Everything you always wanted to know about sleep, but you were afraid to ask: expert concise guide and recommendations on assessing sleep-wake disturbances within a psychiatric context in contemporary times
Abstract
OBJECTIVE: While disrupted sleep has long been linked to mental disorders there has been a notable decrease in interest and sleep-wake disorders have received low priority in psychiatric care. The aim of the paper was to present a concise guide for evaluating common sleep-wake disturbances within a psychiatric framework to revitalise the importance of sleep in psychiatry. METHODS: A systematic search strategy was conducted on the importance of sleep-wake assessment in psychiatry (search #1), the typology of sleep-wake disturbances in psychiatric practice (search #2), the guidelines on assessment of sleep-wake disturbances (search#3). Results were summarised and discussed in a narrative way. RESULTS: Evidence suggests that assessing sleep-wake disturbances improves prevention and treatment outcomes in psychiatric patients. Insomnia remains the most common disorder, though other sleep disturbances are highly prevalent. A structured two-step evaluation-combining initial patient clinical interviews with standardised self-report questionnaires-may assist in diagnosis and monitor outcomes. CONCLUSION: A concise guide on how to assess sleep-wake disturbances in psychiatry was summarised for psychiatric clinical practice.
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Authors: Laura Palagini, Anna Castelnovo, Armando D’Agostino, Matteo Balestrieri, Bearnardo M. Dell’Osso, Andrea M. Fagiolini, Luigi Ferini Strambi, Pierre Alexis Geoffroy, Claudio Liguori, Giovanni Martinotti, Claudio Mencacci, Lino Nobili, Dieter Wilhelm Riemann, Gabriele Sani, Gianluca Serafini, Antonio Vita, Andrea Fiorillo
Institutions: Inserm, University of Chieti-Pescara, Stanford University, Université Paris Cité, Stanford Medicine, Assistance Publique – Hôpitaux de Paris, University of Freiburg, University Medical Center Freiburg, University of Campania "Luigi Vanvitelli", University of Milan, Vita-Salute San Raffaele University, University of Genoa, Italian Society of Physiotherapy, University of Rome Tor Vergata, NeuroDiderot, Agostino Gemelli University Polyclinic, Ospedale Policlinico San Martino, Università della Svizzera italiana, Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia, Istituto Giannina Gaslini, University of Siena, Azienda Ospedaliera Universitaria Pisana, FHU Neurovasc, Hôpital Bichat-Claude-Bernard, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, Ente Ospedaliero Cantonale, Groupe Hospitalo-Universitaire Paris Nord, German Respiratory Society