Influence of Concurrent Exercise and Its Timing on Polysomnographic Parameters and Subjective Sleep Quality in Collegiate Adults with Poor Sleep

Increasing evidence suggests that eveningness is associated with increased risk for depression. Eveningness, however, is also associated with poor sleep quality and the unique role of eveningness in depressive symptomatology remains to be elucidated. The goal of the current study, therefore, was to examine the inter-relationships between eveningness, subjective sleep quality and depressive symptoms in healthy participants free of current or previous depression and sleep disorder. Here, 167 healthy participants (mean age 24.16, 129/38 females/males) completed the reduced Morningness-Eveningness Questionnaire (rMEQ), the Pittsburgh Sleep Quality Index (PSQI) and the Centre for Epidemiological Studies Depression Scale (CES-D). Bootstrap mediation analysis for a simple mediation model including rMEQ, PSQI and CES-D was applied. Eveningness was associated with increased depressive symptoms and mediation analysis showed that this relationship was partly mediated by sleep quality. Our results suggest that indicators of depression observed in evening-type individuals cannot be attributed exclusively to disturbed sleep. We suggest that interventions that target both sleep quality and dysfunctionl cognitive styles would be optimal to promote well-being in evening-type individuals.

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The Effect of Uncoupled Sleep and Dysfunctional Sleep Beliefs on Sleep Outcomes in Older Adults following Online Cognitive Behavioral Therapy for Insomnia: A Single-Group Non-randomized Trial (Preprint)

10.2196/preprints.35964 ◽

2021 ◽

Author(s):

Yvonne Kutzer ◽

Lisa Whitehead ◽

Eimear Quigley ◽

Shih Ching Fu ◽

Mandy Stanley

Keyword(s):

Older Adults ◽

Cognitive Behavioral Therapy ◽

Sleep Quality ◽

Mixed Model ◽

Linear Mixed Model ◽

Behavioral Therapy ◽

Sleep Onset ◽

Poor Sleep ◽

Subjective Sleep Quality ◽

Subjective Sleep

BACKGROUND The current Covid-19 pandemic has brought about a marked interest in sleep health, as well as an increased demand for telehealth services, such as online Cognitive Behavioral Therapy for insomnia (CBT-I). Older adults in particular report a high rate of sleep problems. Recent studies have suggested that dysfunctional sleep beliefs could contribute to the high rates of self-reported insomnia in this age group. In addition, older adults have an increased rate of uncoupled sleep, e.g. displaying an insomnia complaint in the absence of objectively measured poor sleep. It is essential to determine the prevalence of coupled and uncoupled sleep in older adults and to examine the efficacy of online CBT-I to improve sleep outcomes. OBJECTIVE This study aims to assess objective and subjective sleep quality and dysfunctional sleep beliefs in a sample of community-dwelling older adults aged 60-80 years with and without uncoupled sleep in Western Australia following digitally delivered CBT-I. METHODS Objective sleep was measured using wrist actigraphy, and subjective sleep quality via sleep diaries and the Pittsburgh Sleep Quality Index (PSQI). Dysfunctional sleep beliefs were assessed by the Dysfunctional Beliefs and Attitudes about Sleep scale (DBAS-16) prior to and following a four-week online CBT-I programme. Linear mixed model and generalised linear mixed model analyses were conducted to examine objective and subjective sleep onset latency, total sleep time, wake after sleep onset and number of awakenings as well as PSQI and DBAS16 scores, respectively. RESULTS 62 participants (55 females; 88.7%) completed the study. CBT-I effectively reduced dysfunctional sleep beliefs and PSQI scores across all sleep classifications, even in good sleepers without a sleep complaint. Objective and self-reported changes in sleep parameters were mainly demonstrated in complaining poor sleepers. Complaining good sleepers reported a decrease in the number of subjective sleep awakenings only. CONCLUSIONS Online CBT-I was effective in improving the sleep outcomes of individuals who had both subjective and objective poor sleep. However, as the online CBT-I reduced dysfunctional sleep beliefs in all sleep groups, further examination of dysfunctional sleep beliefs and whether they mediate the outcomes of digital CBT-I in older adults will need to be conducted. CLINICALTRIAL Australian New Zealand Clinical Trials Registry (ANZCTR), ACTRN 12619001509156; http://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=378451 INTERNATIONAL REGISTERED REPORT RR2-32705

