Mental healthcare utilization and sleep disturbance: a pilot study.
Disturbances in sleep are empirically associated with a number of different psychiatric disorders. In this pilot study, we examined whether four general queries about mental healthcare utilization ("Have you ever been seen by a psychiatrist?," "Have you ever been hospitalized in a psychiatric hospital?," "Have you ever been in counseling?," and "Have you ever been on medication for your nerves?") would evidence correlations with various aspects of sleep disturbance as measured by the Pittsburgh Sleep Quality Index. In a cross-sectional sample of convenience, we surveyed 75 internal medicine outpatients. We asked participants about the four preceding mental healthcare variables as well as sleep experiences using the Pittsburgh Sleep Quality Index. Prior to statistical analyses, we assigned one point to each mental healthcare utilization variable endorsed and developed a composite score (0-4). In analyses, while the mental-healthcare-utilization composite score was not related to overall sleep quality (i.e., the Global Pittsburgh Sleep Quality Index Score), it was statistically significantly related to the Pittsburgh Sleep Quality Index component of Sleep Disturbance (p<.01). This suggests that while individuals with greater mental healthcare utilization do not evidence differences in overall sleep quality compared to those with low utilization, they do report more disturbances in sleep.
Sansone
Randy A
RA
Dr. Sansone is a Professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of Medicine in Dayton, Ohio, and Director of Psychiatry Education at Kettering Medical Center in Kettering, Ohio.
Edwards
Howard C
HC
Forbis
Jeremy S
JS
Sleep Med. 2009 Dec;10(10):1132-8
19527942
J Nerv Ment Dis. 2005 Jul;193(7):488-93
15985844
Psychiatry Res. 1989 May;28(2):193-213
2748771
Compr Psychiatry. 2009 Mar-Apr;50(2):158-63
19216893
Sleep. 2009 Oct;32(10):1341-52
19848363
J Psychiatr Res. 2009 Jul;43(10):926-33
19269650
Eat Weight Disord. 2004 Mar;9(1):77-80
15185838
Chest. 2009 May;135(5):1370-1379
19420207
CNS Drugs. 2008;22(11):939-62
18840034
Curr Psychiatry Rep. 2009 Aug;11(4):269-76
19635234
Am J Psychiatry. 2008 Jul;165(7):820-9
18519522
J Nerv Ment Dis. 2009 Feb;197(2):126-32
19214048
Sleep Med. 2008 Sep;9 Suppl 1:S3-9
18929317