%0 Journal Article
%T Satisfaction with Life of Schizophrenia Outpatients and Their Caregivers: Differences between Patients with and without Self-Reported Sleep Complaints
%A Sofia Brissos
%A Pedro Afonso
%A Fernando CaŁżas
%A Julio Bobes
%A Ivan Bernardo Fernandez
%A Carlos Guzman
%J Schizophrenia Research and Treatment
%D 2013
%I Hindawi Publishing Corporation
%R 10.1155/2013/502172
%X Patients with schizophrenia often present sleep complaints, but its relationship with general satisfaction with life (SWL) and burden for caregivers has been understudied. We aimed to assess the differences in SWL between patients with and without self-reported sleep disturbances and that of their caregivers. In a noninterventional study, 811 schizophrenia adult outpatients were screened for their subjective perception of having (or not) sleep disturbances and evaluated with the Brief Psychiatric Rating Scale (BPRS) and the Pittsburgh Sleep Quality Index (PSQI). Patients self-reporting sleep disturbances were significantly more symptomatic ( ), presented significantly worse family support ( ), and self-reported worse SWL in all domains. Caregivers of patients with schizophrenia self-reporting sleep disturbances also reported worse SWL in all domains, as compared to caregivers of patients without subjective sleep disturbances. Patient and caregiversĄŻ SWL was significantly correlated to patientsĄŻ quality of sleep ( for all domains). PatientĄŻ and caregiversĄŻ SWL was negatively affected by patientsĄŻ poor quality of sleep. We found that patients self-reporting sleep disturbances showed greater symptom severity, worse quality of sleep, worse SWL, and less caregiver support. SWL was also worse for caregivers of patients with schizophrenia reporting sleep disturbances. Patients with schizophrenia often present sleep complaints [1], even while being medicated and clinically stable, which can negatively affect their quality of life [2] and be sufficiently severe to warrant clinical attention. Nowadays, besides symptomatic control, the aim of clinicians is to improve schizophrenia patientsĄŻ social functioning, quality of life, and satisfaction with life (SWL). To accomplish this, physiologic sleep may be necessary. General SWL has been associated with symptoms, cognition, health-related quality of life, and medical comorbidity [3¨C5]. Higher burden has been reported for caregivers of schizophrenia patients with higher symptom severity, disruptive or difficult behavior, younger age, and patientsĄŻ need for care [6¨C10]. Given the importance of sleep in schizophrenia, we aimed to assess the differences in SWL between patients with and without self-reported sleep disturbances and that of their caregivers, as well as the degree of family support, since we found no previous reports on this subject. In a multicenter, Iberian, cross-sectional, noninterventional study, 811 outpatients with a diagnosis of schizophrenia, aged ĄÝ18 years, and with no changes in antipsychotic
%U http://www.hindawi.com/journals/schizort/2013/502172/