Abstract
Abstract Background Sleep disorders are common in psychiatric diseases. Panic disorder (PD) and generalized anxiety disorder (GAD) are two major anxiety disorders that are associated with sleep disorders. Objective We hypothesized that poor sleep quality continues in PD and GAD during remission. Therefore, in this study we aimed to compare the sleep quality of patients with PD and GAD to that of healthy controls. Methods The study included patients with PD (n = 42) and GAD (n = 40) who had been in remission for at least 3 months and healthy control volunteers (n = 45). The patients were administered the Pittsburgh Sleep Quality Index (PSQI), Beck Anxiety Inventory (BAI), and Beck Depression Inventory (BDI). Results The total PSQI scores of the GAD group were significantly increased in comparison to those of the PD (p = 0.009) and control (p < 0.001) groups. The rate of poor sleep quality in GAD during remission (77.5%) was greater than that of the PD (47.6%) and control (51.1%) groups (p = 0.011). Discussion GAD is a chronic and recurrent disease. In this study, it was found that the deterioration in sleep quality of patients with GAD may continue during remission. In the follow-up and treatment of patients, it is appropriate to question about sleep symptoms and to plan interventions according to these symptoms.
Highlights
Among the anxiety disorders, panic disorder (PD) and generalized anxiety disorder (GAD) are two diseases for which patients frequently visit the clinics
The Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) scores of the patients in the Panic disorder (PD) and GAD groups remained within normal limits, they are significantly higher with reference to the control group (p < 0.001)
Pairwise comparisons conducted in order to determine the source of the difference revealed statistically higher significance for the total Pittsburgh Sleep Quality Index (PSQI) scores of the GAD group compared to the PD and control groups (p = 0.009; p < 0.001, respectively)
Summary
Panic disorder (PD) and generalized anxiety disorder (GAD) are two diseases for which patients frequently visit the clinics. GAD and specific phobias are the two most common anxiety disorders[2]. Objective: We hypothesized that poor sleep quality continues in PD and GAD during remission. In this study we aimed to compare the sleep quality of patients with PD and GAD to that of healthy controls. Methods: The study included patients with PD (n = 42) and GAD (n = 40) who had been in remission for at least 3 months and healthy control volunteers (n = 45). The rate of poor sleep quality in GAD during remission (77.5%) was greater than that of the PD (47.6%) and control (51.1%) groups (p = 0.011). It was found that the deterioration in sleep quality of patients with GAD may continue during remission. In the follow-up and treatment of patients, it is appropriate to question about sleep symptoms and to plan interventions according to these symptoms
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