Sleep in obsessive–compulsive disorder: a systematic review and meta-analysis

Díaz‐Román, Amparo; Perestelo‐Pérez, Lilisbeth

doi:10.1016/j.sleep.2015.03.020

Cited by 38 publications

(30 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Since sleep disturbance appears to be a substantial problem for OCD-patients, this novel finding is interesting both clinically and theoretically. Often, post-treatment changes in comorbid sleep disturbance are attributed to changes in secondary depression (D ıaz-Rom an et al, 2015;Manber & Chambers, 2009;Staner, 2010), but in the current study the results indicated that the patients with sleep disturbance at pretreatment had a significant improvement in sleep disturbance independent of the changes in depressive symptoms. These results are in line with a recent meta-analysis on sleep and OCD, which found that the sleep disturbance in the OCD-sample could not be primarily attributed to depression (Nota et al, 2015).…”

Section: Discussioncontrasting

confidence: 63%

“…The nature of sleep disturbance in OCD is poorly understood. However, the few studies on sleep disturbance in OCD indicate that comorbid PI is both prevalent and clinically significant (Cox & Olatunji, ; Díaz‐Román, Perestelo‐Pérez & Buela‐Casal, ; Nota, Sharkey & Coles, ). Furthermore, there is evidence to suggest that OCD is characterized by disruptions in sleep arcitecture and circadian rhythm compared to healthy individuals (Hohagen, Lis, Krieger et al ., ; Park, Cho, Chang et al ., ; Voderholzer, Riemann, Huwig‐Poppe et al ., ).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Sleep disturbances in treatment‐seeking OCD‐patients: Changes after concentrated exposure treatment

Nordahl

Havnen

Hansen

et al. 2017

Scandinavian J Psychology

View full text Add to dashboard Cite

Research indicates that patients with Obsessive Compulsive Disorder (OCD) frequently suffer from comorbid sleep difficulties, and that these difficulties often are not clinically recognized and diagnosed. There has been limited research investigating if comorbid sleep difficulties impair treatment outcome for OCD and if the sleep difficulties change following OCD-treatment. Thirty-six patients with obsessive compulsive disorder underwent concentrated exposure treatment delivered in a group over four consecutive days and were assessed with measures of OCD, depressive symptoms and sleep disturbance at three different time points (pre, post and 6 months follow-up). The sample was characterized by a high degree of comorbidity with other psychiatric disorders. At pre-treatment nearly 70% of the patients reported sleep difficulties indicative of primary insomnia. The results showed that patients had large reductions of OCD-symptoms as well as significant improvements in sleep disturbance assessed after treatment, and that these improvements were maintained at follow-up. Sleep disturbance did not impair treatment outcome, on the contrary patients with higher degree of sleep disturbance at pre-treatment had better outcome on OCD-symptoms after treatment. The results indicated that the majority of the OCD sample suffered from sleep disturbances and that these sleep disturbances were significantly reduced following adequate treatment of OCD without specific sleep interventions. However, a proportion of the patients suffered from residual symptoms of insomnia after treatment.

show abstract

Section: Discussioncontrasting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Sleep disturbances in treatment‐seeking OCD‐patients: Changes after concentrated exposure treatment

Nordahl

Havnen

Hansen

et al. 2017

Scandinavian J Psychology

View full text Add to dashboard Cite

show abstract

“…A vast body of literature shows that sleep problems are related to an array of psychopathological disorders, including depression, bipolar disorder, anxiety disorders, posttraumatic stress disorder (PTSD), obsessive-compulsive disorder, schizophrenia, dissociation, alcoholism, eating disorders, attention deficit hyperactivity disorder, dementia, and autism (Benca et al, 1992; Chouinard et al, 2004; Spoormaker and Montgomery, 2008; Cortese et al, 2009; Sedky et al, 2014; van Heugten–van der Kloet et al, 2014a; Díaz-Román et al, 2015; Nota et al, 2015). Most studies on psychopathology and sleep assess sleep quality or disruption in terms of one's ability to fall asleep with ease and sleep through the night uninterrupted.…”

mentioning

confidence: 99%

Arousal in Nocturnal Consciousness: How Dream- and Sleep-Experiences May Inform Us of Poor Sleep Quality, Stress, and Psychopathology

Soffer‐Dudek

2017

Front. Psychol.

