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Short and Long-term Effects of Cognitive Behavioral Therapy on Sleep Problems and Psychotic Symptoms in Patients with Psychotic Disorders: A Meta-Analysis Study.
Ugurlu, Mustafa; Ugurlu, Gorkem Karakas; Sahin, Esra Kabadayi; Kamis, Gulsum Zuhal; Caykoylu, Ali.
Afiliação
  • Ugurlu M; Ankara Yildirim Beyazit University, Faculty of Medicine, Department of Psychiatry, Ankara, Turkiye.
  • Ugurlu GK; Ankara Yildirim Beyazit University, Faculty of Medicine, Department of Psychiatry, Ankara, Turkiye.
  • Sahin EK; Ankara Yildirim Beyazit University, Faculty of Medicine, Department of Psychiatry, Ankara, Turkiye.
  • Kamis GZ; Ankara Bilkent City Hospital, Department of Psychiatry, Ankara, Turkiye.
  • Caykoylu A; Ankara Yildirim Beyazit University, Faculty of Medicine, Department of Psychiatry, Ankara, Turkiye.
Braz J Psychiatry ; 2024 Aug 05.
Article em En | MEDLINE | ID: mdl-39102660
ABSTRACT

OBJECTIVE:

Sleep problems are common in patients with psychotic disorders, especially schizophrenia. Although pharmacological methods are at the forefront of treatment, this method has some drawbacks. Cognitive behavioral therapy for insomnia (CBT-I) is an option for the treatment of individuals with insomnia. In recent years, there has been an increasing interest in its use in patients with psychotic disorders. This meta-analysis aims to evaluate the effectiveness of CBT-I on sleep problems in patients with psychotic disorders.

METHODS:

A systematic search was conducted using PubMed, Scopus, and EBSCO (MEDLINE) databases to identify relevant studies. The study included RCTs and uncontrolled studies that focused on participants diagnosed with schizophrenia, schizoaffective disorder, delusional disorder, psychotic disorders not otherwise specified, bipolar disorders, or unipolar depression with psychotic features, who had sleep problems for at least one month, and who were receiving treatment. The initial search yielded 246 studies, and eight studies were selected for the meta-analysis after screening and applying inclusion and exclusion criteria.The statistical analysis was conducted using the R software.

RESULTS:

CBT-I significantly ameliorates insomnia and sleep quality in patients with psychotic disorders during short and long-term periods. In addition to this, CBT-I leads to a significant improvement in psychotic symptoms in the short-term period and contributes significantly to the improvement in mental well-being in both short and long-term periods.

CONCLUSIONS:

CBT-I is an effective and valuable method for sleep problems in patients with psychotic disorders and its use is recommended to be widespread.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Braz J Psychiatry Assunto da revista: PSIQUIATRIA Ano de publicação: 2024 Tipo de documento: Article País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Braz J Psychiatry Assunto da revista: PSIQUIATRIA Ano de publicação: 2024 Tipo de documento: Article País de publicação: Brasil