Sleep quality and suicidal behavior in euthymic bipolar patients
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Universidade Federal de Minas Gerais
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Artigo de periódico
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Qualidade do sono e comportamento suicida em pacientes bipolares eutímicos
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Resumo
Sleep disturbances in general – most notably insomnia – are associated with suicidal ideation as well as suicide attempt in both clinical and non-clinical samples. Such associations remain significant even after the adjustment for depressive symptoms or other potential bias factors. We have recently showed that sleep disturbances are very frequent in patients with bipolar disorder (BD), even when in euthymia.2 It is also known that BD is possibly the psychiatric diagnosis most frequently associated with suicidal behavior.3
To our knowledge, no previous study has specifically addressed this issue in this population. Therefore, we decided to investigate the relationship between sleep disruption and suicidal behavior in a sample of euthymic BD patients. We assessed 105 patients with BD (94 BD I + 11 BD II) using the MINI-International Neuropsychiatric Interview (MINI Plus), based on criteria set forth in the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSMIV).4 The median age of our sample was 47 years and 81 patients (77.1%) were female. Patients presented scores lower than 7 – euthymia – for both Hamilton and Young mood rating scales in the previous 4 weeks.5,6 Lifetime suicide attempts were assessed as previously described.2 We used scores from item 3 of the Hamilton Depression
Rating Scale (HAM-D) to assess current suicidal behavior, including suicidal thoughts.5 Sleep quality was assessed by the Pittsburgh Sleep Quality Index (PSQI).7 We used the Statistical Package for the Social Sciences (SPSS) version 17.0 for statistical analyses. Pearson’s chisquare test was used for categorical variables in bivariate analyses with a 5% significance level.
Abstract
Assunto
Transtorno Bipolar, Sono, Qualidade do Sono
Palavras-chave
Transtorno Bipolar, Sono, Qualidade do Sono
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Endereço externo
https://www.scielo.br/j/trends/a/GqvWkWktzqj7DbWjjdXwFcG/?lang=en