Journal of Sleep Disorders: Treatment and CareISSN: 2325-9639

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Research Article, J Sleep Disor Treat Care Vol: 3 Issue: 3

Psychosocial Features of Brazilian Patients with Paradoxical Insomnia: A Qualitative Study

Luciane A Barreto1*, João E Coin-Carvalho2, Luciane BC Carvalho3, Lucila BF Prado4 and Gilmar F Prado4
1Psychologist, PhD Student, Neuro-Sono Sleep Center, Department of Neurology, Universidade Federal de São Paulo, São Paulo, SP, Brazil
2PhD, Department of Psychology, Universidade Paulista and Neuro-Sono Sleep Center, Department of Neurology, Universidade Federal de São Paulo, São Paulo, SP, Brazil
3PhD, Neuro-Sono Sleep Center, Department of Neurology, Universidade Federal de São Paulo, São Paulo, SP, Brazil
4MD, PhD, Neuro-Sono Sleep Center, Department of Neurology, Universidade Federal de São Paulo, São Paulo, SP, Brazil
Corresponding author : Luciane de Andrade Barreto
Rua Claudio Rossi, 394 – CEP 01547-000 – São Paulo – SP – Brazil
Tel/Fax: 55 11 5081.6629
E-mail: [email protected]
Received February 14, 2014 Accepted July 21, 2014 Published July 23, 2014
Citation: Barreto LA, Coin-Carvalho JE, Carvalho LBC, Prado LBF, Prado GF (2014) Psychosocial Features of Brazilian Patients with Paradoxical Insomnia: A Qualitative Study. J Sleep Disor: Treat Care 3:3. doi:10.4172/2325-9639.1000140

Abstract

Psychosocial Features of Brazilian Patients with Paradoxical Insomnia: A Qualitative Study

Introduction: According to International Classification of Sleep Disorders (ICSD), Sleep State Misperception (SSM), recently renamed ‘Paradoxical Insomnia’ (PI), is a disorder in which a complaint of severe insomnia occurs without objective evidence of sleep disturbance, and without a significant impairment of daytime function. The present study aims to identify psychosocial features of patients with PI, exploring life history, and sociocultural and familiar environment issues. Methods: We studied PI patients from the Neuro-Sono Sleep Center, Department of Neurology, and São Paulo Hospital Sleep Laboratory, Universidade Federal de São Paulo, Brazil. In this study, we identified 60 patients (33 females), with confirmed PI diagnosis among 2000 medical files and 1735 PSG studies. Semi structured interviews were conducted with 20 patients, following a script of questions about birthplace, family, childhood, sleep, moves, present life and perceptions. We performed content analysis on the interviews searching interviewees’ feelings, thoughts, and social and familiar insertion.

Keywords: sleep state misperception, paradoxical insomnia, psychosocial features, interviews, qualitative research

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