A preliminary investigation of sleep quality in functional neurological disorders: Poor sleep appears common, and is associated with functional impairment

PURPOSE: Functional neurological disorders (FND) are disabling conditions for which there are few empirically-supported treatments. Disturbed sleep appears to be part of the FND context; however, the clinical importance of sleep disturbance (extent, characteristics and impact) remains largely unknow...

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Κύριοι συγγραφείς: Graham, C, Kyle, S
Μορφή: Journal article
Γλώσσα:English
Έκδοση: Elsevier 2017
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author Graham, C
Kyle, S
author_facet Graham, C
Kyle, S
author_sort Graham, C
collection OXFORD
description PURPOSE: Functional neurological disorders (FND) are disabling conditions for which there are few empirically-supported treatments. Disturbed sleep appears to be part of the FND context; however, the clinical importance of sleep disturbance (extent, characteristics and impact) remains largely unknown. We described sleep quality in two samples, and investigated the relationship between sleep and FND-related functional impairment. METHODS: We included a sample recruited online via patient charities (N=205) and a consecutive clinical sample (N=20). Participants completed validated measures of sleep quality and sleep characteristics (e.g. total sleep time, sleep efficiency), mood, and FND-related functional impairment. RESULTS: Poor sleep was common in both samples (89% in the clinical range), which was characterised by low sleep efficiency (M=65.40%) and low total sleep time (M=6.05h). In regression analysis, sleep quality was negatively associated with FND-related functional impairment, accounting for 16% of the variance and remaining significant after the introduction of mood variables. CONCLUSIONS: These preliminary analyses suggest that subjective sleep disturbance (low efficiency, short sleep) is common in FND. Sleep quality was negatively associated with the functional impairment attributed to FND, independent of depression. Therefore, sleep disturbance may be a clinically important feature of FND.
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spelling oxford-uuid:7980091c-34b9-4c1a-970a-e7a7e5d93a9d2022-03-26T20:37:51ZA preliminary investigation of sleep quality in functional neurological disorders: Poor sleep appears common, and is associated with functional impairmentJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:7980091c-34b9-4c1a-970a-e7a7e5d93a9dEnglishSymplectic Elements at OxfordElsevier2017Graham, CKyle, SPURPOSE: Functional neurological disorders (FND) are disabling conditions for which there are few empirically-supported treatments. Disturbed sleep appears to be part of the FND context; however, the clinical importance of sleep disturbance (extent, characteristics and impact) remains largely unknown. We described sleep quality in two samples, and investigated the relationship between sleep and FND-related functional impairment. METHODS: We included a sample recruited online via patient charities (N=205) and a consecutive clinical sample (N=20). Participants completed validated measures of sleep quality and sleep characteristics (e.g. total sleep time, sleep efficiency), mood, and FND-related functional impairment. RESULTS: Poor sleep was common in both samples (89% in the clinical range), which was characterised by low sleep efficiency (M=65.40%) and low total sleep time (M=6.05h). In regression analysis, sleep quality was negatively associated with FND-related functional impairment, accounting for 16% of the variance and remaining significant after the introduction of mood variables. CONCLUSIONS: These preliminary analyses suggest that subjective sleep disturbance (low efficiency, short sleep) is common in FND. Sleep quality was negatively associated with the functional impairment attributed to FND, independent of depression. Therefore, sleep disturbance may be a clinically important feature of FND.
spellingShingle Graham, C
Kyle, S
A preliminary investigation of sleep quality in functional neurological disorders: Poor sleep appears common, and is associated with functional impairment
title A preliminary investigation of sleep quality in functional neurological disorders: Poor sleep appears common, and is associated with functional impairment
title_full A preliminary investigation of sleep quality in functional neurological disorders: Poor sleep appears common, and is associated with functional impairment
title_fullStr A preliminary investigation of sleep quality in functional neurological disorders: Poor sleep appears common, and is associated with functional impairment
title_full_unstemmed A preliminary investigation of sleep quality in functional neurological disorders: Poor sleep appears common, and is associated with functional impairment
title_short A preliminary investigation of sleep quality in functional neurological disorders: Poor sleep appears common, and is associated with functional impairment
title_sort preliminary investigation of sleep quality in functional neurological disorders poor sleep appears common and is associated with functional impairment
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AT grahamc preliminaryinvestigationofsleepqualityinfunctionalneurologicaldisorderspoorsleepappearscommonandisassociatedwithfunctionalimpairment
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