Evidence-Based Design Features Improve Sleep Quality Among Psychiatric Inpatients

Objective: The primary aim of the present study was to compare sleep characteristics pre- and post-move into a state-of-the-art mental health facility, which offered private sleeping quarters. Background: Significant evidence points toward sleep disruption among psychiatric inpatients. It is unclear, however, how environmental factors (e.g., dorm-style rooms) impact sleep quality in this population. Methods: To assess sleep quality, a novel objective technology, actigraphy, was used before and after a facility move. Subjective daily interviews were also administered, along with the Horne–Ostberg Morningness–Eveningness Questionnaire and the Pittsburgh Sleep Quality Index. Results: Actigraphy revealed significant improvements in objective sleep quality following the facility move. Interestingly, subjective report of sleep quality did not correlate with the objective measures. Circadian sleep type appeared to play a role in influencing subjective attitudes toward sleep quality. Conclusions: Built environment has a significant effect on the sleep quality of psychiatric inpatients. Given well-documented disruptions in sleep quality present among psychiatric patients undergoing hospitalization, design elements like single patient bedrooms are highly desirable.

[1]  Daniel Lafrenière,et al.  Measuring , 2019, Delivering Fantastic Customer Experience.

[2]  M. Hellmich,et al.  Feasibility of an interval, inspiration-triggered nocturnal odorant application by a novel device: a patient-blinded, randomised crossover, pilot trial on mood and sleep quality of depressed female inpatients , 2014, Laryngo-Rhino-Otologie.

[3]  S. Wickham.  How are you sleeping? , 2015, The practising midwife.

[4]  A. Tiedemann,et al.  Exercise augmentation compared with usual care for post‐traumatic stress disorder: a randomized controlled trial , 2015, Acta psychiatrica Scandinavica.

[5]  Kuan-Chia Lin,et al.  Sleep disturbances in patients with major depressive disorder: incongruence between sleep log and actigraphy. , 2015, Archives of psychiatric nursing.

[6]  G. Wallen,et al.  The Prevalence of Sleep Disturbance in Alcoholics Admitted for Treatment: A Target for Chronic Disease Management , 2014, Family & community health.

[7]  V. Mysliwiec,et al.  Intensive sleep deprivation and cognitive behavioral therapy for pharmacotherapy refractory insomnia in a hospitalized patient. , 2014, Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine.

[8]  D. Dijk,et al.  The relation between poor sleep, impulsivity and aggression in forensic psychiatric patients , 2014, Physiology & Behavior.

[9]  J. Solet,et al.  Measuring sleep: accuracy, sensitivity, and specificity of wrist actigraphy compared to polysomnography. , 2013, Sleep.

[10]  Maria Luca,et al.  Sleep disorders and depression: brief review of the literature, case report, and nonpharmacologic interventions for depression , 2013, Clinical interventions in aging.

[11]  Paul J. Harrison,et al.  Evaluating the links between schizophrenia and sleep and circadian rhythm disruption , 2012, Journal of Neural Transmission.

[12]  Christian R. Dolder,et al.  The effects of mirtazapine on sleep in patients with major depressive disorder. , 2012, Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists.

[13]  G. Wallen,et al.  Are you Sleeping? Pilot Comparison of Self-Reported and Objective Measures of Sleep Quality and Duration in an Inpatient Alcoholism Treatment Program , 2012, Substance abuse : research and treatment.

[14]  T. van Achterberg,et al.  Applicability of two brief evidence-based interventions to improve sleep quality in inpatient mental health care. , 2011, International journal of mental health nursing.

[15]  D. Matuskey,et al.  A multistudy analysis of the effects of early cocaine abstinence on sleep. , 2011, Drug and alcohol dependence.

[16]  G. Hutschemaekers,et al.  Can mental healthcare nurses improve sleep quality for inpatients? , 2010, British journal of nursing.

[17]  Seithikurippu R. Pandi-Perumal,et al.  Bidirectional communication between sleep and circadian rhythms and its implications for depression: Lessons from agomelatine , 2009, Progress in Neurobiology.

[18]  N. Yamada,et al.  The relationship between subjective sleep disturbance and complexity of 24-hour activity utilizing fractal theory in psychiatric inpatients , 2009 .

[19]  P. Ktonas,et al.  Sleep disturbances in relation to fatigue in major depression. , 2009, Journal of psychosomatic research.

[20]  Anne Goossensen,et al.  Do patients in hospitals benefit from single rooms? A literature review. , 2007, Health policy.

[21]  R. Ulrich.  Essay: Evidence-based health-care architecture , 2006, The Lancet.

[22]  D. Todder,et al.  A case series on the development of rest–activity rhythm and quality of sleep in patients hospitalized for treatment of uni- or bipolar depression: a potential role for quetiapine , 2006, International journal of psychiatry in clinical practice.

[23]  R. Ulrich.  Evidence-based healthcare architecture , 2006 .

[24]  D. Monti,et al.  Sleep disturbance in schizophrenia , 2005, International review of psychiatry.

[25]  J. Peuskens,et al.  Sleep variables in anorexia nervosa: evolution with weight restoration. , 2004, The International journal of eating disorders.

[26]  Max Hirshkowitz,et al.  Practice parameters for the role of actigraphy in the study of sleep and circadian rhythms: an update for 2002. , 2003, Sleep.

[27]  E. Reid,et al.  Factors affecting how patients sleep in the hospital environment. , 2001, British journal of nursing.

[28]  M. Lemke,et al.  Motor activity and perception of sleep in depressed patients. , 1999, Journal of psychiatric research.

[29]  S. Woodward,et al.  Subjective versus objective sleep in Vietnam combat veterans hospitalized for PTSD. , 1996, Journal of traumatic stress.

[30]  P. Linkowski,et al.  Acute, subchronic and withdrawal sleep EEG changes during treatment with paroxetine and amitriptyline: a double-blind randomized trial in major depression. , 1995, Sleep.

[31]  H. Osmond,et al.  Function as the Basis of Psychiatric Ward Design , 1957 .