RESUMO
PURPOSE: To describe the prevalence and clinical correlates of insomnia in schizophrenia patients treated in primary care. DESIGN AND METHODS: Six hundred and twenty-three schizophrenia patients from 22 primary care services were recruited. FINDINGS: The prevalence of at least one type of insomnia was 28.9% (180/623), while those of difficulty initiating sleep, difficulty maintaining sleep, and early morning wakening were 20.5%, 19.6%, and 17.7%, respectively. Only 53.3% of patients suffering from insomnia received treatment. PRACTICE IMPLICATIONS: Insomnia is common in Chinese patients with schizophrenia treated in primary care and the rate of treatment appears low.
Assuntos
Atenção Primária à Saúde/estatística & dados numéricos , Qualidade de Vida , Esquizofrenia/epidemiologia , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Adulto , Comorbidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , PrevalênciaRESUMO
PURPOSE: The purpose of the study was to determine the pattern of sleep behavior in schizophrenia patients treated in primary care. DESIGN AND METHODS: Altogether 623 schizophrenia patients in 22 primary care services were recruited. Sleep duration and demographic and clinical characteristics were recorded. FINDINGS: The mean expected total sleep time was 8.8 hr (SD 1.8) and the mean actual total sleep time was 8.2 hr (SD 2.1). The frequency of short, medium, and long sleepers was 18.1, 38.4, and 43.5%, respectively. Major medical conditions and any type of insomnia were independently associated with short sleep, while long sleep was associated with unemployment and use of second-generation antipsychotics. PRACTICE IMPLICATIONS: More attention should be paid to sleep duration in this population group.
