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Review
. 2018 Apr 1;15(3-4):28-32.

Comorbid Insomnia and Psychiatric Disorders: An Update

Affiliations
Review

Comorbid Insomnia and Psychiatric Disorders: An Update

Khurshid A Khurshid. Innov Clin Neurosci. .

Abstract

Insomnia is a clinical problem of significant public health importance. Insomnia can be a symptom or harbinger of other psychiatric disorders. Insomnia can also be comorbid with other psychiatric disorders, thereby adding to the medical burden and increasing the risk of psychiatric relapse. Insomnia can also be associated with medical and neurological disorders. Some medications can also cause insomnia. Treatment of insomnia can lead to positive outcomes, not only by alleviating symptoms and moderating these comorbid disorders, but by preventing new episodes. Therefore, it is vital to be aware of the relationship between insomnia and psychiatric illness. This article reviews this relationship and provides recommendations for management.

Keywords: Insomnia; anxiety disorder; depression; psychiatric disorder; psychosis; schizophrenia; sleep disorder.

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Conflict of interest statement

FUNDING:No funding was received for the preparation of this article. DISCLOSURES:The author has no conflicts of interest relevant to the content of this article.

Figures

FIGURE 1.
FIGURE 1.
Cumulative incidence of depression in 1,045 men according to sleep complaints in medical school—a) insomnia (○) versus no insomnia (D); b) difficulty sleeping under stress (○) versus no difficulty (D). The numbers below each Kaplan-Meier plot are the numbers of men included in the analysis at each time point. Reproduced with permission. Chang et al. Insomnia in young men and subsequent depression: The Johns Hopkins Study Precursors. Am J Epidemiol. 1997;146(2):105–114.

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