View full text Add to dashboard Cite

The term “sleep experiences,” coined by Watson (2001), denotes an array of unusual nocturnal consciousness phenomena; for example, nightmares, vivid or recurrent dreams, hypnagogic hallucinations, dreams of falling or flying, confusional arousals, and lucid dreams. Excluding the latter, these experiences reflect a single factor of atypical oneiric cognitions (“general sleep experiences”). The current study is an opinionated mini-review on the associations of this factor—measured with the Iowa sleep experiences survey (ISES, Watson, 2001)—with psychopathological symptoms and stress. Findings support a strong relation between psychological distress and general sleep experiences. It is suggested that that they should be viewed as a sleep disturbance; they seem to represent involuntary intrusions of wakefulness into sleep, resulting in aroused sleep. These intrusions may stem from excessively thin boundaries between consciousness states (e.g., “transliminality”), or, conversely, they may follow an attempt at disconnecting mental elements (e.g., dissociation), which paradoxically results in a “rebound effect.” The extent to which unusual dreaming is experienced as intrusive, rather than controlled, may explain why general sleep experiences are related to psychopathology, whereas lucid dreams are related to psychological resilience. In conclusion, the exploration of the interplay between psychopathology and sleep should be expanded from focusing almost exclusively on quantitative aspects (e.g., sleep efficiency, latency) to including qualitative conscious experiences which may reflect poor sleep quality. Taking into account nocturnal consciousness—including unusual dreaming and permeable sleep-wake boundaries—may unveil rich information on night-time emotional states and broaden our definition of poor sleep quality.

show abstract

“…Bu sonuçların farklı metodolojik yaklaşımlara bağlı olabileceği, ancak birçok çalışmanın OKB hastalarını depresif belirtiler açısından taranmamış olması bu sonucu doğuruyor olabileceği ileri sürülmüştür (4). Yüz on bir OKB hastası ve 141 sağlıklı kontrolü kapsayan bir meta-analiz çalışması OKB hastalarının sağlıklı kontrollerden uyku kalitesi açısından farklılık gösterdikleri sonucuna varmıştır (13). Çalışma sonuçlarımız OKB ve hasta grubunun farklılık göstermesi anlamında benzer sonuçlar göstermiştir.…”

Section: Discussionunclassified

“…OKB hastalarının kontrollerle karşılaştırıldığı bir polisomnografi çalışmasında iki grup arasında hızlı göz hareketi (REM) uykusu ve yavaş dalga uyku değişkenlerinde farklılık bulunmamıştır (3). Majör depresyonun uykuyu bozduğu iyi bilinmektedir, bu nedenle bu komorbiditenin araştırılmasının önemli olduğu çalışmalarda vurgulanmıştır (4,13). Bizim çalışmamızda da OKB hastalarının BDÖ ortalama puanları orta depresyon düzeyinde idi (Tablo 2).…”

Section: Discussionunclassified

The Relation of Sleep Quality to Depression and Anxiety in Obsessive Compulsive Disorder

İnanç¹,

Altıntaş²,

Semiz³

2018

jtsm

View full text Add to dashboard Cite

Sleep in obsessive–compulsive disorder: a systematic review and meta-analysis

Cited by 38 publications

References 28 publications

Sleep disturbances in treatment‐seeking OCD‐patients: Changes after concentrated exposure treatment

Sleep disturbances in treatment‐seeking OCD‐patients: Changes after concentrated exposure treatment

Arousal in Nocturnal Consciousness: How Dream- and Sleep-Experiences May Inform Us of Poor Sleep Quality, Stress, and Psychopathology

The Relation of Sleep Quality to Depression and Anxiety in Obsessive Compulsive Disorder

Contact Info

Product

Resources

About