Article thumbnail

Sleep and psychiatry

By Vivien C. Abad and Christian Guilleminault

Abstract

Psychiatric disorders constitute 15.4% of the disease burden in established market economies. Many psychiatric disorders are associated with sleep disturbances, and the relationship is often bidirectional. This paper reviews the prevalence of various psychiatric disorders, their clinical presentation, and their association with sleep disorders. Among the psychiatric disorders reviewed are affective disorders, psychosis, anxiety disorders (including post-traumatic stress disorder), substance abuse disorders, eating disorders, and attention deficit/hyperactivity disorders. The spectrum of associated sleep disorders includes insomnia, hypersomnia, nocturnal panic, sleep paralysis, hypnagogic hallucinations, restless legs/periodic limb movements of sleep, obstructive sleep apnea, and parasomnias. The effects on sleep of various psychotropic medications utilized to treat the above psychiatric disorders are summarized

Topics: State of the Art
Publisher: Les Laboratoires Servier
OAI identifier: oai:pubmedcentral.nih.gov:3181745
Provided by: PubMed Central

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.

Suggested articles

Citations

  1. A comparison of regional cerebral metabolism across waking and NREM sleep between primary insomnia and major depression.
  2. (1988). A longitudinal study of depressed mood and sleep disturbances in elderly adults.
  3. (1996). A longitudinal study of EEG sleep in schizophrenia. Psychiatry Res.
  4. (1997). A polysomnographic comparison of veterans with combat-related PTSD, depressed men, and non-ill controls.
  5. Additional categories of sleep-related eating disorders and the current status of treatment.
  6. (2003). alcoholism and relapse. Sleep Med Rev.
  7. (1967). All-night sleep recordings of chronic schizophrenics in remission. Compr Psychiatry.
  8. (2001). American Academy of Sleep Medicine. International Classification of Sleep Disorders, Revised: Diagnostic and Coding Manual. Chicago, Ill: American Academy of Sleep Medicine;
  9. An ecological valid study of sleep
  10. Assessment and treatment of nocturnal panic attacks. Sleep Med Rev.
  11. Association. Diagnostic and Statistical Manual of Mental Disorders. Fourth Edition.
  12. Associations between symptoms of inattention, hyperactivity, restless legs, and periodic leg movements.
  13. Atypical antipsychotics and metabolic dysregulation: evaluating the risk/benefit equation and improving the standard of care.
  14. (1999). Biological rhythm disturbance in depression: temporal coherence of ultradian sleep EEG rhythms. Psychol Med.
  15. (1997). BPRS symptom factors and sleeps variables in schizophrenia. Psychiatry Res.
  16. (1998). Clinical and polysomnographic features of sleep-related eating disorder.
  17. Correlation between eating disorders and sleep disturbances [in French].
  18. Delineating psychopathologic clusters within dysthymia: a study of 512 outpatients without major depression.
  19. Delta sleep ratio. A biological correlate of early recurrence in unipolar affective disorder. Arch Gen Psychiatry. 1990;47:1100-1105.State of the art
  20. Depression as a correlate of sleep hallucinations, sleep paralysis, cataplexy-like episodes, and automatic behavior in the Wisconsin Sleep Cohort study.
  21. Does nocturnal panic represent a more severe form of panic disorder?
  22. (1983). EEG sleep in outpatients with generalized anxiety: a preliminary comparison with depressed outpatients. Psychiatry Res.
  23. (1988). EEG sleep studies in patients with generalized anxiety disorder. Psychiatry Res.
  24. Effect of anticonvulsants on nocturnal sleep in epilepsy.
  25. (1995). Effect of pharmacologic treatments on the sleep of depressed patients. Biol Psychiatry.
  26. Effects of antiepileptic drugs on sleep architecture: a pilot study. Sleep Med.
  27. Effects of antipsychotic treatment on polysomnographic measures in schizophrenia: a replication and extension.
  28. (1992). Electroencephalographic sleep abnormalities in schizophrenia. Relationship to positive/negative symptoms and prior neuroleptic treatment. Arch Gen Psychiatry.
  29. (1991). Elevated awakening thresholds in sleep stage 3–4 in war-related post-traumatic stress disorder. Biol Psychiatry.
  30. Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention?
  31. (1985). Further evidence of abnormal non–rapid-eye-movement sleep in schizophrenia. Arch Gen Psychiatry.
  32. Gabapentin increases slow-wave sleep in normal adults.
  33. Human sleep and EEG through a cycle of methadone dependence.
  34. (1996). Hypersomnia in association with dysthymia in comparison with idiopathic hypersomnia and normal controls. Pflugers Arch.
  35. Inattention, hyperactivity, and symptoms of sleep-disordered breathing.
  36. Inflammatory markers and sleep disturbance in major depression. Psychosom Med.
  37. (1985). Insomnia and its treatment. Prevalence and correlates. Arch Gen Psychiatry.
  38. (2004). Is insomnia a neurophysiological disorder? The role of sleep EEG microstructure. Brain Res Bull.
