Sleep in Nondepressed Patients with Panic Disorder: I. Systematic Assessment of Subjective Sleep Quality and Sleep Disturbance
Abstract
To systematically assess sleep complaints in panic disorder (PD), the Pittsburgh Sleep Quality Index (PSQI) was administered to 34 untreated patients with DSM-III-R PD and 34 age-matched healthy controls (HC). PD patients reported significantly more impaired sleep than HC as indicated by higher global index scores on the PSQI (6.9 +/- 2.9 versus 3.1 +/- 2.0; p < 0.0001) and on four of seven of its subscales; sleep was worst among those PD patients with a prior history of major depression. Sixty-eight percent of patients with PD reported moderately or severely impaired sleep compared to only 15% of HC (chi 2 = 17.5, p < 0.0005). Twenty-six percent of PD patients--but none of the HC--complained of frequent awakenings in the preceding month because they "could not breathe comfortably" (Fisher's exact test, p < 0.00625). One-month prevalence of sleep panic in the patients was 18%; lifetime prevalence was 68%. Whereas these findings confirm previous reports of frequent sleep complaints in patients with PD, they also raise the possibility that some of the findings might be trait phenomena attributable to a history of mood disorder.
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Sleep disturbances have also been reported in individuals with panic disorder.
“However, as mentioned above, sleep disturbances have also been reported among individuals with PD (Mellman & Uhde, 1989; Overbeek et al., 2005; Stein et al., 1993).”
From Sleep Quality Improvement During Cognitive Behavioral Therapy for Anxiety Disorders (2016) · cites this paper as Stein et al., 1993
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Cited by 98
Research works printed but not linked: 9
- [1]1. Benca RM, Obermeyer WH, Thisted RA, Gillin JC. Sleep and psychiatric disorders: a meta-analysis. Arch Gen Psychiatry 1992; 49:651-68.
- [4]4. Stein MB, Uhde TW. Panic disorder and major depression: a tale of two syndromes. Psychiatr Clin North Am 1988;11:441– 46.
- [3]3. Uhde TW. The anxiety disorders. In: Kryger MH, Roth T, Dement W, eds. Principles and practice of sleep medicine, 2nd ed. Orlando: W B Saunders, 1993 (in press).
- [5]5. Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric research and practice. Psychiatry Res 1989;28:193– 213.
- [7]7. Stein MB, Enns MW, Kryger MH. Sleep in nondepressed patients with panic disorder: II. Polysomnographic assessment of sleep architecture and sleep continuity. JAffective Disord 1993; 28:1-6.
- [6]6. Spitzer RL, Williams JBW, Gibbon M, First MB. Structured clinical interview for DSM-III-R—patient edition. Washington, DC: American Psychiatric Press, 1990.
- [8]8. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961; 4:561-71.
- [9]9. Sheehan DV, Coleman JH, Greenblatt DJ, et al. Some biochemical correlates of panic attacks with agoraphobia and their response to a new treatment. J Clin Psychopharmacol 1984;4: 66-75.
- [10]10. Klein DF. False suffocation alarms, spontaneous panics, and related conditions: an integrative hypothesis. Arch Gen Psychiatry 1993;50:306–18.
- Authors
- Stein, M. B., Chartier, M., & Walker, J. R.
- Affiliations
- University of Manitoba (CA)
- Corresponding author
- Stein, Murray B.
- Venue
- Sleep
- Publisher
- Oxford University Press (OUP)
- Published
- 1993-12
- Volume
- 16
- Issue
- 8
- Pages
- 724-726
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- OpenAlex
- W2395125806
- Cited by
- 98
- References
- 0
- Citations by year
- 2023: 3 · 2022: 1 · 2020: 2 · 2019: 3 · 2018: 1 · 2017: 1 · 2016: 3 · 2015: 1 · 2014: 5 · 2013: 8 · 2012: 3
- FWCI
- 1.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- SLEEP (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
- Keywords
- panic disorder, sleep quality, sleep disorders, Pittsburgh Sleep Quality Index, untreated patients
- MeSH terms
- Adult, Female, Humans, Male, Reaction Time, Sleep, Sleep Wake Disorders, Panic Disorder
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