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Clinical Handbook of Insomnia pp 267–281Cite as

Insomnia in Psychiatric Disorders

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Part of the book series: Current Clinical Neurology ((CCNEU))

Abstract

Insomnia is a common feature of mental illness and data have emerged indicating that sleep disturbance can be a risk factor for developing a psychiatric disorder and for worsening of pre-existing mental illness. Management of insomnia without accounting for underlying psychiatric disorders can be expected to result in suboptimal outcomes. Although associations between insomnia and mental illness are likely bidirectional, evidence suggests that treating comorbid insomnia can improve sleep and psychiatric outcomes. This chapter reviews the prevalence and features of insomnia in patients with frequently encountered psychiatric disorders, including mood disorders, anxiety disorders, substance-use disorders, and psychotic disorders, as well as specific treatment strategies where applicable. Further study of the subtleties of sleep disturbance among patients with different mental disorders may elucidate the genetic, neurochemical, and neurophysiological mechanisms underlying overlapping syndromes of insomnia and psychiatric illness.

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Authors and Affiliations

  1. The Warren Alpert Medical School of Brown University, Providence, RI, USA

    Zachary L. Cohen B.A.

  2. Sleep for Science Research Laboratory, Division of Pulmonary, Critical Care, and Sleep Medicine, Rhode Island Hospital, Brown University, 300 Duncan Drive, Providence, RI, 02906, USA

    Katherine M. Sharkey M.D., Ph.D.

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  1. Zachary L. Cohen B.A.
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Correspondence to Katherine M. Sharkey M.D., Ph.D. .

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Editors and Affiliations

  1. Sleep Disorders Center, Department of Neurology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA

    Hrayr P. Attarian

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Cohen, Z.L., Sharkey, K.M. (2017). Insomnia in Psychiatric Disorders. In: Attarian, H. (eds) Clinical Handbook of Insomnia. Current Clinical Neurology. Springer, Cham. https://doi.org/10.1007/978-3-319-41400-3_14

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