17. Characteristics of sleep in partents with depressive episode at the national institute of mental health – Bach Mai Hospital
Main Article Content
Abstract
Our cross-sectional study aims to describe the characteristics of sleep of depressive patients at the National Institute of Mental Health – Bach Mai Hospital. A total of 55 patients diagnosed with depressive episode (F32.0, F32.1, F32.2, F32.3) according to ICD10 criteria had sleep problems; patients’ information including medical history, clinical examination, para clinical parameters, and a consent agreement signed by patients and their family were collected. Female patients in depressive episode is 1.62 times higher than male patients, the most common age range is 50 - 59 years old (30.9%), the onset time to clinical treatment time is common from 3 to 6 months (45.5%). The most common severity of hospitalization being a major depressive episode without psychotic symptoms (52.7%). Assessing the patient's sleep pattern, we found that the average time from going to bed to falling asleep was 88.55 minutes, waking up during the night 2.42 times, getting up earlier than usual 2.23 hours. Each night, patients sleep about 3 hours and the sleep efficiency was low (48.21%). The majority of patients had insomnia, sleep restlessness (78.2%), and nightmares (20%). Among the types of insomnia, waking up earlier than usual accounted for the highest rate (69.08%), difficulty falling asleep (67.27%) and difficulty maintaining sleep (63.63%). 56.36% of patients have complete insomnia.
Article Details
Keywords
Sleep, depression
References
2. WHO. Depression. Published 2021. Accessed June 10, 2022. https://www.who.int/news-room/fact-sheets/detail/depression.
3. Fang H, Tu S, Sheng J, Shao A. Depression in sleep disturbance: A review on a bidirectional relationship, mechanisms and treatment. J Cell Mol Med. 2019; 23(4): 2324-2332. doi:10.1111/jcmm.14170.
4. Franzen PL, Buysse DJ. Sleep disturbances and depression: risk relationships for subsequent depression and therapeutic implications. Dialogues Clin Neurosci. 2008; 10(4): 473-481.
5. Perlis ML, Giles DE, Buysse DJ, Tu X, Kupfer DJ. Self-reported sleep disturbance as a prodromal symptom in recurrent depression. Journal of Affective Disorders. 1997; 42(2): 209-212. doi:10.1016/S0165-0327(96)01411-5.
6. Đặng Trần Khang. Nghiên Cứu Đặc Điểm Lâm Sàng Rối Loạn Giấc Ngủ ở Bệnh Nhân Trầm Cảm. Học viện Quân Y; 2015.
7. Krishnan V, Collop NA. Gender differences in sleep disorders. Curr Opin Pulm Med. 2006; 12(6): 383-389. doi:10.1097/01.mcp.0000245705.69440.6a.
8. Ahmady F, Niknami M, khalesi ZB. Quality of sleep in women with menopause and its related factors. Sleep Sci. 2022; 15(Spec 1): 209-214. doi:10.5935/1984-0063.20220021.
9. Trần Đình Trọng. Đặc Điểm Lâm Sàng Rối Loạn Giấc Ngủ ở Bệnh Nhân Trầm Cảm Nội Sinh Điều Trị Nội Trú Tại Viện Sức Khỏe Tâm Thần. Đại học Y Hà Nội; 2015.
10. Yi-Qun Wang. The Neurobiological Mechanisms and Treatments of REM Sleep Disturbances in Depression - PMC. Published 2015. Accessed June 13, 2022. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4790401/.
11. Wichniak A, Wierzbicka A, Walęcka M, Jernajczyk W. Effects of Antidepressants on Sleep. Curr Psychiatry Rep. 2017; 19(9): 63. doi:10.1007/s11920-017-0816-4.
12. Besiroglu L, Agargun MY, Inci R. Nightmares and terminal insomnia in depressed patients with and without melancholic features. Psychiatry Research. 2005; 133(2): 285-287. doi:10.1016/j.psychres.2004.12.001.