The desired health response must include interventions that are effective, such as cognitive-behavioural therapy, and powerful, such as pharmacological solutions. Some of the everyday actions they perform encourage the chronicity of insomnia. Participants describe ruminations and obsessive thoughts as a key factor hindering falling asleep. Results: The patients' narratives show differences in the intensity and experience of insomnia depending on the severity, as well as its impact on their quality of life. The analysis was based on a hermeneutic analysis of the patients' narratives regarding their experiences of insomnia. These 3 clusters have been defined by using two-step cluster analysis based on the results of the ISI (Insomnia Severity Index) and EQ-5D scales (EuroQol-5D) and the presence of certain diagnostic symptoms in a sample of 170 patients. Methods: The study takes a qualitative approach and uses semi-structured interviews to conduct a descriptive and interpretive analysis of 3 clinically different clusters of patients. The aim of the present study is to explore the clinical symptoms and consequences of insomnia in patients diagnosed with schizophrenic disorder and the perceptions of these patients regarding the care they receive. Its repercussions go beyond the disorder itself and affect many areas of life. 4Service of Psychiatry and Psychology, HM-Sant Jordi Clinic, Barcelona, Spainīackground: Insomnia is a health problem that particularly affects people with schizophrenia.
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