Author, as appears in the 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
Department: Infermeria Història i Història de l'Art
URV's Author/s: Belzunegui Eraso, Angel Gabriel / Martorell Poveda, Maria Antonia
Keywords: 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
Abstract: 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.
Thematic Areas: 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
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: mariaantonia.martorell@urv.cat mariaantonia.martorell@urv.cat angel.belzunegui@urv.cat
Author identifier: 0000-0002-0309-1812 0000-0002-0309-1812 0000-0002-6355-1593
Record's date: 2024-09-07
Papper version: info:eu-repo/semantics/publishedVersion
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: Frontiers In Psychiatry. 12
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
Entity: Universitat Rovira i Virgili
Journal publication year: 2022
Publication Type: Journal Publications
Repositori URV