Prevalence of sleep disorders and severity of insomnia in psychiatric outpatients attending a tertiary level mental health care facility in Punjab, India

Mondal, Gargi; Bajaj, Vikrant; Goyal, Babita; Mukherjee, Nirmalya

doi:10.1016/j.ajp.2017.11.012

Cited by 18 publications

(15 citation statements)

References 19 publications

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“…Other studies conducted with samples of patients with schizophrenia have based their diagnosis of insomnia on the results of the ISI or on other criteria, such as the study by Hou et al [16], which, after administering three diagnostic questions, concluded that insomnia was prevalent in 28.9% of the sample studied. Mondal et al [18], using the ISI, observed the presence of moderate to severe insomnia in 29.2% of the sample analysed, a much higher percentage than the 13.5% obtained with the same instrument in our study. Our results are in greater agreement with the presence of insomnia found by Darchia et al who detected a prevalence of moderate to severe insomnia of 11.2%.…”

Section: Discussioncontrasting

confidence: 68%

“…According to an analysis carried out by Cohrs [51], sleep disorders are present in a percentage band ranging from 30% to 80% of people with schizophrenia. Kaufmann et al [17] placed the figure at 78%, and in the study by Mondal et al [18], sleep problems affected 83.4% of the sample. These data, added to that observed in this study, emphasise the need to focus attention on all of the diagnostic criteria.…”

Section: Discussionmentioning

confidence: 94%

“…International studies on insomnia among the population with severe mental disorders, and specifically among people with schizophrenic disorder who undergo follow-up and monitoring at outpatient centers, report varying results depending on the diagnostic criteria applied and the diagnostic tool used, either the most frequently used manuals, such as the ICD-10, DSM-IV or ICSD-2, or the most current, like the DSM-V or ICSD-3 [15][16][17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

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Insomnia in Schizophrenia Patients: Prevalence and Quality of Life

Batalla-Martín¹,

Eraso

Garijo³

et al. 2020

IJERPH

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Sleep disorders are often not regarded as an important health problem, despite their impact on heath. Insomnia is the most frequent sleep disorder in mental health. The aim is to quantify the prevalence of insomnia in a population with schizophrenic disorder and assess its influence on quality of life. This is a descriptive, analytical and cross-sectional study conducted in a sample of 267 schizophrenic patients over 18 years of age using consecutive non-probabilistic sampling. The variables of interest were collected by means of the "Cuestionario Oviedo de Sueño," "Insomnia Severity Index" and EuqoQol-5D. The estimation of insomnia in our schizophrenic population according to the International Classification of Disease (ICD-10) criteria was 23.2%. The likelihood of insomnia when there are problems in the quality of life is significant in all its dimensions: mobility OR: 3.54 (95% CI 1.88– 6.65), self-care OR: 2.69 (95% CI 1.36–5.32), usual activities OR: 3.56 (95% CI 1.97–6.44), pain/discomfort OR: 4.29 (95% CI 2.37–7.74) and anxiety/depression OR: 3.01 (95% CI 1.61–5.65). The prevalence of insomnia fluctuates depending on the diagnostic criteria; however, the schizophrenic population shows high prevalence in some clinical characteristics. People with insomnia have a lower quality of life.

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Section: Discussioncontrasting

confidence: 68%

Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

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Insomnia in Schizophrenia Patients: Prevalence and Quality of Life

Batalla-Martín¹,

Eraso

Garijo³

et al. 2020

IJERPH

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“…Insomnia is a common complaint in patients attending Psychiatry clinics with nearly four fifth reporting disturbed sleep 1 severity of the same was determined. RESULTS 83.4% of the population had some type of sleep disorder.…”

Section: Introductionmentioning

confidence: 99%

Generalized Anxiety disorder but not depression is associated with insomnia: a population based study

Khan¹,

Juyal²,

Shikha³

et al. 2018

Sleep Sci

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Background: Insomnia is a common problem, however, its prevalence has never been examined in Indian population. Moreover, a number of psychiatric disorders have been found to be associated with insomnia in clinical population, but this association has scarcely been examined in general population.Methods: This epidemiological study was done in an urban and a rural population. Subjects were selected using Kish method. After obtaining informed consent, psychiatric disorders were diagnosed using Hindi version of Mini International Neuropsychiatric Interview. Hindi version of Insomnia Severity Index was used to diagnose insomnia.Results: 1700 subjects were included in this study. In this study, prevalence of insomnia was 10.3%. Its prevalence increased with increasing years of education (p=0.009). Insomnia was more frequent in subjects living in joint families (p<0.001), having higher education (p=0.009), those who were separated (p<0.001), among subjects belonging to middle socio-economic status (p<0.001) and in urban population compared to semi-urban and rural population (p<0.001). Insomnia was also more frequent among subjects with major depressive disorder, generalized anxiety disorder, alcohol dependence, cannabis dependence and tobacco use. However, binary logistic regression analysis showed that only higher education, unemployment, generalized anxiety disorder and tobacco use were associated with insomnia.Conclusion: Insomnia in general population is associated with higher education, unemployment, generalized anxiety disorders and tobacco use.

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“…The most common sleep disorder in the population with a mental disorder is insomnia ( 5 ). According to Mondal et al ( 6 ), 73.4% of psychiatric patients have this sleep disorder, where patients with schizophrenia show a prevalence of 23.8%. This figure is similar to that observed by Hou et al ( 7 ) and Batalla-Martin et al ( 8 ), who found the prevalence at 28.9 and 23.2%.…”

Section: Introductionmentioning

confidence: 99%

The Experience of Insomnia in Patients With Schizophrenic Disorder: A Qualitative Study

et al. 2022

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BackgroundInsomnia is a health problem that particularly affects people with schizophrenia. Its repercussions go beyond the disorder itself and affect many areas of life. The aim of the present study is to explore the clinical symptoms and consequences of insomnia in patients diagnosed with schizophrenic disorder and the perceptions of these patients regarding the care they receive.MethodsThe study takes a qualitative approach and uses semi-structured interviews to conduct a descriptive and interpretive analysis of 3 clinically different clusters of patients. These 3 clusters have been defined by using two-step cluster analysis based on the results of the ISI (Insomnia Severity Index) and EQ-5D scales (EuroQol-5D) and the presence of certain diagnostic symptoms in a sample of 170 patients. The final sample was 31 subjects. The analysis was based on a hermeneutic analysis of the patients' narratives regarding their experiences of insomnia.ResultsThe patients' narratives show differences in the intensity and experience of insomnia depending on the severity, as well as its impact on their quality of life. Insomnia has a huge emotional impact. Participants describe ruminations and obsessive thoughts as a key factor hindering falling asleep. Some of the everyday actions they perform encourage the chronicity of insomnia. The desired health response must include interventions that are effective, such as cognitive-behavioural therapy, and powerful, such as pharmacological solutions. Psychoeducation and advice on sleep hygiene are highly valued tools as preventive strategies.ConclusionsTo know the experience of users gives us a more comprehensive understanding of insomnia complexities and brings some new intervention strategies in patients with mental disorders. It is important that health professionals intervene preventively to stop the disorder from becoming chronic.

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Prevalence of sleep disorders and severity of insomnia in psychiatric outpatients attending a tertiary level mental health care facility in Punjab, India

Cited by 18 publications

References 19 publications

Insomnia in Schizophrenia Patients: Prevalence and Quality of Life

Insomnia in Schizophrenia Patients: Prevalence and Quality of Life

Generalized Anxiety disorder but not depression is associated with insomnia: a population based study

The Experience of Insomnia in Patients With Schizophrenic Disorder: A Qualitative Study

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