PMID- 32349756 OWN - NLM STAT- MEDLINE DCOM- 20200908 LR - 20200908 IS - 1477-7525 (Electronic) IS - 1477-7525 (Linking) VI - 18 IP - 1 DP - 2020 Apr 29 TI - Association between sleep quality and domains of quality of life amongst patients with first episode psychosis. PG - 114 LID - 10.1186/s12955-020-01367-3 [doi] LID - 114 AB - BACKGROUND: There is a lack of studies exploring associations between sleep and quality of life (QOL) among patients with schizophrenia who have limited exposure to antipsychotics and are in the early stage of their illness. Our study investigates the association of poor sleep quality and its components with domains of QOL amongst patients with first episode psychosis (FEP). METHODS: Data was utilized from a longitudinal study that examined sleep, smoking and alcohol use amongst patients with FEP who were enrolled in the Early Psychosis Intervention Programme (EPIP). The data were collected during the patients' baseline visit; i.e., within 3 months of admission into the EPIP. The Pittsburgh Sleep Quality Index (PSQI) was employed to examine sleep quality and its 7 components over the last month. The WHO quality of life-BREF was used to examine QOL and its 4 domains: physical health, psychological, social relationship, and environment. Clinical data such as Positive and Negative Syndrome Scale (PANSS) and Global Assessment of Functioning (GAF) scores were obtained from a clinical data base. Linear regression analyses were conducted to investigate the association between poor sleep quality and the domains of QOL. RESULTS: Amongst the 280 recruited patients, 62.9% suffered from poor sleep quality. Poor sleep quality was associated with significantly lower scores in all domains of QOL, despite controlling for socio-demographics and clinical variables. Respondents with higher scores in subjective sleep quality and daytime dysfunction were associated with lower scores in the physical health and social relationship domain. Furthermore, respondents with higher scores in subjective sleep quality, sleep latency and daytime dysfunction were associated with lower scores in the psychological domain of QOL. Finally, respondents with higher scores in subjective sleep quality were associated with lower scores in the environment domain of QOL. CONCLUSIONS: Our findings highlight the importance of monitoring sleep quality amongst patients with FEP to improve their QOL. Clinical programmes should also pay more attention to sleep components in order to maintain satisfactory QOL amongst patients with FEP. Future interventions should focus on improving the relevant sleep components to ensure better treatment outcomes. FAU - Ong, Wei Jie AU - Ong WJ AD - Research Division, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore. Wei_Jie_ONG@imh.com.sg. FAU - Tan, Xiao Wei AU - Tan XW AD - Research Division, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore. FAU - Shahwan, Shazana AU - Shahwan S AD - Research Division, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore. FAU - Satghare, Pratika AU - Satghare P AD - Research Division, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore. FAU - Cetty, Laxman AU - Cetty L AD - Research Division, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore. FAU - Ng, Boon Tat AU - Ng BT AD - Pharmancy Department, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore. FAU - Tang, Charmaine AU - Tang C AD - Department of Early Psychosis Intervention, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore. FAU - Verma, Swapna AU - Verma S AD - Department of Early Psychosis Intervention, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore. FAU - Chong, Siow Ann AU - Chong SA AD - Research Division, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore. FAU - Subramaniam, Mythily AU - Subramaniam M AD - Research Division, Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore. LA - eng GR - NMRC/CG/004/2013/National Medical Research Council/ PT - Journal Article DEP - 20200429 PL - England TA - Health Qual Life Outcomes JT - Health and quality of life outcomes JID - 101153626 RN - 0 (Antipsychotic Agents) SB - IM MH - Adult MH - Antipsychotic Agents/adverse effects MH - Female MH - Humans MH - Longitudinal Studies MH - Male MH - Middle Aged MH - *Quality of Life MH - Schizophrenia/drug therapy/*epidemiology MH - Sleep/*physiology MH - Sleep Initiation and Maintenance Disorders/diagnosis/*epidemiology MH - Young Adult PMC - PMC7189457 OTO - NOTNLM OT - First episode psychosis OT - Quality of life OT - Singapore OT - Sleep OT - Sleep quality COIS- The authors declare that they have no competing interests. EDAT- 2020/05/01 06:00 MHDA- 2020/09/09 06:00 PMCR- 2020/04/29 CRDT- 2020/05/01 06:00 PHST- 2019/06/17 00:00 [received] PHST- 2020/04/16 00:00 [accepted] PHST- 2020/05/01 06:00 [entrez] PHST- 2020/05/01 06:00 [pubmed] PHST- 2020/09/09 06:00 [medline] PHST- 2020/04/29 00:00 [pmc-release] AID - 10.1186/s12955-020-01367-3 [pii] AID - 1367 [pii] AID - 10.1186/s12955-020-01367-3 [doi] PST - epublish SO - Health Qual Life Outcomes. 2020 Apr 29;18(1):114. doi: 10.1186/s12955-020-01367-3.