  39. (1998). Latent structure of EEG sleep variables in depressed and control subjects: descriptions and clinical correlates. Psychiatry Res.
  40. (2004). Metabolic risk during antipsychotic treatment. Clin Ther.
  41. (1981). Morphine-like arousal by methadone during sleep. Clin Pharmacol Ther.
  42. Morphine-like insomnia from heroin in nondependent human addicts.
  43. Motor dysfunction during sleep in posttraumatic stress disorder.
  44. (1999). Nocturnal and daytime panic attacks—comparison of sleep architecture, heart rate variability, and response to sodium lactate challenge. Biol Psychiatry.
  45. Nocturnal eating syndrome in adults.
  46. (1997). Nocturnal eating: prevalence and features in 120 insomniac referrals.
  47. (2004). Nocturnal polysomnographic study in children with attention deficit hyperactivity disorder [in Spanish]. Rev Neurol.
  48. obesity, and obstructive sleep apnea.
  49. Place of chronic insomnia in the course of depressive and anxiety disorders.
  50. (1996). Possible paroxetine-induced bruxism. Ann Pharmacother.
  51. Prospective longitudinal associations between persistent sleep problems in childhood and anxiety and depression disorders in adulthood.
  52. (2005). Psychiatric disorders associated with disturbed sleep and circadian rhythm. Available at: www.websciences.org/sleepandhealth/ buysse.html.
  53. Psychotropic and neurologic medications.
  54. (1994). Rapid eye movement sleep disturbance in posttraumatic stress disorder. Biol Psychiatry.
  55. (1975). REM phase deprivation and schizophrenia II. Arch Gen Psychiatry.
  56. REM sleep and the early development of posttraumatic stress disorder.
  57. (1998). Selective serotonin-reuptake inhibitor-induced movement disorders. Ann Pharmacother.
  58. Simultaneous prepubertal onset of panic disorder, night terrors, and somnambulism.
  59. Sleep architecture and its clinical correlates in first episode and neuroleptic-naive patients with schizophrenia. Schizophr Res.
  60. Sleep disorders and daytime sleepiness in children with attention-deficit/hyperactive disorder.
  61. (2005). Sleep disorders in Taiwanese children with attention deficit/hyperactivity disorder. J Sleep Res. 2004;13:269-277.Sleep and psychiatry -
  62. (1996). Sleep disturbance and psychiatric disorders: a longitudinal epidemiological study of young adults. Biol Psychiatry.
  63. Sleep disturbance in acute schizophrenic patients.
  64. (2001). Sleep disturbances and mood disorders: an epidemiologic perspective. Depress Anxiety.
  65. Sleep disturbances in patients treated for panic disorder. Sleep Med.
  66. Sleep events among veterans with combat-related posttraumatic stress disorder.
  67. (2004). Sleep in eating disorders. Sleep Med Rev.
  68. Sleep in lifetime posttraumatic stress disorder: a community-based polysomnographic study. Arch Gen Psychiatry.
  69. (1999). Sleep in psychiatric disorders.
  70. (2004). Sleep in schizophrenia patients and the effects of antipsychotic drugs. Sleep Med Rev.
  71. Sleep microarchitecture as a predictor of recurrence in children and adolescents with depression.
  72. Sleep paralysis in African-Americans with panic disorder. Transcult Psychiatry.
  73. (2003). Sleep pathophysiology in posttraumatic stress disorder and idiopathic nightmare sufferers. Biol Psychiatry.
  74. (2004). Sleep problems in early childhood and early onset of alcohol and other drug use in adolescence. Alcohol Clin Exp Res.
  75. sleep quality, and sleepiness across attention-deficit/hyperactivity disorder subtypes.
  76. (1991). Sleep-related eating disorders: polysomnographic correlates of a heterogeneous syndrome distinct from daytime eating disorders.
  77. (2000). Slow-wave activity during non-REM sleep in men with schizophrenia and major depressive disorders. Psychiatry Res.
  78. SSRI-associated nocturnal bruxism in four patients.
  79. Symptoms of attention-deficit/hyperactivity disorder in adults with restless legs syndrome.
  80. Symptoms of sleep disorders, inattention, and hyperactivity in children.
  81. (1967). The effects of dream deprivation on chronic schizophrenics and normal adults: a comparative study. Folia Psychiatr Neurol Jpn.
  82. The GABA uptake inhibitor tiagabine promotes slow wave sleep in normal elderly subjects. Neurobiol Aging.
  83. The ghost pushes you down”: sleep paralysis-type panic attacks in a Khmer refugee population. Transcult Psychiatry.
  84. (2005). The Impact of Mental Illness on Society. Bethesda, Md: National Institutes of Mental Health. Available at: http://www.nimh.nih/gov/publicat/burden.cfm.
  85. The neurochemistry of waking and sleeping mental activity: the disinhibition-dopamine hypothesis. Psychiatry Clin Neurosci.
  86. (2005). The Numbers Count: Mental Disorders in America. Bethesda, Md: National Institutes of Mental Health. Available at: http://www.nimh.nih.gov/ publicat/numbers.cfm.
  87. (1983). The relationship of sleep and anxiety in anxious subjects. Biol Psychol.
  88. Ultradian rhythms and temporal coherence in sleep EEG in depressed children and adolescents. Biol Psychiatry.