Sleep disturbance as transdiagnostic: Consideration of neurobiological mechanisms

Harvey, Allison G.; Murray, Greg; Chandler, Rebecca A.; Soehner, Adriane M.

doi:10.1016/j.cpr.2010.04.003

Cited by 481 publications

(353 citation statements)

References 163 publications

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“…33 The similar profile of sleep difficulties across diagnoses supports the use of a transdiagnostic intervention approach. 8,34 A transdiagnostic approach also allows for the addition of optional modules to target any possible disorder-specific presentations. This study also highlights the importance of simply asking service users to subjectively report sleep satisfaction, particularly if being referred on for intervention.…”

Section: Implications For Practicementioning

confidence: 99%

“…7 Comorbid sleep diffi culties negatively affect quality of life and functioning, and have been associated with the causation and maintenance of a range of psychiatric disorders, with increased risk of relapse. 2,8 A "cyclical" relationship has been conceptualized, whereby sleep problems exacerbate psychiatric diffi culties and vice versa. Individuals' experience of sleep is subjective, 9 and the literature demonstrates a discrepancy between sleep satisfaction indicators when using validated self-report questionnaires and simply asking users of mental health services, with service users reporting lower rates of diffi culties than empirical measures.…”

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confidence: 99%

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The Prevalence and Management of Poor Sleep Quality in a Secondary Care Mental Health Population

O’Sullivan

Rahim

Hall

2015

Journal of Clinical Sleep Medicine

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Study Objectives: Poor sleep quality, particularly insomnia, has been identifi ed as a frequent problem among individuals with mental health diffi culties. Comorbid sleep diffi culties adversely affect quality of life and functioning, and have been associated with the causation and maintenance of a number of psychiatric disorders, as well as increasing the risk of relapse. The study objectives were to ascertain clinician knowledge related to insomnia, investigate sleep quality among service users in a community mental health setting in the UK, and evaluate service provision of evidence-based interventions for sleep diffi culties. Methods: A cross-sectional design was used. Nineteen clinicians completed a questionnaire on their clinical practice. Seventy-three service users completed the Pittsburgh Sleep Quality Index and provided self-report data on interventions received and associated satisfaction. Results: Clinical staff demonstrated defi cits in knowledge of insomnia symptomatology. Sixty-four percent (95% CI 54% to 74%) of service users were identifi ed as poor sleepers on the PSQI. Sixty-one percent of poor sleepers had not been offered support for sleep diffi culties. The most common support received was prescribed psychotropic medication (32%). Cognitive behavioral therapy was the intervention rated as most helpful but was only received by 6%. Conclusions: This study highlights inadequacies in providing evidence-based interventions for sleep diffi culties. Key recommendations include training clinicians in the identifi cation of sleep diffi culties and provision of evidencebased interventions, provision of cost-effective transdiagnostic group interventions, and formalizing assessment and treatment pathways for service users with sleep diffi culties.

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Section: Implications For Practicementioning

confidence: 99%

mentioning

confidence: 99%

The Prevalence and Management of Poor Sleep Quality in a Secondary Care Mental Health Population

O’Sullivan

Rahim

Hall

2015

Journal of Clinical Sleep Medicine

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“…These include the hyper arousal model which was reviewed by Reimann et al [4] who reported that primary insomnia may be conceptualized as the final common pathway resulting from the interplay between a genetic vulnerability for an imbalance between arousing and sleep-inducing brain activity, psychosocial/medical stressors and perpetuating mechanisms; and also the transdiagnostic theory which proposes that sleep disturbance is aetiologically linked to various forms of psychopathology through its reciprocal relationship with emotion regulation and its shared/interacting neurobiological substrates in genetics and dopaminergic and serotonergic function [5].…”

