TITLE:
Effectiveness of Cognitive Behavioural Therapy to Improve Sleep Outcomes in Patients with Schizophrenia: A Systematic Review of Randomised Control Trials
AUTHORS:
Mona Aeysha Khalid
KEYWORDS:
Schizophrenia, Sleep Disorders, Insomnia, Cognitive Behavioural Therapy, Psychosis, Well-Being, Health
JOURNAL NAME:
Open Journal of Social Sciences,
Vol.10 No.5,
May
25,
2022
ABSTRACT: Insomnia
that could impair our social, personal, psychological, emotional and
educational/professional functioning partially or fully is very common among
patients of schizophrenia; and the schizophrenic symptoms associated with sleep
disturbance, exacerbate on withdrawal of antipsychotic treatment. It is estimated
that about 80% of people with psychosis also experience sleep disruptions and
mostly suffer from chronic insomnia. In this context, cognitive behavioural
therapy (CBT) is considered the most structured and beneficial technique to
deal with insomnia in psychosis. However, due to the difficulties involved in
the procedure, patients in the United Kingdom are still not receiving the
optimum therapy from professionals. Thereby, this systematic review on CBT’s
effectiveness to improve sleep quality for patients with schizophrenia was
carried out. It aims to explore the challenges one could face while adapting
CBT for insomnia symptoms among psychotic patients and improve the interventions
adaptability among psychotic patients. This review also explores the mechanisms
and the contexts under which CBT helps improve patients’ sleep quality (primary
outcome) and psychological/emotional well-being (secondary outcome).