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Published online by Cambridge University Press: 12 March 2025
It has been long recognised that up to 80% of patients with psychiatric disorders may suffer with some degree of sleep complaint. Historically, sleep disturbance has been regarded as an epiphenomenon of the primary psychiatric disorder, but their bidirectional relationship is increasingly recognised. It is also clear that sleep disorders increase the risk of developing episodes of psychiatric disorders and that they modulate psychiatric symptom expression. Similarly, both micro- and macrostructure of sleep may dynamically change during various stages of major psychiatric disorders, further aggravating their prognosis and symptom development. Thus, concurrent and decisive management of sleep should be a pivotal part of the clinical management of all psychiatric disorders.
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