Articles producció científica> Infermeria

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

  • Datos identificativos

    Identificador: imarina:9244550
    Handle: https://hdl.handle.net/20.500.11797/imarina9244550
    Autores:
    Batalla-Martín DMartorell-Poveda MABelzunegui-Eraso AMiralles Garijo EDel-Cuerpo Serratosa AValdearcos Pérez JCMontané Escobar MLopez-Ruiz M
    Resumen:
    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

  • Otros:

    Autor según el artículo: 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
    Departamento: Infermeria Història i Història de l'Art
    Autor/es de la URV: Belzunegui Eraso, Angel Gabriel / Martorell Poveda, Maria Antonia
    Palabras clave: 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
    Resumen: 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.
    Áreas temáticas: 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
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    Direcció de correo del autor: mariaantonia.martorell@urv.cat mariaantonia.martorell@urv.cat angel.belzunegui@urv.cat
    Identificador del autor: 0000-0002-0309-1812 0000-0002-0309-1812 0000-0002-6355-1593
    Fecha de alta del registro: 2024-09-07
    Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
    Enlace a la fuente original: https://www.frontiersin.org/articles/10.3389/fpsyt.2021.805601/full
    URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referencia al articulo segun fuente origial: Frontiers In Psychiatry. 12
    Referencia 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 del artículo: https://doi.org/10.3389/fpsyt.2021.805601
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2022
    Tipo de publicación: Journal Publications

  • Palabras clave:

    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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