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An evaluation of sleep disturbance on in-patient psychiatric units in the UK

  • Sam Horne (a1), Katherine Hay (a2), Stuart Watson (a1) (a2) and Kirstie N. Anderson (a3)
Abstract
Aims and method

Sleep disturbance is common on in-patient psychiatry wards. This study explored subjective and objective patterns of sleep disturbance and contributory environmental factors. Participants were recruited from mental health acute admission wards and had a range of subjective and objective assessments of sleep. Light intensity and noise levels were measured to characterise potential environmental causes for poor sleep.

Results

We recruited 20 patients; 15% were high risk for obstructive sleep apnoea. Nineteen participants reported poor sleep quality on the Pittsburgh Sleep Quality Index, and 90% had significant sleep fragmentation with objective measures. Inside light levels were low (day <200 lux and night <10 lux). Night sound levels were 40–90 db.

Clinical implications

Sleep disturbance was highly prevalent. Increased awareness of sleep disorders is needed. Modifiable environmental factors on the ward were implicated, therefore increased awareness and a change of approach to sleep disturbance in in-patient psychiatry is recommended.

Declaration of interest

None.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Corresponding author
Correspondence to Dr Kirstie N. Anderson (kirstie.anderson@nuth.nhs.uk)
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An evaluation of sleep disturbance on in-patient psychiatric units in the UK

  • Sam Horne (a1), Katherine Hay (a2), Stuart Watson (a1) (a2) and Kirstie N. Anderson (a3)
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