Schizophrenia and sleep disorders: links, risks, and management challenges

Rachel E Kaskie,1 Bianca Graziano,2 Fabio Ferrarelli1 1Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA; 2Department of Health Sciences, Università degli Studi di Milano, Milan, Italy Abstract: Schizophrenia is a major psychiatric disorder that has a massive, long-l...

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Autores principales:	Kaskie RE, Graziano B, Ferrarelli F
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	sleep schizophrenia psychosis sleep disorders insomnia Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/d3f0982deafa4c519567b97a1ebf1c32
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spelling	oai:doaj.org-article:d3f0982deafa4c519567b97a1ebf1c322021-12-02T00:20:06ZSchizophrenia and sleep disorders: links, risks, and management challenges1179-1608https://doaj.org/article/d3f0982deafa4c519567b97a1ebf1c322017-09-01T00:00:00Zhttps://www.dovepress.com/schizophrenia-and-sleep-disorders-links-risks-and-management-challenge-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Rachel E Kaskie,1 Bianca Graziano,2 Fabio Ferrarelli1 1Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA; 2Department of Health Sciences, Università degli Studi di Milano, Milan, Italy Abstract: Schizophrenia is a major psychiatric disorder that has a massive, long-lasting negative impact on the patients as well as society. While positive symptoms (i.e., delusions and hallucinations), negative symptoms (i.e., anhedonia, social withdrawal), and cognitive impairments are traditionally considered the most prominent features of this disorder, the role of sleep and sleep disturbances has gained increasing prominence in clinical practice. Indeed, the vast majority of patients with schizophrenia report sleep abnormalities, which tend to precede illness onset and can predict an acute exacerbation of psychotic symptoms. Furthermore, schizophrenia patients often have a comorbid sleep disorder, including insomnia, obstructive sleep apnea, restless leg syndrome, or periodic limb movement disorder. Despite accumulating data, the links between sleep disorders and schizophrenia have not been thoroughly examined, in part because they are difficult to disentangle, as numerous factors contribute to their comorbidity, including medication status. Additionally, sleep disorders are often not the primary focus of clinicians treating this population, despite studies suggesting that comorbid sleep disorders carry their own unique risks, including worsening of psychotic symptoms and poorer quality of life. There is also limited information about effective management strategies for schizophrenia patients affected by significant sleep disturbances and/or sleep disorders. To begin addressing these issues, the present review will systematically examine the literature on sleep disorders and schizophrenia, focusing on studies related to 1) links between distinct sleep disorders and schizophrenia; 2) risks unique to patients with a comorbid sleep disorder; and 3) and management challenges and strategies. Keywords: psychosis, sleep disturbances, insomnia, obstructive sleep apnea Kaskie REGraziano BFerrarelli FDove Medical Pressarticlesleepschizophreniapsychosissleep disordersinsomniaPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 9, Pp 227-239 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	sleep schizophrenia psychosis sleep disorders insomnia Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	sleep schizophrenia psychosis sleep disorders insomnia Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Kaskie RE Graziano B Ferrarelli F Schizophrenia and sleep disorders: links, risks, and management challenges
description	Rachel E Kaskie,1 Bianca Graziano,2 Fabio Ferrarelli1 1Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA; 2Department of Health Sciences, Università degli Studi di Milano, Milan, Italy Abstract: Schizophrenia is a major psychiatric disorder that has a massive, long-lasting negative impact on the patients as well as society. While positive symptoms (i.e., delusions and hallucinations), negative symptoms (i.e., anhedonia, social withdrawal), and cognitive impairments are traditionally considered the most prominent features of this disorder, the role of sleep and sleep disturbances has gained increasing prominence in clinical practice. Indeed, the vast majority of patients with schizophrenia report sleep abnormalities, which tend to precede illness onset and can predict an acute exacerbation of psychotic symptoms. Furthermore, schizophrenia patients often have a comorbid sleep disorder, including insomnia, obstructive sleep apnea, restless leg syndrome, or periodic limb movement disorder. Despite accumulating data, the links between sleep disorders and schizophrenia have not been thoroughly examined, in part because they are difficult to disentangle, as numerous factors contribute to their comorbidity, including medication status. Additionally, sleep disorders are often not the primary focus of clinicians treating this population, despite studies suggesting that comorbid sleep disorders carry their own unique risks, including worsening of psychotic symptoms and poorer quality of life. There is also limited information about effective management strategies for schizophrenia patients affected by significant sleep disturbances and/or sleep disorders. To begin addressing these issues, the present review will systematically examine the literature on sleep disorders and schizophrenia, focusing on studies related to 1) links between distinct sleep disorders and schizophrenia; 2) risks unique to patients with a comorbid sleep disorder; and 3) and management challenges and strategies. Keywords: psychosis, sleep disturbances, insomnia, obstructive sleep apnea
format	article
author	Kaskie RE Graziano B Ferrarelli F
author_facet	Kaskie RE Graziano B Ferrarelli F
author_sort	Kaskie RE
title	Schizophrenia and sleep disorders: links, risks, and management challenges
title_short	Schizophrenia and sleep disorders: links, risks, and management challenges
title_full	Schizophrenia and sleep disorders: links, risks, and management challenges
title_fullStr	Schizophrenia and sleep disorders: links, risks, and management challenges
title_full_unstemmed	Schizophrenia and sleep disorders: links, risks, and management challenges
title_sort	schizophrenia and sleep disorders: links, risks, and management challenges
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/d3f0982deafa4c519567b97a1ebf1c32
work_keys_str_mv	AT kaskiere schizophreniaandsleepdisorderslinksrisksandmanagementchallenges AT grazianob schizophreniaandsleepdisorderslinksrisksandmanagementchallenges AT ferrarellif schizophreniaandsleepdisorderslinksrisksandmanagementchallenges
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Schizophrenia and sleep disorders: links, risks, and management challenges

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