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Treating Sleep Problems in Patients with Schizophrenia.

Felicity Waite¹, Elissa Myers², Allison G Harvey³

¹University of Oxford,Warneford Hospital,UK.

Behavioural and Cognitive Psychotherapy

|January 12, 2016

Summary

Patients with schizophrenia experience significant sleep disturbances. This study adapted cognitive behavioral therapy to address sleep issues, finding it beneficial for improving sleep and reducing psychotic symptoms.

Keywords:

Psychosis cognitive behavioural therapy delusions hallucinations insomnia

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Area of Science:

Psychiatry
Sleep Medicine
Psychology

Background:

Sleep disturbance is a prevalent issue in schizophrenia, often overlooked in treatment.
Cognitive Behavioral Therapy (CBT) is a primary insomnia treatment, adapted here for psychosis.

Purpose of the Study:

To detail clinical presentations of sleep problems in schizophrenia.
To recommend adaptations of psychological interventions for patients with delusions and hallucinations.

Main Methods:

Identified twelve factors contributing to sleep problems in schizophrenia.
Described specific adaptations of psychological treatments for these factors.

Main Results:

Delusions, hallucinations, and circadian rhythm disruption are key factors.
Interventions can be tailored to address fear of the bed and escape attempts.

Conclusions:

Patients with schizophrenia desire sleep improvement interventions.
Evidence-based sleep treatments can alleviate psychotic experiences.
A treatment hierarchy is proposed for clinical application.