Sleep disordered breathing in community psychiatric patients

Abstract

-Background and Objectives:Sleep disturbance is prominent in many neuropsychiatric disorders and may precipitate or exacerbate a range of psychiatric conditions. Few studies have investigated sleep disordered breathing and in particular obstructive sleep apnoea in community psychiatric patients and the commonly used screening instruments have not been evaluated in patients with psychiatric disorders. The objective is to evaluate the prevalence of sleep disordered breathing in a community cohort with chronic mental illness on long term psychotropic medication, and to assess the effectiveness of commonly used screening instruments to detect abnormal sleep.Methods: 52 patients completed sleep questionnaires and 50 undertook overnight oximetry. Results: 52% (n = 26) had sleep-disordered breathing; 20% (n = 10) had moderate/severe sleep apnoea. The Epworth Sleepiness Score and the Pittsburgh Sleep Quality Inventory did not predict sleep disordered breathing.Conclusions: Patients with psychiatric disorders in the community have a high rate of undiagnosed sleep disordered breathing, which is not reliably detected by established sleep disorder screening questionnaires.

An evaluation of sleep disturbance on in-patient psychiatric units in the UK

“…There are clearly a number of potential reasons for sleep disturbance within an in-patient psychiatric population, including the mental health symptoms themselves and the medication used to treat symptoms; however, primary sleep disorders such as obstructive sleep apnoea are common in those with severe and enduring mental health problems, and will affect sleep quality and contribute to nocturnal hypertension. 14 , 15 Risk factors include male gender, body mass index and obesity and age >50 years. It is notable that 15% of patients were high risk for sleep apnoea based on sleep questionnaire screening and all were male.…”

Examination of Factors Affecting the Sleep Quality of Psychiatry Patients Through Structural Equation Model

“…[34,38] Bir psikiyatrik tanıya sahip olma ve pskiyatri ilaçlarının kullanımı gibi nedenlerle çalışmamızda yaş ile uyku kalitesi arasında bir ilişki bulunamış olabilir. nedeniyle noktüri yaşaması, [40] kalp hastalığı olanların dispne nedeniyle sık uyanması, [41] boğaz enfeksiyonunda veya alerjik reaksiyonda gelişen ödem ve sürekli akıntı olması nedeniyle hava yolu obstrüksiyonu yaratarak uyku bölünmeleri, [42] ade- noid, tonsil vegetasyon gibi solunum yollarının obstrüksiyonunda intraluminal negatif basıncın düşüp farenksin kollabe olmasına ve horlama gibi uyku sorunları [9,43] kanserli hastanın ağrı yaşaması ve bazı ilaçların korkulu rüyalara neden olması gibi etkiler uyku kalitesinin bozulma nedenleri arasında sayılabilir. [5,44] Bu durum DSM-5'e göre de "Medikal Bozukluklar Ne-denine Bağlı Uyku Bozuklukları" kapsamında yer almaktadır.…”

Sleep disturbance in mental health problems and neurodegenerative disease

“…Metabolic syndrome was found in 38% of a community-based psychiatric cohort on long-term antipsychotics 76. A number of studies have found high rates of sleep apnea in both hospital and community-based populations 77,78. However, not all studies have used control groups, and it has been suggested that sleep apnea is so common in the increasingly obese general population that these rates may not differ to those of BMI matched controls 79.…”