Prävalenz schlafbezogener Atmungsstörungen bei stationären Patienten mit psychischen Erkrankungen

Behr, Michaël; Acker, Jens; Cohrs, Stefan; Deuschle, Michael; Danker‐Hopfe, Heidi; Göder, Robert; Norra, Christine; Richter, Kneginja; Riemann, Dieter; Schilling, Cláudia; Weeß, H. G.; Wetter, Thomas C.; Wollenburg, Lisa Marie; Pollmächer, Thomas

doi:10.1007/s00115-018-0545-x

Cited by 11 publications

(9 citation statements)

References 27 publications

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“…For PTSD/anxiety disorders, shared neurobiological and/or genetic factors and overlapping characteristics such as hyperarousal have been implied as well (Freeman et al, 2020). In our study, the prevalence of suspected SBD was moderate compared to previously reported prevalence rates in a clinical mental health sample (Behr et al, 2018). We did observe a relatively high prevalence of suspected SBD in participants with SUD and those with ADHD.…”

Section: Discussioncontrasting

confidence: 69%

“…Particularly the prevalence estimates of sleep disorders that require extensive physiological diagnostic procedures, such as SBD, may not be sufficiently accurate. For instance, a study in a clinical mental health population utilising polysomnography‐based diagnosis of SBD found the substantially higher prevalence of 23.7% (Behr et al, 2018), which may, among others, suggest that our suspected prevalence might be an underestimation. In contrast to SBD, the clinical diagnosis of the SRMD RLS is based on self‐reported symptoms.…”

Section: Discussionmentioning

confidence: 88%

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Sleep disorders in a naturalistic cohort of Dutch psychiatric outpatients: prevalence rates and associations with psychopathology symptom severity and well‐being

Mijnster

Boersma

Veen

et al. 2023

Journal of Sleep Research

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SummarySleep problems are very common in individuals with a mental disorder. Given the abundant evidence indicating the negative impact of disturbed sleep on mental health outcome, insight into the prevalence of all types of sleep disorders in specific mental disorders and neurodevelopmental conditions is of practical importance. Therefore, we estimated the prevalence of six types of sleep disorders with the Holland Sleep Disorders Questionnaire in an overall mental health sample (n = 1082) and separately for different mental and neurodevelopmental conditions. Furthermore, associations between specific sleep disorders, psychopathology and well‐being were studied. The impact of the total number of sleep disorders on these associations was examined. Overall, 46.2% of all participants scored above the cut‐off for having a sleep disorder. Specifically, 26.8% scored on insomnia, 12.1% on sleep breathing disorders, 9.7% on hypersomnia, 13.7% on circadian rhythm sleep–wake disorders, 11.2% on parasomnia, and 17.9% on sleep‐related movement disorders. Most sleep disorders were associated with greater severity of psychopathology and lower well‐being. These associations got stronger with an increasing number of sleep disorders. Our study revealed higher suspected prevalence of most sleep disorders in a mental disorder sample compared to the general population. Moreover, the presence of sleep disorder(s) was strongly associated with symptom severity and reduced well‐being. These findings extend the notion that early detection and treatment of sleep disorders in mental health populations is essential for psychiatric outcome.

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Section: Discussioncontrasting

confidence: 69%

Section: Discussionmentioning

confidence: 88%

Sleep disorders in a naturalistic cohort of Dutch psychiatric outpatients: prevalence rates and associations with psychopathology symptom severity and well‐being

Mijnster

Boersma

Veen

et al. 2023

Journal of Sleep Research

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“…It remains unclear whether these patients had an additional specific sleep disorder, such as sleep apnea, so substantial conclusions cannot be drawn. A previous multicenter study on a comparable clinical sample found a high prevalence (21.7%) of previously unknown obstructive sleep apnea syndrome (OSAS) in 298 psychiatric inpatients ( 86 ). An increased comorbidity of RLS in patients with OSAS has also been demonstrated, especially in patients with insomnia symptoms ( 87 , 88 ).…”

