The Relationship Between Sleep Patterns, Quality of Life, and Social and Clinical Characteristics in Chinese Patients With Schizophrenia

Perspect Psychiatr Care. 2017 Oct;53(4):342-349. doi: 10.1111/ppc.12186. Epub 2016 Sep 14.

Abstract

Purpose: The purpose of the study was to determine the pattern of sleep behavior in schizophrenia patients treated in primary care.

Design and methods: Altogether 623 schizophrenia patients in 22 primary care services were recruited. Sleep duration and demographic and clinical characteristics were recorded.

Findings: The mean expected total sleep time was 8.8 hr (SD 1.8) and the mean actual total sleep time was 8.2 hr (SD 2.1). The frequency of short, medium, and long sleepers was 18.1, 38.4, and 43.5%, respectively. Major medical conditions and any type of insomnia were independently associated with short sleep, while long sleep was associated with unemployment and use of second-generation antipsychotics.

Practice implications: More attention should be paid to sleep duration in this population group.

Keywords: Primary care; schizophrenia; sleep duration.

MeSH terms

  • Adult
  • Antipsychotic Agents / therapeutic use*
  • China
  • Female
  • Humans
  • Male
  • Middle Aged
  • Primary Health Care / statistics & numerical data*
  • Quality of Life*
  • Schizophrenia / drug therapy
  • Schizophrenia / epidemiology*
  • Schizophrenia / physiopathology
  • Sleep / physiology*
  • Sleep Wake Disorders / epidemiology*
  • Sleep Wake Disorders / physiopathology
  • Unemployment / statistics & numerical data*

Substances

  • Antipsychotic Agents