Mao Wanying, Shalaby Reham, Owusu Ernest, Elgendy Hossam Eldin, Agyapong Belinda, Eboreime Ejemai, Silverstone Peter H, Chue Pierre, Li Xin-Min, Vuong Wesley, Ohinmaa Arto, Taylor Valerie, Greenshaw Andrew J, Zhang Yanbo, Agyapong Vincent I O
Department of Psychiatry, University of Alberta, Edmonton, AB, Canada.
Department of Psychiatry, Dalhousie University, Halifax, NS, Canada.
Front Public Health. 2025 Jul 30;13:1595303. doi: 10.3389/fpubh.2025.1595303. eCollection 2025.
Sleep disturbances significantly impact psychological wellbeing, particularly during the critical transition when patients are discharged from psychiatric units. Despite extensive research on sleep and mental health, limited attention has been given to this transitional period.
This study examined the prevalence and risk factors of sleep disturbances among patients preparing for discharge from psychiatric units in Alberta, Canada.
This cross-sectional epidemiological study involved face-to-face interviews with eligible patients, followed by an online survey assessing sleep issues using the Patient Health Questionnaire (PHQ-9). Additional data on demographics, clinical information, and responses to the Generalized Anxiety Disorder (GAD-7) and World Health Organization Well-Being Index (WHO-5) were also collected.
Of the 1,437 patients approached, 1,106 participated. The prevalence of sleep disturbances was 79.6%. Key factors associated with sleep issues included relationship status (Chi2 = 13.39; = 0.01), primary mental health diagnoses (Chi2 = 61.35; < 0.001), anxiety (Chi2 = 80.28; < 0.001), and poor wellbeing (Chi2 = 82.18; < 0.001) at baseline.
The study reveals a high prevalence of sleep disturbances among patients preparing for discharge and identifies key risk factors. These findings underscore the need for targeted interventions to address sleep-related issues during the discharge transition, improving recovery outcomes and reintegration into the community.
睡眠障碍对心理健康有显著影响，尤其是在患者从精神科病房出院这一关键过渡期。尽管对睡眠与心理健康进行了广泛研究，但对这一过渡阶段的关注却很有限。
本研究调查了加拿大艾伯塔省准备从精神科病房出院的患者中睡眠障碍的患病率及风险因素。
这项横断面流行病学研究包括对符合条件的患者进行面对面访谈，随后通过在线调查使用患者健康问卷（PHQ - 9）评估睡眠问题。还收集了有关人口统计学、临床信息以及对广泛性焦虑障碍（GAD - 7）和世界卫生组织幸福指数（WHO - 5）的回答的其他数据。
在接触的1437名患者中，1106名参与了研究。睡眠障碍的患病率为79.6%。与睡眠问题相关的关键因素包括基线时的恋爱状况（卡方值=13.39；P = 0.01）、主要心理健康诊断（卡方值=61.35；P < 0.001）、焦虑（卡方值=80.28；P < 0.001）和幸福感差（卡方值=82.18；P < 0.001）。
该研究揭示了准备出院的患者中睡眠障碍的高患病率，并确定了关键风险因素。这些发现强调了在出院过渡期间需要有针对性的干预措施来解决与睡眠相关的问题，改善康复结果并重新融入社区。