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Sleep Quality and Cognitive Function in the Elderly Population

Journal of Sleep sciences ◽

10.18502/jss.v5i1.4569 ◽

2020 ◽

Author(s):

Seyed Valiollah Mousavi ◽

Elham Montazar ◽

Sajjad Rezaei ◽

Shima Poorabolghasem Hosseini

Keyword(s):

Regression Analysis ◽

Cognitive Function ◽

Sleep Quality ◽

Sleep Disorders ◽

Elderly Population ◽

Sleep Latency ◽

The Elderly ◽

Poor Sleep ◽

Subjective Sleep Quality ◽

Subjective Sleep

Background and Objective: Physiological process of sleep is considered as one of the influential factors of human’s health and mental functions, especially in the elderly. This research aimed at studying the association between sleep quality and the cognitive functions in the elderly population. Materials and Methods: A total of 200 elderly people (65 years and older) who were the members of retirees associa-tion in Mashhad, Iran, participated in this cross-sectional study. The participants were asked to answer the questionnaire of Pittsburgh Sleep Quality Index (PSQI) and Montreal Cognitive Assessment (MoCA) test. Correlation between the total scores of PSQI and MoCA was evaluated by Pearson correlation coefficient. In order to predict the cognitive func-tion based on different aspects of PSQI, multiple regression analysis by hierarchical method was used after removing confounding variables. Results: A significant association was found between PSQI and MoCA (P < 0.001, r = -0.55) suggesting that the com-ponents of use of sleeping medication (P < 0.001, r = -0.47), sleep disorders (P < 0.001, r = -0.37), sleep latency (P < 0.001, r = -0.34), subjective sleep quality (P < 0.001, r = -0.32), sleep duration (P < 0.001, r = -0.27), sleep effi-ciency (P < 0.001, r = -0.26), and daytime dysfunction (P < 0.001, r = -0.15) had significant negative correlation with cognitive function, and the four components of subjective sleep quality (P = 0.010, β = -0.15), sleep latency (P = 0.040, β = -0.13), sleep disorders (P = 0.010, β = -0.26), and use of sleeping medication (P = 0.010, β = -0.26) played a role in prediction of cognitive function in regression analysis. Conclusion: Poor sleep quality, sleep latency, insomnia, sleep breathing disorder, and use of sleeping medication play a determining role in cognitive function of the elderly. Thus, taking care of the sleep health is necessary for the elderly.

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Psychological Distress Induces Poor Sleep Quality: A Cross-Sectional Study of Pharmacy Students in Bandung City, Indonesia

The Open Public Health Journal ◽

10.2174/1874944501811010369 ◽

2018 ◽

Vol 11 (1) ◽

pp. 369-375 ◽

Cited By ~ 1

Author(s):

Sofa D. Alfian ◽

Henry Ng ◽

Dika P. Destiani ◽

Rizky Abdulah

Keyword(s):

Psychological Distress ◽

Sleep Quality ◽

Undergraduate Students ◽

Cross Sectional Study ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Cross Sectional Survey ◽

Subjective Sleep Quality ◽

Cross Sectional ◽

Subjective Sleep

Introduction: Poor subjective sleep quality in undergraduate students has not been widely studied in Bandung city, Indonesia. Poor sleep quality has been related to a number of risk factors for poor health outcomes. Objective: To analyze the association between psychological distress and subjective sleep quality. Methods: A cross sectional survey was done in one of the universities of Bandung city, Indonesia. Data were collected from 290 undergraduate students selected through consecutive sampling. Pittsburg Sleep Quality Index (PSQI) and Kessler-10 questionnaire were administered. Results: The prevalence of psychological distress was well (43.1%), mild (28.6%), moderate (20.7%), and severe (7.6%). The overall sleep quality was poor and good in 84.5% and 15.5% of the students. There was a significant association between psychological distress and poor sleep quality (p=0.006). The multivariate analysis suggested that psychological distress was a predictor of poor sleep quality (OR 1.991; 95% CI, 1.311−3.026). Conclusion: There is a need for an awareness of the college resources to help manage the stress levels of students through effective coping strategy-related study habits.

