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BMC Psychiatry
Published in: BMC Psychiatry 1/2012

Open Access 01-12-2012 | Research article

Impact of sleep disturbance on patients in treatment for mental disorders

Authors: Håvard Kallestad, Bjarne Hansen, Knut Langsrud, Torleif Ruud, Gunnar Morken, Tore C Stiles, Rolf W Gråwe

Published in: BMC Psychiatry | Issue 1/2012

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Abstract

Background

In clinical practice, sleep disturbance is often regarded as an epiphenomenon of the primary mental disorder. The aim of this study was to test if sleep disturbance, independently of primary mental disorders, is associated with current clinical state and benefit from treatment in a sample representative of public mental health care clinics.

Method

2246 patients receiving treatment for mental disorders in eight public mental health care centers in Norway were evaluated in a cross-sectional study using patient and clinician reported measures. Patients reported quality of life, symptom severity, and benefit from treatment. Clinicians reported disorder severity, level of functioning, symptom severity and benefit from treatment. The hypothesis was tested using multiple hierarchical regression analyses.

Results

Sleep disturbance was, adjusted for age, gender, time in treatment, type of care, and the presence of any primary mental disorder, associated with lower quality of life, higher symptom severity, higher disorder severity, lower levels of functioning, and less benefit from treatment.

Conclusion

Sleep disturbance ought to be considered a stand-alone therapeutic entity rather than an epiphenomenon of existing diagnoses for patients receiving treatment in mental health care.
Appendix
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Metadata
Title
Impact of sleep disturbance on patients in treatment for mental disorders
Authors
Håvard Kallestad
Bjarne Hansen
Knut Langsrud
Torleif Ruud
Gunnar Morken
Tore C Stiles
Rolf W Gråwe
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2012
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/1471-244X-12-179

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