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Sleep in Schizophrenia: Exploring Subjective Experiences of Sleep Problems, and Implications for Treatment

Chiu, Vivian W. ; Ree, Melissa ; Janca, Aleksandar ; Waters, Flavie

Psychiatric quarterly, 2016-12, Vol.87 (4), p.633-648 [Periódico revisado por pares]

New York: Springer US

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Título:
Sleep in Schizophrenia: Exploring Subjective Experiences of Sleep Problems, and Implications for Treatment
Autor: Chiu, Vivian W. ; Ree, Melissa ; Janca, Aleksandar ; Waters, Flavie
Assuntos: Adult ; Adversity ; Antipsychotic Agents - adverse effects ; Attitude to Health ; Clinical outcomes ; Cognition ; Cognitive ability ; Cognitive behaviour therapy ; Cognitive Therapy ; Comorbidity ; Disability ; Dreams ; Drugs ; Dysfunction ; Female ; Focus Groups ; Humans ; Insomnia ; Interviews ; Life Style ; Lifestyle ; Male ; Medical research ; Medicine ; Medicine & Public Health ; Mental disorders ; Mental health care ; Methods ; Mood ; Motivation ; Motivational interviewing ; Nightmares ; Original Paper ; Parasomnias - chemically induced ; Parasomnias - psychology ; Parasomnias - therapy ; Population studies ; Psychiatry ; Psychological trauma ; Psychologists ; Psychoses ; Psychosis ; Psychotic Disorders - psychology ; Psychotic Disorders - therapy ; Public Health ; Qualitative Research ; Quantitative psychology ; Quantitative research ; Recovery ; Schizophrenia ; Schizophrenia - therapy ; Schizophrenic Psychology ; Side effects ; Sleep deprivation ; Sleep disorders ; Sleep Initiation and Maintenance Disorders - chemically induced ; Sleep Initiation and Maintenance Disorders - psychology ; Sleep Initiation and Maintenance Disorders - therapy ; Sleep problems ; Sleep Wake Disorders - chemically induced ; Sleep Wake Disorders - psychology ; Sleep Wake Disorders - therapy ; Sleepwalking ; Sociology ; Studies ; Subjective experiences ; Trauma ; Walking
É parte de: Psychiatric quarterly, 2016-12, Vol.87 (4), p.633-648
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Descrição: Sleep dysfunction is a pervasive issue in schizophrenia and psychosis. Current knowledge is drawn almost exclusively from studies using quantitative research methodologies that include measures and tools developed in healthy population groups. Qualitative studies investigating the first-person perspectives of sleep problems are therefore important for designing better assessment and treatment tools to meet consumer needs. Focus groups were conducted to elicit detailed information regarding the personal experience of sleep problems, their antecedents and impact, in 14 individuals with schizophrenia-spectrum disorder who experienced insomnia during their illness. Thematic analysis was applied to examine the data and draw treatment implications for sleep management. Insomnia was ubiquitous and frequently co-occurred with other sleep difficulties (nightmares, sleep walking, acting out dreams, etc.) in this group. Discussions revealed themes common across insomnia populations (role of negative mood states and cognitive intrusions) and also new themes on factors contributing to sleep problems in schizophrenia: (1) beliefs that sleep problems cannot be changed; (2) trauma and adversity; (3) lifestyle choices and lack of motivation; and (4) medication side effects. Sleep problems also had profound impact on daytime dysfunctions and disability. The findings point to novel issues that may benefit from consideration in the treatment of sleep problems in schizophrenia. Unhelpful cognitions and behaviours about sleep can be addressed with psychological interventions, activity scheduling and motivational interviewing techniques. Seeking a first-person perspective is vital for identifying issues that will impact on treatment success and recovery.
Editor: New York: Springer US
Idioma: Inglês

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Sleep in Schizophrenia: Exploring Subjective Experiences of Sleep Problems, and Implications for Treatment

Chiu, Vivian W. ; Ree, Melissa ; Janca, Aleksandar ; Waters, Flavie

New York: Springer US

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