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The Experience of Insomnia in Patients With Schizophrenic Disorder: A Qualitative Study

  • Dades identificatives

    Identificador: imarina:9244550
    Handle: https://hdl.handle.net/20.500.11797/imarina9244550
    Autors:
    Batalla-Martín DMartorell-Poveda MABelzunegui-Eraso AMiralles Garijo EDel-Cuerpo Serratosa AValdearcos Pérez JCMontané Escobar MLopez-Ruiz M
    Resum:
    Background: Insomnia is a health problem that particularly affects people with schizophrenia. Its repercussions go beyond the disorder itself and affect many areas of life. The aim of the present study is to explore the clinical symptoms and consequences of insomnia in patients diagnosed with schizophrenic disorder and the perceptions of these patients regarding the care they receive. Methods: The study takes a qualitative approach and uses semi-structured interviews to conduct a descriptive and interpretive analysis of 3 clinically different clusters of patients. These 3 clusters have been defined by using two-step cluster analysis based on the results of the ISI (Insomnia Severity Index) and EQ-5D scales (EuroQol-5D) and the presence of certain diagnostic symptoms in a sample of 170 patients. The final sample was 31 subjects. The analysis was based on a hermeneutic analysis of the patients' narratives regarding their experiences of insomnia. Results: The patients' narratives show differences in the intensity and experience of insomnia depending on the severity, as well as its impact on their quality of life. Insomnia has a huge emotional impact. Participants describe ruminations and obsessive thoughts as a key factor hindering falling asleep. Some of the everyday actions they perform encourage the chronicity of insomnia. The desired health response must include interventions that are effective, such as cognitive-behavioural therapy, and powerful, such as pharmacological solutions. Psychoeducation and advice on sleep hygiene are highly valued tools as preventive strategies. Conclusions: To know the experience of users gives us a more comprehensive understanding of insomnia complexities and brings some new intervention strategies in patients with mental disorders. It is

  • Altres:

    Autor segons l'article: Batalla-Martín D; Martorell-Poveda MA; Belzunegui-Eraso A; Miralles Garijo E; Del-Cuerpo Serratosa A; Valdearcos Pérez JC; Montané Escobar M; Lopez-Ruiz M
    Departament: Infermeria Història i Història de l'Art
    Autor/s de la URV: Belzunegui Eraso, Angel Gabriel / Martorell Poveda, Maria Antonia
    Paraules clau: Sleep disturbance Schizophrenia Salut mental Quality of life Qualitative research Investigació en infermeria Insomnia Illness experience Esquizofrenia Cognitive-behavioral therapy validation sleep disturbances sleep disturbance severity index schizophrenia risk-factor quality of life qualitative research primary-care of-life management knowledge illness experience euroqol
    Resum: Background: Insomnia is a health problem that particularly affects people with schizophrenia. Its repercussions go beyond the disorder itself and affect many areas of life. The aim of the present study is to explore the clinical symptoms and consequences of insomnia in patients diagnosed with schizophrenic disorder and the perceptions of these patients regarding the care they receive. Methods: The study takes a qualitative approach and uses semi-structured interviews to conduct a descriptive and interpretive analysis of 3 clinically different clusters of patients. These 3 clusters have been defined by using two-step cluster analysis based on the results of the ISI (Insomnia Severity Index) and EQ-5D scales (EuroQol-5D) and the presence of certain diagnostic symptoms in a sample of 170 patients. The final sample was 31 subjects. The analysis was based on a hermeneutic analysis of the patients' narratives regarding their experiences of insomnia. Results: The patients' narratives show differences in the intensity and experience of insomnia depending on the severity, as well as its impact on their quality of life. Insomnia has a huge emotional impact. Participants describe ruminations and obsessive thoughts as a key factor hindering falling asleep. Some of the everyday actions they perform encourage the chronicity of insomnia. The desired health response must include interventions that are effective, such as cognitive-behavioural therapy, and powerful, such as pharmacological solutions. Psychoeducation and advice on sleep hygiene are highly valued tools as preventive strategies. Conclusions: To know the experience of users gives us a more comprehensive understanding of insomnia complexities and brings some new intervention strategies in patients with mental disorders. It is important that health professionals intervene preventively to stop the disorder from becoming chronic.
    Àrees temàtiques: Psychiatry and mental health Psychiatry Psicología Medicina ii Medicina i Interdisciplinar Ensino Engenharias iv Educação física Ciências biológicas ii Ciências biológicas i Ciências ambientais Astronomia / física Administração pública e de empresas, ciências contábeis e turismo
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    Adreça de correu electrònic de l'autor: mariaantonia.martorell@urv.cat mariaantonia.martorell@urv.cat angel.belzunegui@urv.cat
    Identificador de l'autor: 0000-0002-0309-1812 0000-0002-0309-1812 0000-0002-6355-1593
    Data d'alta del registre: 2024-09-07
    Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
    Enllaç font original: https://www.frontiersin.org/articles/10.3389/fpsyt.2021.805601/full
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referència a l'article segons font original: Frontiers In Psychiatry. 12
    Referència de l'ítem segons les normes APA: Batalla-Martín D; Martorell-Poveda MA; Belzunegui-Eraso A; Miralles Garijo E; Del-Cuerpo Serratosa A; Valdearcos Pérez JC; Montané Escobar M; Lopez-Ru (2022). The Experience of Insomnia in Patients With Schizophrenic Disorder: A Qualitative Study. Frontiers In Psychiatry, 12(), -. DOI: https://doi.org/10.3389/fpsyt.2021.805601
    DOI de l'article: https://doi.org/10.3389/fpsyt.2021.805601
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2022
    Tipus de publicació: Journal Publications

  • Paraules clau:

    Psychiatry,Psychiatry and Mental Health
    Sleep disturbance
    Schizophrenia
    Salut mental
    Quality of life
    Qualitative research
    Investigació en infermeria
    Insomnia
    Illness experience
    Esquizofrenia
    Cognitive-behavioral therapy
    validation
    sleep disturbances
    sleep disturbance
    severity index
    schizophrenia
    risk-factor
    quality of life
    qualitative research
    primary-care
    of-life
    management
    knowledge
    illness experience
    euroqol
    Psychiatry and mental health
    Psychiatry
    Psicología
    Medicina ii
    Medicina i
    Interdisciplinar
    Ensino
    Engenharias iv
    Educação física
    Ciências biológicas ii
    Ciências biológicas i
    Ciências ambientais
    Astronomia / física
    Administração pública e de empresas, ciências contábeis e turismo

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