Sleep Interventions in the Treatment of Schizophrenia and Bipolar Disorder

Küçük Resim Yok

Tarih

2021

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Turkish Neuropsychiatry Assoc-Turk Noropsikiyatri Dernegi

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Due to the effects of sleep on the central nervous system, it is thought that sleep disorders have a special importance in the onset, course and treatment of psychiatric diseases. Although the negative effects of sleep problems on the occurrence, recurrence and clinical course of psychiatric disorders are well known, it is reported that clinicians do not spend enough time for sleep problems in practice. This may be related to the fact that patients underreport their complaints for various reasons, insufficient examination time, and clinicians lack of knowledge about the importance of the subject. Pharmacotherapy, psychological and behavioral interventions are options among the therapeutic approaches to sleep problems. But, it seems that clinicians tend to prefer pharmacological approaches for the treatment of sleep problems. However, it is important to choose the appropriate treatment option with considering the method preferred by the patients, who already use many and high doses of pharmacological agents, the nature of the psychiatric disorder and the sleep problem. In this context, chronotherapeutic approaches such as bright light, sleep deprivation, interpersonal relations and social rhythm therapy, and cognitive behavioral therapy techniques adapted for patients with bipolar disorder can be used in the treatment of suitable patients. In this article, the current literature about sleep-related problems observed in patients with schizophrenia and bipolar disorder is reviewed comprehensively with presenting clinical phenotypes and treatment approaches.

Açıklama

Anahtar Kelimeler

Bipolar Disorder, Schizophrenia, Bright Light Therapy, Sleep Deprivation, Chronotherapy

Kaynak

Noropsikiyatri Arsivi-Archives Of Neuropsychiatry

WoS Q Değeri

Q4

Scopus Q Değeri

Q3

Cilt

58

Sayı

Künye