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Association between sleep hygiene and sleep quality in medical students

10.31234/osf.io/8nczx ◽

2017 ◽

Author(s):

Cameron Brick

Keyword(s):

Medical Students ◽

Sleep Quality ◽

Sleep Hygiene ◽

Future Research ◽

Poor Sleep ◽

Sleep Habits ◽

Subjective Sleep Quality ◽

Web Based ◽

Subjective Sleep ◽

Future Research Directions

The aim of the current study was to determine whether subjective sleep quality was reduced in medical students, and whether demographics and sleep hygiene behaviors were associated with sleep quality. A web-based survey was completed by 314 medical students, containing questions about demographics, sleep habits, exercise habits, caffeine, tobacco and alcohol use, and subjective sleep quality (using the Pittsburgh Sleep Quality Index). Correlation and regression analyses tested for associations among demographics, sleep hygiene behaviors, and sleep quality. As hypothesized, medical students’ sleep quality was significantly worse than a healthy adult normative sample (t=5.13, p<.001). Poor sleep quality in medical students was predicted by several demographic and sleep hygiene variables, and future research directions are proposed.Brick, C., Seely, D. L., & Palermo, T. M. (2010). Association between sleep hygiene and sleep quality in medical students. Behavioral Sleep Medicine, 8(2), 113–121. https://www.tandfonline.com/doi/abs/10.1080/15402001003622925

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ASSOCIATIONS OF GENERAL MENTAL HEALTH SYMPTOMS WITH SUBJECTIVE SLEEP QUALITY AND INDIVIDUAL DAYTIME SLEEPINESS

Inter Collegas ◽

10.35339/ic.6.4.192-199 ◽

2019 ◽

Vol 6 (4) ◽

pp. 192-199

Author(s):

R.S. Schierholz ◽

I. Zavgorodniy ◽

S. Darius ◽

I. Böckelmann

Keyword(s):

