The Experience of Insomnia in Patients With Schizophrenic Disorder: A Qualitative Study
BackgroundInsomnia is a health problem that particularly affects people with schizophrenia. Its repercussions go beyond the disorder itself and affect many areas of life. The aim of the present study is to explore the clinical symptoms and consequences of insomnia in patients diagnosed with schizoph...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-01-01
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| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.805601/full |
| _version_ | 1798025709304676352 |
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| author | David Batalla-Martín Maria-Antonia Martorell-Poveda Angel Belzunegui-Eraso Eva Miralles Garijo Ana Del-Cuerpo Serratosa JuanCarlos Valdearcos Pérez Miquel Montané Escobar Marina Lopez-Ruiz |
| author_facet | David Batalla-Martín Maria-Antonia Martorell-Poveda Angel Belzunegui-Eraso Eva Miralles Garijo Ana Del-Cuerpo Serratosa JuanCarlos Valdearcos Pérez Miquel Montané Escobar Marina Lopez-Ruiz |
| author_sort | David Batalla-Martín |
| collection | DOAJ |
| description | BackgroundInsomnia is a health problem that particularly affects people with schizophrenia. Its repercussions go beyond the disorder itself and affect many areas of life. The aim of the present study is to explore the clinical symptoms and consequences of insomnia in patients diagnosed with schizophrenic disorder and the perceptions of these patients regarding the care they receive.MethodsThe study takes a qualitative approach and uses semi-structured interviews to conduct a descriptive and interpretive analysis of 3 clinically different clusters of patients. These 3 clusters have been defined by using two-step cluster analysis based on the results of the ISI (Insomnia Severity Index) and EQ-5D scales (EuroQol-5D) and the presence of certain diagnostic symptoms in a sample of 170 patients. The final sample was 31 subjects. The analysis was based on a hermeneutic analysis of the patients' narratives regarding their experiences of insomnia.ResultsThe patients' narratives show differences in the intensity and experience of insomnia depending on the severity, as well as its impact on their quality of life. Insomnia has a huge emotional impact. Participants describe ruminations and obsessive thoughts as a key factor hindering falling asleep. Some of the everyday actions they perform encourage the chronicity of insomnia. The desired health response must include interventions that are effective, such as cognitive-behavioural therapy, and powerful, such as pharmacological solutions. Psychoeducation and advice on sleep hygiene are highly valued tools as preventive strategies.ConclusionsTo know the experience of users gives us a more comprehensive understanding of insomnia complexities and brings some new intervention strategies in patients with mental disorders. It is important that health professionals intervene preventively to stop the disorder from becoming chronic. |
| first_indexed | 2024-04-11T18:23:13Z |
| format | Article |
| id | doaj.art-70e5503b219d4055a2f4d0aef6781a19 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-11T18:23:13Z |
| publishDate | 2022-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-70e5503b219d4055a2f4d0aef6781a192022-12-22T04:09:43ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-01-011210.3389/fpsyt.2021.805601805601The Experience of Insomnia in Patients With Schizophrenic Disorder: A Qualitative StudyDavid Batalla-Martín0Maria-Antonia Martorell-Poveda1Angel Belzunegui-Eraso2Eva Miralles Garijo3Ana Del-Cuerpo Serratosa4JuanCarlos Valdearcos Pérez5Miquel Montané Escobar6Marina Lopez-Ruiz7Nou Barris Mental Health Center, Barcelona, SpainNursing Department, Faculty of Nursing, Rovira i Virgili University, Tarragona, SpainChair for Social Inclusion, Rovira i Virgili University, Tarragona, SpainNou Barris Mental Health Center, Barcelona, SpainNou Barris Mental Health Center, Barcelona, SpainNou Barris Mental Health Center, Barcelona, SpainNou Barris Mental Health Center, Barcelona, SpainService of Psychiatry and Psychology, HM-Sant Jordi Clinic, Barcelona, SpainBackgroundInsomnia is a health problem that particularly affects people with schizophrenia. Its repercussions go beyond the disorder itself and affect many areas of life. The aim of the present study is to explore the clinical symptoms and consequences of insomnia in patients diagnosed with schizophrenic disorder and the perceptions of these patients regarding the care they receive.MethodsThe study takes a qualitative approach and uses semi-structured interviews to conduct a descriptive and interpretive analysis of 3 clinically different clusters of patients. These 3 clusters have been defined by using two-step cluster analysis based on the results of the ISI (Insomnia Severity Index) and EQ-5D scales (EuroQol-5D) and the presence of certain diagnostic symptoms in a sample of 170 patients. The final sample was 31 subjects. The analysis was based on a hermeneutic analysis of the patients' narratives regarding their experiences of insomnia.ResultsThe patients' narratives show differences in the intensity and experience of insomnia depending on the severity, as well as its impact on their quality of life. Insomnia has a huge emotional impact. Participants describe ruminations and obsessive thoughts as a key factor hindering falling asleep. Some of the everyday actions they perform encourage the chronicity of insomnia. The desired health response must include interventions that are effective, such as cognitive-behavioural therapy, and powerful, such as pharmacological solutions. Psychoeducation and advice on sleep hygiene are highly valued tools as preventive strategies.ConclusionsTo know the experience of users gives us a more comprehensive understanding of insomnia complexities and brings some new intervention strategies in patients with mental disorders. It is important that health professionals intervene preventively to stop the disorder from becoming chronic.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.805601/fullinsomniaschizophreniasleep disturbancequality of lifequalitative researchillness experience |
| spellingShingle | David Batalla-Martín Maria-Antonia Martorell-Poveda Angel Belzunegui-Eraso Eva Miralles Garijo Ana Del-Cuerpo Serratosa JuanCarlos Valdearcos Pérez Miquel Montané Escobar Marina Lopez-Ruiz The Experience of Insomnia in Patients With Schizophrenic Disorder: A Qualitative Study Frontiers in Psychiatry insomnia schizophrenia sleep disturbance quality of life qualitative research illness experience |
| title | The Experience of Insomnia in Patients With Schizophrenic Disorder: A Qualitative Study |
| title_full | The Experience of Insomnia in Patients With Schizophrenic Disorder: A Qualitative Study |
| title_fullStr | The Experience of Insomnia in Patients With Schizophrenic Disorder: A Qualitative Study |
| title_full_unstemmed | The Experience of Insomnia in Patients With Schizophrenic Disorder: A Qualitative Study |
| title_short | The Experience of Insomnia in Patients With Schizophrenic Disorder: A Qualitative Study |
| title_sort | experience of insomnia in patients with schizophrenic disorder a qualitative study |
| topic | insomnia schizophrenia sleep disturbance quality of life qualitative research illness experience |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.805601/full |
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