International journal of psychiatry in clinical practice · 2026
Everything you always wanted to know about sleep, but you were afraid to ask: expert concise guide and recommendations on assessing sleep-wake disturbances within a psychiatric context in contemporary times.
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Palagini Laura, Castelnovo Anna, D'Agostino Armando, Balestrieri Matteo, Dell'Osso Bearnardo M, Fagiolini Andrea, Ferini Strambi Luigi, Geoffroy Pierre A, Liguori Claudio, Martinotti Giovanni, Mencacci Claudio, Nobili Lino, Riemann Dieter, Sani Gabriele, Serafini Gianluca, Vita Antonio, Fiorillo Andrea
Аннотация
OBJECTIVE: While disrupted sleep has long been linked to mental disorders there has been a notable decrease in interest and sleep-wake disorders have received low priority in psychiatric care. The aim of the paper was to present a concise guide for evaluating common sleep-wake disturbances within a psychiatric framework to revitalise the importance of sleep in psychiatry.
METHODS: A systematic search strategy was conducted on the importance of sleep-wake assessment in psychiatry (search #1), the typology of sleep-wake disturbances in psychiatric practice (search #2), the guidelines on assessment of sleep-wake disturbances (search#3). Results were summarised and discussed in a narrative way.
RESULTS: Evidence suggests that assessing sleep-wake disturbances improves prevention and treatment outcomes in psychiatric patients. Insomnia remains the most common disorder, though other sleep disturbances are highly prevalent. A structured two-step evaluation-combining initial patient clinical interviews with standardised self-report questionnaires-may assist in diagnosis and monitor outcomes.
CONCLUSION: A concise guide on how to assess sleep-wake disturbances in psychiatry was summarised for psychiatric clinical practice.
METHODS: A systematic search strategy was conducted on the importance of sleep-wake assessment in psychiatry (search #1), the typology of sleep-wake disturbances in psychiatric practice (search #2), the guidelines on assessment of sleep-wake disturbances (search#3). Results were summarised and discussed in a narrative way.
RESULTS: Evidence suggests that assessing sleep-wake disturbances improves prevention and treatment outcomes in psychiatric patients. Insomnia remains the most common disorder, though other sleep disturbances are highly prevalent. A structured two-step evaluation-combining initial patient clinical interviews with standardised self-report questionnaires-may assist in diagnosis and monitor outcomes.
CONCLUSION: A concise guide on how to assess sleep-wake disturbances in psychiatry was summarised for psychiatric clinical practice.