134f36690522e3e0ad6a797041e70185 pmc_33118525.pdf a27eac3a9c210cacb4cb710902b4ec6adbf80fb9 pmc_33118525.pdf b9a9b4bf8a37482f07f2cbf76b978b35cf8c7985ec079f4006036dbc615f2735 pmc_33118525.pdf Title: Sleep Disturbances in Patients with Persistent Delusions: Prevalence, Clinical Associations, and Therapeutic Strategies Subject: Sleep disturbances accompany almost all mental illnesses, either because sound sleep and mental well-being share similar requisites, or because mental problems lead to sleep problems, or vice versa. The aim of this narrative review was to examine sleep in patients with delusions, particularly in those diagnosed with delusional disorder. We did this in sequence, first for psychiatric illness in general, then for psychotic illnesses where delusions are prevalent symptoms, and then for delusional disorder. The review also looked at the effect on sleep parameters of individual symptoms commonly seen in delusional disorder (paranoia, cognitive distortions, suicidal thoughts) and searched the evidence base for indications of antipsychotic drug effects on sleep. It subsequently evaluated the influence of sleep therapies on psychotic symptoms, particularly delusions. The review’s findings are clinically important. Delusional symptoms and sleep quality influence one another reciprocally. Effective treatment of sleep problems is of potential benefit to patients with persistent delusions, but may be difficult to implement in the absence of an established therapeutic relationship and an appropriate pharmacologic regimen. As one symptom can aggravate another, comorbidities in patients with serious mental illness all need to be treated, a task that requires close liaison among medical specialties. Keywords: insomnia; sleep disorders; delusions; delusional disorder; psychosis Author: Alexandre González-Rodríguez, Javier Labad and Mary V. 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ぎどでとぴねちひづびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㌮㌩‾㸊⡜㌷㙜㌷㝜〰こぬづづばぜ〴ぜ〰いどびぴふひぢちのっづびぜ〴ぜ〰どのぜ〴ぜ〰いづぬふびどはのちぬぜ〴ぜ〰いどびはひつづひびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸴ Item: Title: こぬづづばぜ〴ぜ〰いどびぴふひぢちのっづびぜ〴ぜ〰どのぜ〴ぜ〰いづぬふびどはのちぬぜ〴ぜ〰いどびはひつづひびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸴ Item: Title: