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Dysfunctional cognitions about sleep in psychiatric patients
Mark Huthwaite1, Helen Miller, Judith McCartney
1HUTHWAITE, MILLER, MCCARTNEY, and ROMANS: University of Otago School of Medicine, Wellington, New Zealand.
Journal of Psychiatric Practice
|May 23, 2014
Summary
Individuals with acute psychiatric disorders often have dysfunctional beliefs about sleep, impacting management. Cognitive therapies show promise for improving sleep in these patients.
Area of Science:
- Psychiatry
- Sleep Medicine
- Cognitive Behavioral Therapy
Background:
- Sleep disturbances are common in psychiatric illness and can increase relapse risk.
- Optimal sleep management is challenging for patients with psychiatric disorders.
- Dysfunctional beliefs about sleep can negatively impact sleep quality and psychiatric outcomes.
Purpose of the Study:
- To assess sleep-related beliefs in adults with acute psychiatric disorders.
- To explore confidence in self-management of sleep problems.
- To identify potential targets for non-pharmacological sleep interventions.
Main Methods:
- Utilized the short Dysfunctional Beliefs and Attitudes Scale.
- Assessed beliefs about sleep in 100 adults with acute psychiatric disorders.
- Recruited participants from inpatient and outpatient psychiatric clinics.
Main Results:
- Patients exhibited highly dysfunctional beliefs and attitudes toward sleep.
- Participants expressed low confidence in their ability to manage sleep optimally.
- Excessive daytime sleepiness was not reported by the sample.
- Two-thirds of the sample were interested in non-pharmacological sleep strategies.
Conclusions:
- Individuals with acute psychiatric illness demonstrate significant sleep-related worry and dysfunctional beliefs.
- Cognitive reshaping therapies may offer a viable alternative to medication for sleep issues.
- Dysfunctional beliefs and sleep concerns are potential targets for psychotherapy in psychiatric populations.
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