The Association between Sleep Problems and Psychotic Symptoms in the General Population: A Global Perspective.
Identifieur interne : 000534 ( PubMed/Curation ); précédent : 000533; suivant : 000535The Association between Sleep Problems and Psychotic Symptoms in the General Population: A Global Perspective.
Auteurs : Ai Koyanagi [Espagne, Suède] ; Andrew Stickley [Suède, Japon]Source :
- Sleep [ 1550-9109 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Anxiété (épidémiologie), Bases de données factuelles (MeSH), Chine (MeSH), Dépression (épidémiologie), Enquêtes de santé (MeSH), Femelle (MeSH), Humains (MeSH), Maroc (MeSH), Modèles logistiques (MeSH), Mâle (MeSH), Odds ratio (MeSH), Organisation mondiale de la santé (MeSH), Prévalence (MeSH), Santé mondiale (statistiques et données numériques), Sujet âgé (MeSH), Troubles de la veille et du sommeil (diagnostic), Troubles de la veille et du sommeil (épidémiologie), Troubles psychotiques (diagnostic), Troubles psychotiques (épidémiologie), Études transversales (MeSH).
- MESH :
- diagnostic : Troubles de la veille et du sommeil, Troubles psychotiques.
- statistiques et données numériques : Santé mondiale.
- épidémiologie : Anxiété, Dépression, Troubles de la veille et du sommeil, Troubles psychotiques.
- Adulte, Adulte d'âge moyen, Bases de données factuelles, Chine, Enquêtes de santé, Femelle, Humains, Maroc, Modèles logistiques, Mâle, Odds ratio, Organisation mondiale de la santé, Prévalence, Sujet âgé, Études transversales.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Anxiety (epidemiology), China (MeSH), Cross-Sectional Studies (MeSH), Databases, Factual (MeSH), Depression (epidemiology), Female (MeSH), Global Health (statistics & numerical data), Health Surveys (MeSH), Humans (MeSH), Logistic Models (MeSH), Male (MeSH), Middle Aged (MeSH), Morocco (MeSH), Odds Ratio (MeSH), Prevalence (MeSH), Psychotic Disorders (diagnosis), Psychotic Disorders (epidemiology), Sleep Wake Disorders (diagnosis), Sleep Wake Disorders (epidemiology), World Health Organization (MeSH).
- MESH :
- diagnosis : Psychotic Disorders, Sleep Wake Disorders.
- epidemiology : Anxiety, Depression, Psychotic Disorders, Sleep Wake Disorders.
- statistics & numerical data : Global Health.
- Adult, Aged, China, Cross-Sectional Studies, Databases, Factual, Female, Health Surveys, Humans, Logistic Models, Male, Middle Aged, Morocco, Odds Ratio, Prevalence, World Health Organization.
Abstract
STUDY OBJECTIVES
To assess the prevalence of sleep problems and their association with psychotic symptoms using a global database.
DESIGN
Community-based cross-sectional study.
SETTING
Data were analyzed from the World Health Organization's World Health Survey (WHS), a population-based survey conducted in 70 countries between 2002 and 2004.
PATIENTS OR PARTICIPANTS
261,547 individuals aged ≥ 18 years from 56 countries.
INTERVENTIONS
N/A.
MEASUREMENTS AND RESULTS
The presence of psychotic symptoms in the past 12 months was established using 4 questions pertaining to positive symptoms from the psychosis screening module of the Composite International Diagnostic Interview. Sleep problems referred to severe or extreme sleep problems in the past 30 days. Multivariable logistic regression was used to estimate the associations. The overall prevalence of sleep problems was 7.6% and ranged from 1.6% (China) to 18.6% (Morocco). Sleep problems were associated with significantly higher odds for at least one psychotic symptom in the vast majority of countries. In the pooled sample, after adjusting for demographic factors, alcohol consumption, smoking, and chronic medical conditions, having sleep problems resulted in an odds ratio (OR) for at least one psychotic symptom of 2.41 (95% confidence interval [CI] 2.18-2.65). This OR was 1.59 (1.40-1.81) when further adjusted for anxiety and depression.
CONCLUSIONS
A strong association between sleep problems and psychotic symptoms was observed globally. These results have clinical implications and serve as a basis for future studies to elucidate the causal association between psychotic symptoms and sleep problems.
