder in mental health. The aim is to quantify the prevalence of insomnia in a population with schizophrenic disorder and assess its influence on quality of life. This is a descriptive, analytical and cross-sectional study conducted in a sample of 267 schizophrenic patients over 18 years of age using consecutive non-probabilistic sampling. The variables of interest were collected by means of the "Cuestionario Oviedo de Sueño," "Insomnia Severity Index" and EuqoQol-5D. The estimation of insomnia in our schizophrenic population according to the International Classification of Disease (ICD-10) criteria was 23.2%. The likelihood of insomnia when there are problems in the quality of life is significant in all its dimensions: mobility OR: 3.54 (95% CI 1.88– 6.65), self-care OR: 2.69 (95% CI 1.36–5.32), usual activities OR: 3.56 (95% CI 1.97–6.44), pain/discomfort OR: 4.29 (95% CI 2.37–7.74) and anxiety/depression OR: 3.01 (95% CI 1.61–5.65). The prevalence of insomnia fluctuates depending on the diagnostic criteria; however, the schizophrenic population shows high prevalence in some clinical characteristics. People with insomnia have a lower quality of life.

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“…Det er vist at forekomsten av klinisk signifikant angst og depresjon er 10-17 ganger høyere blant personer med insomni sammenliknet med personer uten insomni (4). Samtidig er det vist at forekomsten av insomni er betydelig høyere blant pasienter med angst og depresjon enn i normalbefolkningen (6). Nyere forskning peker på at sammenhengen går begge veier (7,8).…”

Section: Fortolkningunclassified

Nye diagnosekriterier for insomni og sammenhengen mellom insomni, angst og depresjon

Olufsen¹,

Sørensen²,

Bjorvatn³

2020

Tidsskriftet

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Evaluating DSM-5 Insomnia Disorder and the Treatment of Sleep Problems in a Psychiatric Population

Cited by 84 publications

References 47 publications

Is self-reported insomnia a risk factor for subclinical carotid atherosclerosis?

Is self-reported insomnia a risk factor for subclinical carotid atherosclerosis?

Insomnia in Schizophrenia Patients: Prevalence and Quality of Life

Nye diagnosekriterier for insomni og sammenhengen mellom insomni, angst og depresjon

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