{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T20:09:34Z","timestamp":1789589374369,"version":"build-2803163510"},"reference-count":22,"publisher":"Royal College of Psychiatrists","issue":"5","license":[{"start":{"date-parts":[[2018,6,21]],"date-time":"2018-06-21T00:00:00Z","timestamp":1529539200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJPsych Bull"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:sec id=\"S2056469418000426_sec_a1\"><jats:title>Aims and method<\/jats:title><jats:p>Sleep disturbance is common on in-patient psychiatry wards. This study explored subjective and objective patterns of sleep disturbance and contributory environmental factors. Participants were recruited from mental health acute admission wards and had a range of subjective and objective assessments of sleep. Light intensity and noise levels were measured to characterise potential environmental causes for poor sleep.<\/jats:p><\/jats:sec><jats:sec id=\"S2056469418000426_sec_a2\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>We recruited 20 patients; 15% were high risk for obstructive sleep apnoea. Nineteen participants reported poor sleep quality on the Pittsburgh Sleep Quality Index, and 90% had significant sleep fragmentation with objective measures. Inside light levels were low (day &lt;200 lux and night &lt;10 lux). Night sound levels were 40\u201390 db.<\/jats:p><\/jats:sec><jats:sec id=\"S2056469418000426_sec_a3\"><jats:title>Clinical implications<\/jats:title><jats:p>Sleep disturbance was highly prevalent. Increased awareness of sleep disorders is needed. Modifiable environmental factors on the ward were implicated, therefore increased awareness and a change of approach to sleep disturbance in in-patient psychiatry is recommended.<\/jats:p><\/jats:sec><jats:sec id=\"S2056469418000426_sec_a4\"><jats:title>Declaration of interest<\/jats:title><jats:p>None.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjb.2018.42","type":"journal-article","created":{"date-parts":[[2018,6,25]],"date-time":"2018-06-25T05:23:06Z","timestamp":1529904186000},"page":"193-197","source":"Crossref","is-referenced-by-count":25,"title":["An evaluation of sleep disturbance on in-patient psychiatric units in the UK"],"prefix":"10.1192","volume":"42","author":[{"given":"Sam","family":"Horne","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine","family":"Hay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuart","family":"Watson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirstie N.","family":"Anderson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2018,6,21]]},"reference":[{"key":"S2056469418000426_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(89)90047-4"},{"key":"S2056469418000426_ref18","volume-title":"Guidelines for Community Noise","author":"Berglund","year":"1999"},{"key":"S2056469418000426_ref7","unstructured":"Khan M , Daw R , Hampson M. OP79. Do the Right Thing: How to Judge a Good Ward. Royal College of Psychiatrists, 2011."},{"key":"S2056469418000426_ref17","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1002\/j.2051-5545.2011.tb00014.x","article-title":"Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care","volume":"10","author":"Correll","year":"2011","journal-title":"World Psychiatry"},{"key":"S2056469418000426_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2013.02.019"},{"key":"S2056469418000426_ref11","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291717000186"},{"key":"S2056469418000426_ref16","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.2"},{"key":"S2056469418000426_ref8","unstructured":"National Institute of Health and Care Excellence. Safe Staffing for Nursing in Adult Inpatient Wards in Acute Hospitals. 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