DOI: 10.5665/sleep.5232
PubMed: 26085291
PubMed Central: PMC4667394
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Kodaira, Tokyo</wicri:regionArea></affiliation></author></analytic><series><title level="j">Sleep</title><idno type="eISSN">1550-9109</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Anxiety (epidemiology)</term><term>China (MeSH)</term><term>Cross-Sectional Studies (MeSH)</term><term>Databases, Factual (MeSH)</term><term>Depression (epidemiology)</term><term>Female (MeSH)</term><term>Global Health (statistics & numerical data)</term><term>Health Surveys (MeSH)</term><term>Humans (MeSH)</term><term>Logistic Models (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Morocco (MeSH)</term><term>Odds Ratio (MeSH)</term><term>Prevalence (MeSH)</term><term>Psychotic Disorders (diagnosis)</term><term>Psychotic Disorders (epidemiology)</term><term>Sleep Wake Disorders (diagnosis)</term><term>Sleep Wake Disorders (epidemiology)</term><term>World Health Organization (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Anxiété (épidémiologie)</term><term>Bases de données factuelles (MeSH)</term><term>Chine (MeSH)</term><term>Dépression (épidémiologie)</term><term>Enquêtes de santé (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Maroc (MeSH)</term><term>Modèles logistiques (MeSH)</term><term>Mâle (MeSH)</term><term>Odds ratio (MeSH)</term><term>Organisation mondiale de la santé (MeSH)</term><term>Prévalence (MeSH)</term><term>Santé mondiale (statistiques et données numériques)</term><term>Sujet âgé (MeSH)</term><term>Troubles de la veille et du sommeil (diagnostic)</term><term>Troubles de la veille et du sommeil (épidémiologie)</term><term>Troubles psychotiques (diagnostic)</term><term>Troubles psychotiques (épidémiologie)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Psychotic Disorders</term><term>Sleep Wake Disorders</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Troubles de la veille et du sommeil</term><term>Troubles psychotiques</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Anxiety</term><term>Depression</term><term>Psychotic Disorders</term><term>Sleep Wake Disorders</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Global Health</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Santé mondiale</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Anxiété</term><term>Dépression</term><term>Troubles de la veille et du sommeil</term><term>Troubles psychotiques</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>China</term><term>Cross-Sectional Studies</term><term>Databases, Factual</term><term>Female</term><term>Health Surveys</term><term>Humans</term><term>Logistic Models</term><term>Male</term><term>Middle Aged</term><term>Morocco</term><term>Odds Ratio</term><term>Prevalence</term><term>World Health Organization</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Bases de données factuelles</term><term>Chine</term><term>Enquêtes de santé</term><term>Femelle</term><term>Humains</term><term>Maroc</term><term>Modèles logistiques</term><term>Mâle</term><term>Odds ratio</term><term>Organisation mondiale de la santé</term><term>Prévalence</term><term>Sujet âgé</term><term>Études transversales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>STUDY OBJECTIVES</b></p><p>To assess the prevalence of sleep problems and their association with psychotic symptoms using a global database.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Community-based cross-sectional study.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Data were analyzed from the World Health Organization's World Health Survey (WHS), a population-based survey conducted in 70 countries between 2002 and 2004.</p></div><div type="abstract" xml:lang="en"><p><b>PATIENTS OR PARTICIPANTS</b></p><p>261,547 individuals aged ≥ 18 years from 56 countries.</p></div><div type="abstract" xml:lang="en"><p><b>INTERVENTIONS</b></p><p>N/A.</p></div><div type="abstract" xml:lang="en"><p><b>MEASUREMENTS AND RESULTS</b></p><p>The presence of psychotic symptoms in the past 12 months was established using 4 questions pertaining to positive symptoms from the psychosis screening module of the Composite International Diagnostic Interview. Sleep problems referred to severe or extreme sleep problems in the past 30 days. Multivariable logistic regression was used to estimate the associations. The overall prevalence of sleep problems was 7.6% and ranged from 1.6% (China) to 18.6% (Morocco). Sleep problems were associated with significantly higher odds for at least one psychotic symptom in the vast majority of countries. In the pooled sample, after adjusting for demographic factors, alcohol consumption, smoking, and chronic medical conditions, having sleep problems resulted in an odds ratio (OR) for at least one psychotic symptom of 2.41 (95% confidence interval [CI] 2.18-2.65). This OR was 1.59 (1.40-1.81) when further adjusted for anxiety and depression.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>A strong association between sleep problems and psychotic symptoms was observed globally. These results have clinical implications and serve as a basis for future studies to elucidate the causal association between psychotic symptoms and sleep problems.