@article{FraseAckerCohrsetal.2019, author = {Frase, Lukas and Acker, Jens and Cohrs, Stefan and Danker-Hopfe, Heidi and Frohn, Corinna and G{\"o}der, Robert and Mauche, Nicole and Norra, Christine and Pollm{\"a}cher, Thomas and Richter, Kneginja and Riemann, Dieter and Schilling, Claudia and Weeß, Hans-G{\"u}nter and Wetter, Thomas C. and Nissen, Christoph}, title = {Empfehlungen zur Durchf{\"u}hrung einer Polygraphie oder Polysomnographie im Bereich Psychiatrie und Psychotherapie}, series = {Der Nervenarzt}, volume = {91}, journal = {Der Nervenarzt}, number = {9}, publisher = {Springer Science and Business Media LLC}, issn = {0028-2804}, doi = {10.1007/s00115-019-00855-2}, pages = {843 -- 853}, year = {2019}, abstract = {Ein- und Durchschlafst{\"o}rungen, nichterholsamer Schlaf oder erh{\"o}hte Tagesm{\"u}digkeit sind unspezifische Symptome von heute ca. 100 unterscheidbaren St{\"o}rungsbildern, die in der kommenden 11. Revision der Internationalen statistischen Klassifikation der Krankheiten (ICD-11) erstmals als eigenes Kapitel 7 „Schlaf-Wach-St{\"o}rungen" zusammengefasst werden. Mit Blick auf den Fachbereich Psychiatrie und Psychotherapie besteht ein bidirektionaler Zusammenhang zwischen Schlaf-Wach-St{\"o}rungen und psychischen Erkrankungen. Schlaf-Wach-St{\"o}rungen k{\"o}nnen einen unabh{\"a}ngigen Risikofaktor f{\"u}r das Entstehen einer psychischen Erkrankung darstellen und den Erkrankungsverlauf ung{\"u}nstig beeinflussen. Zudem k{\"o}nnen Schlaf-Wach-St{\"o}rungen einer psychischen Erkrankung auch als Fr{\"u}hsymptom vorausgehen und damit ein wichtiger Hinweis bei der Fr{\"u}herkennung sein. Zahlreiche Schlaf-Wach-St{\"o}rungen k{\"o}nnen anhand der Anamnese und {\"u}blicher klinischer Untersuchungen diagnostiziert werden. Bei spezielleren Fragestellungen k{\"o}nnen die Untersuchung in einem speziali-sierten Schlaflabor und die Behandlung in einem schlafmedizinischen Zentrum im Sinne einer gestuften Versorgung notwendig sein. Hier ist die Polysomnographie die wichtigste Untersuchungsmethode f{\"u}r die Differenzialdiagnostik, f{\"u}r deren Abrechnung {\"u}ber die Kostentr{\"a}ger heute in Deutschland jedoch keine gesetzliche Grundlage im Bereich neuro-psychiatrischer St{\"o}rungen besteht. Die vorliegende Arbeit fasst die aktuellen Leitlinien hinsichtlich der Kriterien f{\"u}r eine Untersuchung im Schlaflabor aus Sicht des Fachgebiets Psychiatrie und Psychotherapie zusammen und stellt daraus abgeleitet Forderungen f{\"u}r eine leitliniengerechte Diagnostik und Behandlung.}, language = {de} } @article{WeberDankerHopfeDoganSanderetal.2022, author = {Weber, Franziska C. and Danker-Hopfe, Heidi and Dogan-Sander, Ezgi and Frase, Lukas and Hansel, Anna and Mauche, Nicole and Mikutta, Christian and Nemeth, Diana and Richter, Kneginja and Schilling, Claudia and Sebestova, Martina and Spath, Marian M. and Nissen, Christoph and Wetter, Thomas C.}, title = {Restless Legs Syndrome Prevalence and Clinical Correlates Among Psychiatric Inpatients}, series = {Frontiers in Psychiatry}, volume = {13}, journal = {Frontiers in Psychiatry}, publisher = {Frontiers Media SA}, issn = {1664-0640}, doi = {10.3389/fpsyt.2022.846165}, pages = {15}, year = {2022}, abstract = {BackgroundThere are only limited reports on the prevalence of restless legs syndrome (RLS) in patients with psychiatric disorders. The present study aimed to evaluate the prevalence and clinical correlates in psychiatric inpatients in Germany and Switzerland.MethodsThis is a multicenter cross-sectional study of psychiatric inpatients with an age above 18 years that were diagnosed and evaluated face-to-face using the International RLS Study Group criteria (IRLSSG) and the International RLS severity scale (IRLS). In addition to sociodemographic and biometric data, sleep quality and mood were assessed using the Pittsburgh Sleep Quality Index (PSQI), the Insomnia Severity Index (ISI), the Epworth Sleepiness Scale (ESS), and the Patient Health Questionnaire (PHQ-9). In addition to univariate statistics used to describe and statistically analyze differences in variables of interest between patients with and without RLS, a logistic model was employed to identify predictors for the occurrence of RLS.ResultsThe prevalence of RLS in a sample of 317 psychiatric inpatients was 16.4\%, and 76.9\% of these were diagnosed with RLS for the first time. RLS severity was moderate to severe (IRLS ± SD: 20.3 ± 8.4). The prevalences in women (p = 0.0036) and in first-degree relatives with RLS (p = 0.0108) as well as the body mass index (BMI, p = 0.0161) were significantly higher among patients with RLS, while alcohol consumption was significantly lower in the RLS group. With the exception of atypical antipsychotics, treatment with psychotropic drugs was not associated with RLS symptoms. Regarding subjective sleep quality and mood, scores of the PSQI (p = 0.0007), ISI (p = 0.0003), and ESS (p = 0.0005) were higher in patients with RLS, while PHQ-9 scores were not different. A logistic regression analysis identified gender (OR 2.67; 95\% CI [1.25; 5.72]), first-degree relatives with RLS (OR 3.29; 95\% CI [1.11; 9.73], ESS score (OR 1.09; 95\% CI [1.01; 1.17]), and rare alcohol consumption (OR 0.45; 95\% CI [0.22; 0.94] as predictors for RLS.ConclusionsClinically significant RLS had a high prevalence in psychiatric patients. RLS was associated with higher BMI, impaired sleep quality, and lower alcohol consumption. A systematic assessment of restless legs symptoms might contribute to improve the treatment of psychiatric patients.}, language = {en} }