Psychiatric Disorders and Sleep Issues

• Published in: The Medical clinics of North America Vol. 98; no. 5; pp. 1123 - 1143
• Main Author: Sutton, Eliza L., MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-09-2014
• Subjects: Antidepressive Agents - therapeutic use; Antipsychotic Agents - therapeutic use; Anxiety; Brain - physiology; Chronobiology Disorders - complications; Chronobiology Disorders - therapy; Circadian rhythm disorders; Cognitive Therapy; Cognitive-behavioral therapy for insomnia; Continuous Positive Airway Pressure; Depression; Dopamine Agonists - administration & dosage; Dopamine Agonists - adverse effects; Humans; Hypnotics and Sedatives - therapeutic use; Insomnia; Internal Medicine; Mental Disorders - complications; Mental Disorders - therapy; Obstructive sleep apnea; Patient Compliance; Phototherapy; Restless leg syndrome; Restless Legs Syndrome - chemically induced; Restless Legs Syndrome - complications; Restless Legs Syndrome - drug therapy; Serotonin Uptake Inhibitors - therapeutic use; Sleep - physiology; Sleep Wake Disorders - complications; Sleep Wake Disorders - therapy; Circadian rhythm disorders; Insomnia; Restless leg syndrome; Depression; Anxiety; Obstructive sleep apnea; Cognitive-behavioral therapy for insomnia
• ISSN: 0025-7125; 1557-9859
• DOI: 10.1016/j.mcna.2014.06.009

Sleep issues are common in people with psychiatric disorders, and the interaction is complex. Sleep disorders, particularly insomnia, can precede and predispose to psychiatric disorders, can be comorbid with and exacerbate psychiatric disorders, and can occur as part of psychiatric disorders. Sleep disorders can mimic psychiatric disorders or result from medication given for psychiatric disorders. Impairment of sleep and of mental health may be different manifestations of the same underlying neurobiological processes. For the primary care physician, key tools include recognition of potential sleep effects of psychiatric medications and familiarity with treatment approaches for insomnia in depression and anxiety.