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Pergamos
Article . 2005
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International Review of Psychiatry
Article . 2005 . Peer-reviewed
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Sleep disturbance in anxiety disorders

Authors: Papadimitriou, George; Linkowski, Paul;

Sleep disturbance in anxiety disorders

Abstract

Many patients suffering from the majority of anxiety disorders complain about their sleep by reporting difficulties in initiating and maintaining it. Polysomnographic studies have shown that, in comparison to normal subjects, the sleep of patients with panic disorder is characterized by longer sleep latency, increased time awake and reduced sleep efficiency. Sleep architecture is normal and there are no significant changes in REM sleep measures. Nocturnal panic attacks are non-REM-related events and occur without an obvious trigger in 18-45% of panic disorder patients. Regarding generalized anxiety disorder, the patients complain of 'trouble sleeping' in 60-70%, while polysomnography has shown increased sleep latency and decreased sleep continuity measures. The findings in REM sleep and sleep architecture generally do not show any aberration to exist. In patients with obsessive-compulsive disorder (OCD) and post-traumatic stress disorder (PTSD), results from the sleep laboratory do not seem to support the subjective complaints of poor sleep. The early reports of shortened REM latency in OCD could not be replicated by recent studies. A dysregulation of the REM sleep control system has been reported for patients with PTSD. Finally, no significant differences were found in all sleep parameters between social phobia patients and controls.

Keywords

Sleep Wake Disorders, REM -- physiology, Obsessive-Compulsive Disorder, Polysomnography, Obsessive-Compulsive Disorder -- epidemiology, Sleep, REM, Sciences bio-médicales et agricoles, Phobic Disorders -- epidemiology, Anxiety Disorders, Stress Disorders, Post-Traumatic, Phobic Disorders, Anxiety Disorders -- epidemiology, Humans, Panic Disorder, Sleep Disorders -- epidemiology, Panic Disorder -- epidemiology, Post-Traumatic -- epidemiology, Sleep, Stress Disorders

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
212
Top 1%
Top 10%
Top 10%
Green