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">26085291</PMID><DateCompleted><Year>2016</Year><Month>08</Month><Day>24</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1550-9109</ISSN><JournalIssue CitedMedium="Internet"><Volume>38</Volume><Issue>12</Issue><PubDate><Year>2015</Year><Month>Dec</Month><Day>01</Day></PubDate></JournalIssue><Title>Sleep</Title><ISOAbbreviation>Sleep</ISOAbbreviation></Journal><ArticleTitle>The Association between Sleep Problems and Psychotic Symptoms in the General Population: A Global Perspective.</ArticleTitle><Pagination><MedlinePgn>1875-85</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.5665/sleep.5232</ELocationID><Abstract><AbstractText Label="STUDY OBJECTIVES" NlmCategory="OBJECTIVE">To assess the prevalence of sleep problems and their association with psychotic symptoms using a global database.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Community-based cross-sectional study.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Data were analyzed from the World Health Organization's World Health Survey (WHS), a population-based survey conducted in 70 countries between 2002 and 2004.</AbstractText><AbstractText Label="PATIENTS OR PARTICIPANTS" NlmCategory="METHODS">261,547 individuals aged ≥ 18 years from 56 countries.</AbstractText><AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">N/A.</AbstractText><AbstractText Label="MEASUREMENTS AND RESULTS" NlmCategory="RESULTS">The presence of psychotic symptoms in the past 12 months was established using 4 questions pertaining to positive symptoms from the psychosis screening module of the Composite International Diagnostic Interview. Sleep problems referred to severe or extreme sleep problems in the past 30 days. Multivariable logistic regression was used to estimate the associations. The overall prevalence of sleep problems was 7.6% and ranged from 1.6% (China) to 18.6% (Morocco). Sleep problems were associated with significantly higher odds for at least one psychotic symptom in the vast majority of countries. In the pooled sample, after adjusting for demographic factors, alcohol consumption, smoking, and chronic medical conditions, having sleep problems resulted in an odds ratio (OR) for at least one psychotic symptom of 2.41 (95% confidence interval [CI] 2.18-2.65). This OR was 1.59 (1.40-1.81) when further adjusted for anxiety and depression.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">A strong association between sleep problems and psychotic symptoms was observed globally. These results have clinical implications and serve as a basis for future studies to elucidate the causal association between psychotic symptoms and sleep problems.</AbstractText><CopyrightInformation>© 2015 Associated Professional Sleep Societies, LLC.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Koyanagi</LastName><ForeName>Ai</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Research and Development Unit, Parc Sanitari Sant Joan de Déu, Fundació Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>The Stockholm Centre for Health and Social Change (SCOHOST), Södertörn University, Huddinge, Sweden.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stickley</LastName><ForeName>Andrew</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>The Stockholm Centre for Health and Social Change (SCOHOST), Södertörn University, Huddinge, Sweden.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Human Ecology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Child and Adolescent Mental Health, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>12</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Sleep</MedlineTA><NlmUniqueID>7809084</NlmUniqueID><ISSNLinking>0161-8105</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Sleep. 2015 Dec;38(12):1837-8</RefSource><PMID Version="1">26564133</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001007" MajorTopicYN="N">Anxiety</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002681" MajorTopicYN="N">China</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016208" MajorTopicYN="N">Databases, Factual</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003863" MajorTopicYN="N">Depression</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014943" MajorTopicYN="N">Global Health</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006306" MajorTopicYN="N">Health Surveys</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016015" MajorTopicYN="N">Logistic Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009018" MajorTopicYN="N">Morocco</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016017" MajorTopicYN="N">Odds Ratio</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011618" MajorTopicYN="N">Psychotic Disorders</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012893" MajorTopicYN="N">Sleep Wake Disorders</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014944" MajorTopicYN="N">World Health Organization</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">low- and middle-income countries</Keyword><Keyword MajorTopicYN="N">multi-country</Keyword><Keyword MajorTopicYN="N">population-based</Keyword><Keyword MajorTopicYN="N">prevalence</Keyword><Keyword MajorTopicYN="N">psychotic experience</Keyword><Keyword MajorTopicYN="N">sleep disturbance</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>02</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>04</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>6</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>6</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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