Sleep and Psychiatric Disorders: A Meta-analysis

Benca, Ruth M.

doi:10.1001/archpsyc.1992.01820080059010

Cited by 1,468Sleep and related disordersSleep and Wakefulness ResearchObstructive Sleep Apnea Research

Sleep and Psychiatric Disorders: A Meta-analysis

Benca, Ruth M.·1992·Archives of General Psychiatry

DOI 10.1001/archpsyc.1992.01820080059010

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Abstract

We reviewed the literature on sleep in psychiatric disorders and evaluated the data by meta-analysis, a statistical method designed to combine data from different studies. A total of 177 studies with data from 7151 patients and controls were reviewed. Most psychiatric groups showed significantly reduced sleep efficiency and total sleep time, accounted for by decrements in non-rapid eye movement sleep. Rapid eye movement sleep time was relatively preserved in all groups, and percentage of rapid eye movement sleep was increased in affective disorders. Reduction in rapid eye movement sleep latency was seen in affective disorders but occurred in other categories as well. Although no single sleep variable appeared to have absolute specificity for any particular psychiatric disorder, patterns of sleep disturbances associated with categories of psychiatric illnesses were observed. Overall, findings for patients with affective disorders differed most frequently and significantly from those for normal controls.

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Chronic Use of Triazolam: The Effects on the Sleep Patterns of Insomniacs
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Optimizing REM latency as a diagnostic test for depression using receiver operating characteristic analysis and information theory
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Alcohol and Sleep in the Chronic Alcoholic
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The brain basis of emotion: a meta-analytic review
Lindquist, K. A., Wager, T. D., Kober, H., Bliss-Moreau, E., & Barrett, L. F. (2012) · Behavioral and Brain Sciences · doi:10.1017/s0140525x11000446 · Cited by 2,320 · see citing works
“This finding replicates prior meta-analytic evidence (Costafreda et al. 2008) and is consistent with our hypothesis that the amygdala responds preferentially to salient exteroceptive (vs. interoceptive) sensations.”
The hyperarousal model of insomnia: A review of the concept and its evidence
Riemann, D., Spiegelhalder, K., Feige, B., Voderholzer, U., Berger, M., Perlis, M., & Nissen, C. (2010) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2009.04.002 · Cited by 1,789 · see citing works
The human emotional brain without sleep—a prefrontal amygdala disconnect
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Overnight therapy? The role of sleep in emotional brain processing
Walker, M. P., & van der Helm, E. (2009) · Psychological Bulletin · doi:10.1037/a0016570 · Cited by 1,087 · see citing works
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Authors: Benca, R. M.
Affiliations: University of Chicago (US)
Corresponding author: Benca, Ruth M.
Venue: Archives of General Psychiatry
Publisher: American Medical Association (AMA)
Published: 1992-08-01
Volume: 49
Issue: 8
Pages: 651
ISSN: 0003-990X (ISSN-L)
DOI: 10.1001/archpsyc.1992.01820080059010
OpenAlex: W2128964866
Cited by: 1,468
References: 198
Citations by year: 2026: 17 · 2025: 33 · 2024: 36 · 2023: 36 · 2022: 44 · 2021: 46 · 2020: 49 · 2019: 50 · 2018: 40 · 2017: 51 · 2016: 57 · 2015: 58 · 2014: 49 · 2013: 60 · 2012: 76
FWCI: 36.67
Type: journal article
Language: en
Open access: closed
Locations: Archives of General Psychiatry (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (5t01mh019051-02)
National Institute of Mental Health (MH 19051, MH 38338, MH30914)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
Keywords: sleep, mental illness, sleep efficiency, total sleep time, REM sleep, REM latency, NREM sleep, mood disorders, sleep disorders, diagnostic specificity
MeSH terms: Adult, Age Factors, Mental Disorders, Depressive Disorder, Diagnosis, Differential, Electroencephalography, Female, Humans, Male, Middle Aged, Narcolepsy, Schizophrenia, Sleep, Sleep Wake Disorders, Sleep, REM, Meta-Analysis as Topic

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Sleep and Psychiatric Disorders: A Meta-analysis

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