title: [Institutional Prevalence and Context of Severe Sleep Disorders in Psychosomatic Rehabilitation].
abstract: BACKGROUND
  In cases of burnout, chronic fatigue, depression, somatization, overtaxation, or impairment in wellbeing and work capacity, the cause can be sleep problems. Goal of the present study was to estimate the prevalence of sleep problems in psychosomatic inpatients.
  
  
  METHODS
  Included were 1325 unselected patients from a psychosomatic rehabilitation hospital. They filled in the SCL-90, the PSQI and were assessed in respect to their clinical, social and occupational status.
  
  
  RESULTS
  At admission 13.4% of patients had a PSQI score of 5 at maximum (no sleep problem), 34.6% 6 to 10 (moderate sleep problem) und 52.1% over 10 (severe sleep problem). At discharge there was a reduction of sleep problems with 32.7% of patients over 10. Sleep problems were significantly associated with more severe mental problems, older age, women, lower socioeconomic status, and also incapacity to work or early retirement.
  
  
  CONCLUSIONS
  Mental disorders can cause sleep problems and sleep problems mental disorders and incapacity to work, with a negative interaction. The high rate of severe sleep problems in rehabilitation patients shows that this problem is in need of special diagnostic and therapeutic attention. Also, the equipment of hospitals and the qualification of therapists should allow adequate care.
authors: Abteilung für psychische und psychosomatische Störungen am Rehabilitationszentrum Seehof der Deutschen Rentenversicherung Bund, Teltow/Berlin und Forschungsgruppe Psychosomatische Rehabilitation an der Charité Universitätsmedizin Berlin.
authors: Michael
authors: M
authors: Linden
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006778:Hospitals, Psychiatric; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011602:Psychophysiologic Disorders / Q000150:complications* / Q000453:epidemiology / Q000534:rehabilitation*; D062707:Return to Work; D012737:Sex Factors; D012893:Sleep Wake Disorders / Q000453:epidemiology / Q000209:etiology* / Q000534:rehabilitation*; D012959:Socioeconomic Factors; D016896:Treatment Outcome; D055815:Young Adult