Section: Introductionmentioning

confidence: 99%

A Study of Insomnia among Psychiatric Out-Patients in Lagos Nigeria

Ogbolu¹,

Aina²,

Famuyiwa³

et al. 2012

J Sleep Disorders Ther

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Insomnia is closely related to psychiatric disorders, occurring as an accompanying symptom or as an aetiological factor. It is also a common side-effect of some of the drugs used in treating psychiatric disorders. Several studies have been carried out in different populations however there is the need for more studies aimed at taking a closer look at this relationship in the Nigerian population. The objective of this work is to study the relationship between insomnia and patient characteristics such as sleeping conditions and psychiatric diagnoses. The study was carried out at the Lagos University Teaching Hospital. The methodology involved administering a socio-demographic questionnaire and the Sleep-50 questionnaire to consenting subjects whose psychiatric diagnoses were ascertained using the Structured Clinical Interview for DSM-IV. An analysis of the one hundred and eighty four subjects studied showed that schizophrenia was the commonest psychiatric diagnosis (35.9%). The prevalence of insomnia in this population was found to be 20.1% and it was significantly most prevalent among those with major depression. The noise experienced at night, the subject's subjective estimation of hours asleep, being elderly and being unemployed were significantly related to the presence of insomnia. In conclusion the study supports the importance of enquiring about insomnia among psychiatric out-patients and highlights the usefulness of sleep questionnaires in obtaining information in sleep disorder research.

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“…Sleep and mental health are intimately related (Harvey, Murray, Chandler, & Soehner, 2011). In particular, there is robust evidence that sleep complaints are highly prevalent among anxious youth (McMakin & Alfano, 2015;Willis & Gregory, 2015).…”

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confidence: 99%

The SENSE study: Post intervention effects of a randomized controlled trial of a cognitive–behavioral and mindfulness-based group sleep improvement intervention among at-risk adolescents.

Blake

Waloszek

Schwartz

et al. 2016

Journal of Consulting and Clinical Psychology

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Objective: Sleep problems are a major risk factor for the emergence of mental health problems in adolescence. The aim of this study was to investigate the post intervention effects of a cognitive–behavioral/mindfulness-based group sleep intervention on sleep and mental health among at-risk adolescents. Method: A randomized controlled trial (RCT) was conducted across High schools in Melbourne, Australia. One hundred forty-four adolescents (aged 12–17 years) with high levels of anxiety and sleeping difficulties, but without past or current depressive disorder, were randomized into either a sleep improvement intervention or an active control ‘study skills’ intervention. Both programs consisted of 7 90-min-long group sessions delivered over 7 weeks. One hundred twenty-three participants began the interventions (female = 60%; mean age = 14.48, SD = 0.95), with 60 in the sleep condition and 63 in the control condition. All participants were required to complete a battery of mood and sleep questionnaires, 7 days of wrist actigraphy (an objective measure of sleep), and sleep diary entry at pre- and-post intervention. Results: The sleep intervention condition was associated with significantly greater improvements in subjective sleep (global sleep quality [with a medium effect size], sleep onset latency, daytime sleepiness [with small effect sizes]), objective sleep (sleep onset latency [with a medium effect size]), and anxiety (with a small effect size) compared with the control intervention condition. Conclusion: The SENSE study provides evidence that a multicomponent group sleep intervention that includes cognitive–behavioral and mindfulness-based therapies can reduce sleep initiation problems and related daytime dysfunction, along with concomitant anxiety symptoms, among at-risk adolescents.

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Sleep disturbance as transdiagnostic: Consideration of neurobiological mechanisms

Cited by 481 publications

References 163 publications

The Prevalence and Management of Poor Sleep Quality in a Secondary Care Mental Health Population

The Prevalence and Management of Poor Sleep Quality in a Secondary Care Mental Health Population

A Study of Insomnia among Psychiatric Out-Patients in Lagos Nigeria

The SENSE study: Post intervention effects of a randomized controlled trial of a cognitive–behavioral and mindfulness-based group sleep improvement intervention among at-risk adolescents.

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