Section: Discussionmentioning

confidence: 99%

Restless Legs Syndrome Prevalence and Clinical Correlates Among Psychiatric Inpatients: A Multicenter Study

et al. 2022

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BackgroundThere are only limited reports on the prevalence of restless legs syndrome (RLS) in patients with psychiatric disorders. The present study aimed to evaluate the prevalence and clinical correlates in psychiatric inpatients in Germany and Switzerland.MethodsThis is a multicenter cross-sectional study of psychiatric inpatients with an age above 18 years that were diagnosed and evaluated face-to-face using the International RLS Study Group criteria (IRLSSG) and the International RLS severity scale (IRLS). In addition to sociodemographic and biometric data, sleep quality and mood were assessed using the Pittsburgh Sleep Quality Index (PSQI), the Insomnia Severity Index (ISI), the Epworth Sleepiness Scale (ESS), and the Patient Health Questionnaire (PHQ-9). In addition to univariate statistics used to describe and statistically analyze differences in variables of interest between patients with and without RLS, a logistic model was employed to identify predictors for the occurrence of RLS.ResultsThe prevalence of RLS in a sample of 317 psychiatric inpatients was 16.4%, and 76.9% of these were diagnosed with RLS for the first time. RLS severity was moderate to severe (IRLS ± SD: 20.3 ± 8.4). The prevalences in women (p = 0.0036) and in first-degree relatives with RLS (p = 0.0108) as well as the body mass index (BMI, p = 0.0161) were significantly higher among patients with RLS, while alcohol consumption was significantly lower in the RLS group. With the exception of atypical antipsychotics, treatment with psychotropic drugs was not associated with RLS symptoms. Regarding subjective sleep quality and mood, scores of the PSQI (p = 0.0007), ISI (p = 0.0003), and ESS (p = 0.0005) were higher in patients with RLS, while PHQ-9 scores were not different. A logistic regression analysis identified gender (OR 2.67; 95% CI [1.25; 5.72]), first-degree relatives with RLS (OR 3.29; 95% CI [1.11; 9.73], ESS score (OR 1.09; 95% CI [1.01; 1.17]), and rare alcohol consumption (OR 0.45; 95% CI [0.22; 0.94] as predictors for RLS.ConclusionsClinically significant RLS had a high prevalence in psychiatric patients. RLS was associated with higher BMI, impaired sleep quality, and lower alcohol consumption. A systematic assessment of restless legs symptoms might contribute to improve the treatment of psychiatric patients.

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“…In clinical practice and in many studies, the degree of objective sleep disturbance in these people is entirely neglected, because PSG and PG studies are just not performed. Given an up to 25% prevalence of, e.g., sleep apnoea syndrome in psychiatric patients [30] and, vice versa, a prevalence of insomnia complaints in about 50% of those affected by sleep apnoea [31], this is of obvious concern.…”

Section: The Case Of Insomnia Disordermentioning

confidence: 99%

“…One important reason is that insomnia complaints are the consequence of a variety of distinct psychiatric and somatic disorders which are not stringently excluded when diagnosing insomnia disorder. No doubt, for example, insomnia complaints in a patient with obstructive sleep apnoea, or depression, or even both [30], have a different aetiological and pathophysiological background than in patients without these conditions. The second reason is that insomnia is seen as a sleep disorder, but biological sleep is not consequently taken into account.…”

Section: Negative Physical Consequences Of Insomnia Disorder Are Prob...mentioning

confidence: 99%

The Past and Future of Psychiatric Sleep Research

Pollmächer

2023

CTN

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Sleep studies in psychiatric disorders date back to the first half of the 20th century. So far, success in establishing disease-specific sleep-related biomarkers has been quite limited. This is particularly obvious regarding insomnia, where there is no reliable correlation between subjective complaints and physiological measures of sleep. Finally, it must be acknowledged that the physiology of sleep and wakefulness and their subjective perception are essentially independent dimensions. Still, however, these dimensions are mixed up in clinical practice and research. This creates confusion, can be harmful for patients, and is identified as a major obstacle for successful psychiatric sleep research. It is proposed here that future sleep research should treat physiological sleep as a variable in psychiatric disorders which, independently of patient perception, has a transdiagnostic value, as was already proposed a decade ago by the Research Domain Criteria.

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Prävalenz schlafbezogener Atmungsstörungen bei stationären Patienten mit psychischen Erkrankungen

Cited by 11 publications

References 27 publications

Sleep disorders in a naturalistic cohort of Dutch psychiatric outpatients: prevalence rates and associations with psychopathology symptom severity and well‐being

Sleep disorders in a naturalistic cohort of Dutch psychiatric outpatients: prevalence rates and associations with psychopathology symptom severity and well‐being

Restless Legs Syndrome Prevalence and Clinical Correlates Among Psychiatric Inpatients: A Multicenter Study

The Past and Future of Psychiatric Sleep Research

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