The effect of comorbid psychiatric and medical illnesses on sleep disorder treatment
Roth T. The effect of comorbid psychiatric and medical illnesses on sleep disorder treatment. J Clin Psychiatry 2015; 76(9):e1146.
The Journal of clinical psychiatry
Psychiatric, neurologic, and medical conditions frequently coexist with sleep disorders and contribute to poor treatment outcomes when unrecognized and untreated. For patients who present with excessive daytime sleepiness (EDS) or fatigue, clinicians should screen for sleep disorders (eg, obstructive sleep apnea, narcolepsy), medical and neurologic conditions (eg, cancer, Parkinson's disease), and psychiatric disorders (eg, depression, substance abuse) to determine if they are the cause or a contributing factor to sleep symptoms. Once recognized, comorbid conditions may be targeted along with EDS or fatigue using behavioral and pharmacologic treatment strategies.
Medical Subject Headings
Chronic Disease; Comorbidity; Humans; Mental Disorders; Sleep Wake Disorders