The association between chronotype and sleep quality, and cardiometabolic markers in patients with schizophrenia

Balcioglu, Simge Seren Kirlioglu; Balcıoğlu, Yasin Hasan; Balaban, Özlem Devrim

doi:10.1080/07420528.2021.1974029

Cited by 12 publications

(8 citation statements)

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“…8-10 A sedentary lifestyle is also associated with circadian rhythm disruptions, and impairment in chronobiological features is linked with an increased risk of cardiometabolic diseases, particularly in psychiatric patients. 11,12 Our knowledge about the effects of a sedentary lifestyle on eating disorders and consumption choices is still limited, although the current study and others indicated altered and dysfunctional eating habits predisposing to cardiometabolic adversities. On the other hand, it is possible to claim that a sedentary lifestyle has long-term adverse effects on mental health and leads to many psychiatric disorders, which are related to morbidity not only because of mental health burden, but they are wellknown predisposing factors for cardiometabolic diseases.…”

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confidence: 67%

Sente-se Menos, Mova-se Mais e Sinta-se Bem, Pessoal!: O Comportamento Sedentário pode Comprometer a Saúde Cardiometabólica por Meio de Problemas de Saúde Mental ao Longo da Vida

Bicer¹,

Balcıoğlu²

2023

Arquivos Brasileiros De Cardiologia

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confidence: 67%

Sente-se Menos, Mova-se Mais e Sinta-se Bem, Pessoal!: O Comportamento Sedentário pode Comprometer a Saúde Cardiometabólica por Meio de Problemas de Saúde Mental ao Longo da Vida

Bicer¹,

Balcıoğlu²

2023

Arquivos Brasileiros De Cardiologia

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“…Recent literature points to a key role of eveningness chronotype as an intermediate factor between poor sleep quality, metabolic syndrome, and schizophrenia. 17 In two cases -cases 2 and 3 -weight reduction was also observed after stabilising the condition and effective PAP therapy. However, PAP therapy alone does not lead to weight loss.…”

Section: Discussionmentioning

confidence: 88%

“… 35 Moreover, recent literature shows that the weight gain in patients with schizophrenia can lead to a metabolic syndrome that further impair quality of sleep. 17 …”

Section: Discussionmentioning

confidence: 99%

“…Recent literature points to a key role of eveningness chronotype as an intermediate factor between poor sleep quality, metabolic syndrome, and schizophrenia. 17 …”

Section: Discussionmentioning

confidence: 99%

“… 16 Moreover, impaired sleep quality is connected also to higher risk of obesity and metabolic syndrome. 17 Similarly, Suttajit and Pilakanta in a study of the prevalence of metabolic syndrome in patients with schizophrenia, found that central obesity and metabolic syndrome are often associated with insomnia in these patients, and insomnia is an independent risk factor for metabolic syndrome in addition to depression and psychomotor retardation. 18 The increased risk of moderate insomnia in patients with metabolic syndrome may be explained by the fact that this insomnia is often associated with obstructive sleep apnoea.…”

Section: Introductionmentioning

confidence: 97%

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The Management of Sleep Disturbances in Patients with Schizophrenia: A Case Series

Vaněk¹,

Praško²,

Genzor³

et al. 2022

PRBM

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Patients with schizophrenia commonly encounter a variety of sleep disorders. Disturbed sleep can be found in 30-80% of patients, depending on the degree of psychotic symptomatology. Difficulty falling asleep, maintaining, or achieving restful sleep is associated with symptom severity and has been reported as a prodromal symptom of psychotic relapse. Although some sleep disorders improve with antipsychotic treatment, in many cases, even during disease remission, sleep continues to be fragmented, or even different pathophysiological mechanism is causing sleep disruption. Moreover, it may be complicated if the patient needs specific treatment, such as positive airway pressure (PAP) therapy, due to sleep-disordered breathing. The article presents case reports of patients with schizophrenia with sleep disturbances. As presented in our case reports, cognitive behavioral therapy seems effective in treating comorbid insomnia, even in patients with schizophrenia. The second and third case reports emphasise the need for broader clinical considerations, a cross-diagnostic approach, and cooperation in care for patients with severe mental disorders.

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Circadian lighting effect for inpatients with schizophrenia: A prospective cohort study

Tsai,

Jou,

Hsu

et al. 2024

Brain and Behavior

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ObjectivesIn schizophrenia, nonspecific lighting likely causes sleep timing disturbances, leading to distress and poorer clinical status. However, the effect of exposure to circadian lighting on psychopathology outcome in schizophrenia remains unknown. Hence, this study aimed to develop such an intervention and investigate its impact on schizophrenia.MethodsTwenty schizophrenia patients at a psychiatric nursing institute were monitored over 10 weeks, with assessments using the Brief Psychiatric Rating Scale (BPRS) and Mini‐Mental State Examination (MMSE) conducted at baseline, weeks 3 (T1), 7 (T2), and 10 (T3).ResultsCircadian lighting significantly improved BPRS scores between T1–T2 (p < .05) and T1–T3 (p < .001), with affectivity scores also showing significant enhancements postintervention. Notably, female participants exhibited substantial improvements in BPRS scores from T1 to T3 (p < .01), while male participants demonstrated significant gains in MMSE scores from T1 to T2 (p < .01).ConclusionsCircadian lighting presents a promising intervention for improving psychiatric outcomes in schizophrenia, with distinct benefits observed across different psychopathological aspects and genders. These findings underscore the potential of lighting chronotherapy in psychiatric clinical practice and warrant further exploration in related research.

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The association between chronotype and sleep quality, and cardiometabolic markers in patients with schizophrenia

Cited by 12 publications

References 50 publications

Sente-se Menos, Mova-se Mais e Sinta-se Bem, Pessoal!: O Comportamento Sedentário pode Comprometer a Saúde Cardiometabólica por Meio de Problemas de Saúde Mental ao Longo da Vida

Sente-se Menos, Mova-se Mais e Sinta-se Bem, Pessoal!: O Comportamento Sedentário pode Comprometer a Saúde Cardiometabólica por Meio de Problemas de Saúde Mental ao Longo da Vida

The Management of Sleep Disturbances in Patients with Schizophrenia: A Case Series

Circadian lighting effect for inpatients with schizophrenia: A prospective cohort study

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