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Chapter 11 - Sleep

Published online by Cambridge University Press:  12 March 2025

By
Valentina Gnoni ,
Danielle Wasserman ,
Hugh Selsick  and
Ivana Rosenzweig
Edited by
Niruj Agrawal  and
Norman Poole
Niruj Agrawal
Affiliation:
St George's Hospital Medical School, University of London
Norman Poole
Affiliation:
South London and the Maudsley NHS Foundation Trust
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Summary

It has been long recognised that up to 80% of patients with psychiatric disorders may suffer with some degree of sleep complaint. Historically, sleep disturbance has been regarded as an epiphenomenon of the primary psychiatric disorder, but their bidirectional relationship is increasingly recognised. It is also clear that sleep disorders increase the risk of developing episodes of psychiatric disorders and that they modulate psychiatric symptom expression. Similarly, both micro- and macrostructure of sleep may dynamically change during various stages of major psychiatric disorders, further aggravating their prognosis and symptom development. Thus, concurrent and decisive management of sleep should be a pivotal part of the clinical management of all psychiatric disorders.

Keywords

sleep disordersparasomniahypersomnianeuroplasticitycircadian disordersrapid eye movement sleepnon-rapid eye movement sleep
Type
Chapter
Information
Essential Neuroscience for Psychiatrists , pp. 308 - 330
Publisher: Cambridge University Press
Print publication year: 2025

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References

Key References

Bassetti, C, McNicholas, W, Paunio, T, Peigneux, P, eds. Sleep Medicine Textbook, 2nd ed. European Sleep Research Society (ESRS); 2021.Google Scholar
Bonsignore, MR, Randerath, W, Schiza, SE, Simonds, AK, eds. ERS Handbook of Respiratory Sleep Medicine, 2nd ed. European Respiratory Society; 2023.CrossRefGoogle Scholar
Foster, R. Life Time: The New Science of the Body Clock, and How It Can Revolutionize Your Health. Penguin Books; 2022.Google Scholar
Kryger, MH, Roth, T, Dement, WC. Principles and Practice of Sleep Medicine, 6th ed. Elsevier; 2017.Google Scholar

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