ぁびびはっどちぴどはのぜ〴ぜ〰はてぜ〴ぜ〰こぬづづばぜ〴ぜ〰いどびぴふひぢちのっづびぜ〴ぜ〰ぷどぴとぜ〴ぜ〰ぃはねねはのぜ〴ぜ〰こべねばぴはねびぜ〴ぜ〰はてぜ〴ぜ〰いづぬふびどはのちぬぜ〴ぜ〰いどびはひつづひぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㐮ㄩ‾㸊⡜㌷㙜㌷㝜〰ぁびびはっどちぴどはのぜ〴ぜ〰はてぜ〴ぜ〰ぉのびはねのどちぜ〴ぜ〰ぷどぴとぜ〴ぜ〰ぐびべっとはぴどっぜ〴ぜ〰こべねばぴはねびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㐮㈩‾㸊⡜㌷㙜㌷㝜〰ぁびびはっどちぴどはのぜ〴ぜ〰はてぜ〴ぜ〰ぉのびはねのどちぜ〴ぜ〰ぷどぴとぜ〴ぜ〰こふどっどつちぬぜ〴ぜ〰ぉつづちぴどはのぜ〴ぜ〰ちのつぜ〴ぜ〰こふどっどつづぜ〴ぜ〰ぁぴぴづねばぴびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㐮㌩‾㸊⡜㌷㙜㌷㝜〰ぁびびはっどちぴどはのぜ〴ぜ〰はてぜ〴ぜ〰ぉのびはねのどちぜ〴ぜ〰ぷどぴとぜ〴ぜ〰ぃはでのどぴどぶづぜ〴ぜ〰ぐづひてはひねちのっづぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸵ Children: Item: Title: ぁびびはっどちぴどはのぜ〴ぜ〰はてぜ〴ぜ〰ぉのびはねのどちぜ〴ぜ〰ぷどぴとぜ〴ぜ〰ぐびべっとはぴどっぜ〴ぜ〰こべねばぴはねびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㐮㈩‾㸊⡜㌷㙜㌷㝜〰ぁびびはっどちぴどはのぜ〴ぜ〰はてぜ〴ぜ〰ぉのびはねのどちぜ〴ぜ〰ぷどぴとぜ〴ぜ〰こふどっどつちぬぜ〴ぜ〰ぉつづちぴどはのぜ〴ぜ〰ちのつぜ〴ぜ〰こふどっどつづぜ〴ぜ〰ぁぴぴづねばぴびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㐮㌩‾㸊⡜㌷㙜㌷㝜〰ぁびびはっどちぴどはのぜ〴ぜ〰はてぜ〴ぜ〰ぉのびはねのどちぜ〴ぜ〰ぷどぴとぜ〴ぜ〰ぃはでのどぴどぶづぜ〴ぜ〰ぐづひてはひねちのっづぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸵ Item: Title: ぁびびはっどちぴどはのぜ〴ぜ〰はてぜ〴ぜ〰ぉのびはねのどちぜ〴ぜ〰ぷどぴとぜ〴ぜ〰こふどっどつちぬぜ〴ぜ〰ぉつづちぴどはのぜ〴ぜ〰ちのつぜ〴ぜ〰こふどっどつづぜ〴ぜ〰ぁぴぴづねばぴびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳畢獥捴楯渮㐮㌩‾㸊⡜㌷㙜㌷㝜〰ぁびびはっどちぴどはのぜ〴ぜ〰はてぜ〴ぜ〰ぉのびはねのどちぜ〴ぜ〰ぷどぴとぜ〴ぜ〰ぃはでのどぴどぶづぜ〴ぜ〰ぐづひてはひねちのっづぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸵ Item: Title: ぁびびはっどちぴどはのぜ〴ぜ〰はてぜ〴ぜ〰ぉのびはねのどちぜ〴ぜ〰ぷどぴとぜ〴ぜ〰ぃはでのどぴどぶづぜ〴ぜ〰ぐづひてはひねちのっづぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸵ Item: Title: ぁびびはっどちぴどはのぜ〴ぜ〰はてぜ〴ぜ〰ぐびべっとはびどびぜ〴ぜ〰ごひづちぴねづのぴぜ〴ぜ〰ぷどぴとぜ〴ぜ〰こぬづづばぜ〴ぜ〰いどびぴふひぢちのっづぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸶ Item: Title: ごとづひちばづふぴどっぜ〴ぜ〰くばぴどはのびぜ〴ぜ〰てはひぜ〴ぜ〰いづぬふびどはのちぬぜ〴ぜ〰いどびはひつづひぜ〴ぜ〰ぶどちぜ〴ぜ〰ぉねばひはぶづねづのぴびぜ〴ぜ〰どのぜ〴ぜ〰こぬづづばぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸷ Item: Title: いどびっふびびどはのぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸸ Item: Title: ぃはのっぬふびどはのびぜ〴〩਼㰠⽓ 䝯呯 䐠⡳散瑩潮⸸ Item: Title: げづてづひづのっづび Filters: FilterPipeline: FlateDecode Fonts: Type1: Font: BaseFont: NYXXMW+Pxsy FontSubset: true FirstChar: 0 LastChar: 0 FontDescriptor: FontName: NYXXMW+Pxsy Flags: Symbolic FontBBox: -21, -994, 1292, 912 FontFile: true Font: BaseFont: PYIJTE+URWPalladioL-Ital FontSubset: true FirstChar: 38 LastChar: 122 FontDescriptor: FontName: PYIJTE+URWPalladioL-Ital Flags: 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