When insomnia is not just insomnia: The deeper correlates of disturbed sleep with reference to DSM-5

Gupta, Ravi; Zalai, Dóra; Spence, D. Warren; BaHammam, Ahmed S.; Ramasubramanian, Chellamuthu; Monti, Jaime M.; Pandi-Perumal, Seithikurippu R.

doi:10.1016/j.ajp.2014.09.003

Cited by 19 publications

(9 citation statements)

References 57 publications

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“…Considering that sleep quality may be affected by a number of other sleep disorders, besides insomnia, poor sleep quality has been removed from the diagnostic criteria of insomnia disorder. [ 29 30 ]…”

Section: Discussionmentioning

confidence: 99%

Changes in sleep pattern and sleep quality during COVID-19 lockdown

Krishnan

Gupta

Grover

et al. 2020

Indian J Psychiatry

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274

125

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Introduction: To mitigate the spread of the pandemic coronavirus infection (COVID-19), governments across the world have adopted “lockdowns” which have confined many individuals to their homes. This disrupts normal life routines, elements of which are important circadian cues. The pandemic is also associated with new stressors, altered roles, and uncertainties about health and economic security, which are also likely to affect sleep. The current study is an online survey of sleep experience, routines, physical activity, and symptoms of anxiety and depression, to study the alterations associated with the lockdown. Materials and Methods: The survey was conducted in early May 2020 using a questionnaire circulated through social media platforms. Questions related to demographic characteristics, current and previous sleep schedules, routine, and working patterns. Insomnia (Insomnia Severity Index - 4), Stress (Perceived Stress Scale - 4), anxiety and depressive symptoms (Patient Health Questionnaire - 4) and physical activity (International Physical Activities Questionnaire) were assessed using standardized instruments. Results: A total of 958 valid responses were received. Compared to the prelockdown period, there was a shift to a later bedtime and waking time, with a reduction in night-time sleep and an increase in day-time napping. These effects were visible across occupational groups, but mostly affected working individuals except health professionals. Sleep quality deteriorated across groups. Reductions in sleep duration were associated with depressive symptoms. Conclusions: The COVID-19 lockdown is associated with changes in sleep schedule and in the quantity and quality of night-time sleep. Although these changes are associated with elevated rates of emotional symptoms, it is unclear from these cross-sectional results, whether sleep deterioration produces psychological distress, or vice versa.

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Section: Discussionmentioning

confidence: 99%

Changes in sleep pattern and sleep quality during COVID-19 lockdown

Krishnan

Gupta

Grover

et al. 2020

Indian J Psychiatry

Self Cite

274

125

View full text Add to dashboard Cite

show abstract

“…Research in this field suggests that insomnia occurring during medical disorders has a bidirectional and interactive relationship with the coexisting medical illnesses. 43 Insomnia has been recognized as a distinct disorder rather than just a symptom, and diagnosis is assigned to individuals who experience recurrent poor sleep quality or quantity that causes distress or impairment in important areas of functioning. 44 Insomnia as a disorder needs independent clinical attention.…”

Section: Insomnia Disordermentioning

confidence: 99%

Sleep Disorders in Kidney Diseases

Sen¹

2018

Indian Journal of Sleep Medicine

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Sleep disorders are common, multi-factorial and often underrecognized in patients with renal diseases. Sleep disorders have a negative impact on the wellbeing and quality of life. Medical literature in the past few years has documented many definitive associations between kidney diseases and various sleep disorders. Prompt referral to a sleep medicine specialist for further evaluation is warranted in this group of patients at the earliest suspicion of an insidious sleep disorder. In this review, we will discuss the common sleep disorders seen in patients with kidney disorders-the restless leg syndrome/Willis-Ekbom disease (RLS/WED), sleep-disordered breathing (SDB), insomnia disorder, hypersomnolence disorder, circadian rhythm sleep-wake disorders (CRSWDs) and parasomnias.

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“…1 В разрабатываемой в настоящее время МКБ-11 нарушения сна предлагается рассматривать в отдельном разделе классификации (05 L) [31,35].…”

Section: рис 1 число неврологов и психиатров (в %) считающих перечunclassified

Sleep disorders (insomnia) as a psychoneurological dilemma in the diagnosis and treatment

Менделевич¹

2016

Z. nevrol. psikhiatr. im. S.S. Korsakova

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Approaches of psychiatrists and neurologists to the diagnosis and therapy of sleep disorders are analyzed. On the basis of studying of 37 patients, the phenomenon of «somnic anhedonia» is described. Data on the relationship between insomnia and various mental disorders are presented. Scientifically based schemes of therapy, in particular, with the application of etifoxine (stresam) are described.

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When insomnia is not just insomnia: The deeper correlates of disturbed sleep with reference to DSM-5

Cited by 19 publications

References 57 publications

Changes in sleep pattern and sleep quality during COVID-19 lockdown

Changes in sleep pattern and sleep quality during COVID-19 lockdown

Sleep Disorders in Kidney Diseases

Sleep disorders (insomnia) as a psychoneurological dilemma in the diagnosis and treatment

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