title: A survey of sleep quality in patients with 13 types of mental disorders.
abstract: OBJECTIVE
  To investigate the sleep characteristics of a community sample of patients with 13 types of mental disorders.
  
  
  METHODS
  Subjects aged 18 years and older were sampled from the Epidemiologic Sites Survey of Mental Illness at a mental health center in Hebei Province, Baoding, China, from October 2004 to March 2005. The study group included 1,874 subjects who met the diagnostic criteria of 13 types of mental disorders according to the Structured Clinical Interview for DSM-IV-TR Axis I Disorders-Patient Edition (major depressive disorder, panic disorder, generalized anxiety disorder, posttraumatic stress disorder, dysthymic disorder, bipolar affective disorder, somatoform disorder, obsessive-compulsive disorder, specific phobia, schizophrenia, adjustment disorder, social phobia, and alcohol abuse and dependence.) The control group included 15,117 subjects without mental disorders. The Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality, and the Global Assessment of Functioning (GAF) was used to assess social life function.
  
  
  RESULTS
  The prevalence of sleep disorders was 11.6% in the survey respondents. The prevalence of sleep disturbances in the group with 13 types of mental disorders ranged from 19.30% to 69.92%. There was a significant difference in the prevalence of sleep disorders between the study group (48.61%) and the control group (5.55%; P < .01). The prevalence of sleep disturbance in subjects with major depressive disorder and generalized anxiety disorder was 69.92% and 58.27%, respectively. Longer sleep latency and shorter sleep duration were the most common features of low quality sleep in patients with mental disorders. There was a significant difference in sleep latency and duration in subjects with major depressive disorder (P < .01), dysthymic disorder (P < .01), and generalized anxiety disorder (P < .01) compared to control subjects. Sleep medication was used most by subjects with schizophrenia and least by those with social phobia. Daytime dysfunction was most notable in subjects with major depressive disorder. Subjects with mental disorders with sleep disorders tended to be older than those with mental disorders without sleep disorders. The prevalence of sleep disorders was higher in patients with mental disorders who were female, older, less educated, retired or farmers, and widowed. There was no relation between the severity of depression and sleep disorders.
  
  
  CONCLUSIONS
  The prevalence of sleep disorders in subjects with mental disorders was high. Longer sleep latency and shorter sleep duration were the most common characteristics of low quality sleep in the patients with mental disorders and were most notable in those with depression.
authors.affiliation: Health Center of Hebei Province, Hebei Province, Baoding, China.
authors.forename: Cui
authors.initials: C
authors.lastname: Lijun
authors.forename: Li
authors.initials: L
authors.lastname: Ke-Qing
authors.forename: Sun
authors.initials: S
authors.lastname: Xiuli
authors.forename: Cui
authors.initials: C
authors.lastname: Ze
authors.forename: Jiang
authors.initials: J
authors.lastname: Qinpu
authors.forename: Han
authors.initials: H
authors.lastname: Yanchao
authors.forename: Gao
authors.initials: G
authors.lastname: Lianghui
authors.forename: Zhang
authors.initials: Z
authors.lastname: Yang
authors.forename: Li
authors.initials: L
authors.lastname: Jianfeng
authors.forename: Liu
authors.initials: L
authors.lastname: Yongqiao
authors.forename: Yang
authors.initials: Y
authors.lastname: Laohu
authors.forename: Lv
authors.initials: L
authors.lastname: Hua