The Sleep Characteristics of Chronic Schizophrenia Patients with Insomnia in Community-based Mental Health Services.
10.14401/KASMED.2017.24.2.97
- Author:
Dong Ki HWANG
1
;
Min NAM
;
Yu Jin G LEE
Author Information
1. Department of Psychiatry, Seoul Metropolitan Eunpyeong Hospital, Seoul, Korea. gginadoc@seoul.go.kr
- Publication Type:Original Article
- Keywords:
Anxiety;
Community mental health services;
Insomnia;
Psychotic symptoms;
Schizophrenia
- MeSH:
Age of Onset;
Anxiety;
Community Mental Health Services;
Depression;
Humans;
Linear Models;
Mental Health Services*;
Mental Health*;
Schizophrenia*;
Sleep Initiation and Maintenance Disorders*;
Weights and Measures
- From:Sleep Medicine and Psychophysiology
2017;24(2):97-105
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVES: To evaluate sleep characteristics and factors associated with sleep disturbance in schizophrenia patients with concurrent active psychotic symptoms and insomnia. METHODS: Schizophrenia patients with insomnia and active psychotic symptoms (n = 63) were recruited from communitybased mental rehabilitative facilities. Sleep scales such as the Korean version of the Insomnia Severity Index (ISI-K) and the Korean Version of the Pittsburgh Sleep Quality Index (PSQI-K) were evaluated and those with ISI-K >15 were included in the study. Psychotic, anxiety and depressive symptoms were rated with the Brief Psychotic Rating Scale (BPRS), the Korean Version of the Anxiety Sensitivity Index (K-ASI), and the Korean Version of the Beck Depression Inventory-I (K-BDI), respectively. Pearson correlation analyses were performed between the sociodemographic data, ISI-K and PSQI-K. Multiple linear regression analysis was conducted to investigate the factors which affected the ISI-K and PSQI-K. RESULTS: The mean ISI-K and PSQI-K scores were 18.1 ± 2.6 and 12.0 ± 2.2, respectively. Pearson correlation analysis showed a negative correlation between age of onset and ISI-K score and positive correlations between BRPS and PSQI-K scores and between K-ASI and both ISI-K and PSQI-K scores. Multiple regression analyses for both ISI-K and PSQI-K with K-ASI, age of onset, and BPRS as covariates revealed K-ASI as the only significant remaining factor. CONCLUSION: Our study suggests that anxiety symptoms are associated with insomnia symptoms in schizophrenia patients regardless of depressive or psychotic symptoms.