Mental Health ◽

Sleep Quality ◽

Daytime Sleepiness ◽

General Health Questionnaire ◽

Poor Sleep ◽

Mental Health Symptoms ◽

Subjective Sleep Quality ◽

Health Symptoms ◽

General Mental Health ◽

Subjective Sleep

ASSOCIATIONS OF GENERAL MENTAL HEALTH SYMPTOMS WITH SUBJECTIVE SLEEP QUALITY AND INDIVIDUAL DAYTIME SLEEPINESS Schierholz RS, Zavgorodniy I., Darius S., Böckelmann I. Purpose: Sufficient sleep quality plays a significant role for long-term physical and mental health. The aim of this study was to examine the associations of general mental health symptoms with sleep quality and daytime sleepiness. Materials and Methods: A cross-sectional survey with 84 included participants (female: n = 42, male: n = 42) was conducted. General mental health symptoms were assessed using the 12-item General Health Questionnaire (GHQ-12), sleep quality was measured with the Pittsburgh Sleep Quality Index (PSQI), and daytime sleepiness was evaluated with the Epworth Sleepiness Scale (ESS). Statistical differences were calculated using two-sample t-test and Mann-Whitney U test. For correlation analyses Spearman’s rank correlation was used. Results: Subjects with poor sleep quality reached higher scores in the GHQ-12 and in the ESS than subjects with good sleep quality, but the difference regarding the ESS was not significant. Higher GHQ-12 scores were associated with higher PSQI scores but not with higher ESS scores. Conclusions: Major findings show strong evidence of an association between general mental health symptoms and sleep quality with poor sleepers having a more disturbed mental health than good sleepers. Further evidence of the interrelationship between subjective sleep quality and general mental health symptoms was found. Keywords: Mental health, Work ability, Stress, Sleep, Insomnia Абстракт ЗВ’ЯЗОК ЗАГАЛЬНИХ СИМПТОМІВ ПСИХІЧНОГО ЗДОРОВ'Я З СУБ'ЄКТИВНОЮ ЯКІСТЮ СНУ ТАІНДИВІДУАЛЬНОЮ ДЕННОЮ СОНЛИВІСТЮ Робін Себастьян Шірхольц*, Ігор Завгородній, Сабіна Даріус, Ірина Беккельман Мета: Достатня якість сну відіграє важливу роль для тривалого фізичного та психічного здоров’я. Метою цьогодослідження було вивчення залежності загальних симптомів психічного здоров’я від якісті сну та денноїсонливості. Матеріали та методи: Було проведено перехресне опитування за участю 84 учасників (жінки: n = 42, чоловіки: n= 42). Загальні симптоми психічного здоров’я оцінювали за допомогою Анкети загального здоров’я (GHQ-12), яка містить 12 пунктів; якість сну оцінювали за допомогою Пітсбургського опитувальника якості сну (PSQI), а денну сонливість оцінювали за Шкалою сонливості Епворта (ESS). Статистичні відмінності розраховувались за допомогою двопробного t-тесту та U-тесту Манна-Вітні. Для кореляційного аналізу було використано рангову кореляцію Спірмена. Результати: Суб'єкти з низькою якістю сну показали більш високі показники у GHQ-12 та ESS, ніж суб'єкти із хорошою якістю сну, але різниця щодо ESS була несуттєвою. Більш високі показники GHQ-12 були пов'язані з більш високими показниками PSQI, але не з більш високими показниками ESS. Висновки: Основні результати виявляють вагомі докази зв'язку між загальними симптомами психічного здоров’я та якістю сну людей, які погано сплять, та людей з міцним сном. У людей з поганим сном більш виражені порушення психічного здоров’я. Були знайдені додаткові докази взаємозв'язку між суб'єктивною якістю сну та загальними симптомами психічного здоров'я. Ключові слова: Психічне здоров'я, працездатність, стрес, сон, безсоння Абстракт СВЯЗЬ ОБЩИХ СИМПТОМОВ ПСИХИЧЕСКОГО ЗДОРОВЬЯ С СУБЪЕКТИВНЫМ КАЧЕСТВОМ СНА И ИНДИВИДУАЛЬНОЙ ДНЕВНОЙ СОНЛИВОСТЬЮ Робин Себастьян Ширхольц, Игорь Завгородний, Сабина Дариус, Ирина Беккельманн Цель: Достаточное качество сна играет важную роль для долгосрочного физического и психического здоровья. Целью данного исследования было изучение связи общих симптомов психического здоровья с качеством сна и дневной сонливостью. Материалы и методы. Было проведено перекрестное исследование с 84 участниками (женщины: n = 42, мужчины: n = 42). Общие симптомы психического здоровья оценивали с использованием Общего опросника здоровья (GHQ-12), содержащего 12 пунктов; качество сна оценивали с помощью Питтсбургского опросника качества сна (PSQI), а дневную сонливость оценивали по Шкале сонливости Эпворта (ESS). Статистические различия рассчитывали с использованием двухпробного t-теста и U-теста Манна-Уитни. Для корреляционного анализа была использована ранговая корреляция Спирмена. Результаты: Субъекты с плохим качеством сна показали более высокие баллы в GHQ-12 и в ESS, чем субъекты с хорошим качеством сна, но разница в отношении ESS не была значительной. Более высокие показатели GHQ-12 были связаны с более высокими показателями PSQI, но не с более высокими показателями ESS. Выводы: Основные результаты обнаруживают убедительные доказательства связи между общими симптомами психического здоровья и качеством сна людей, которые плохо спят, и людей с крепким сном. У людей с плохим сном более выражены нарушения психического здоровья. Были найдены дополнительные доказательства взаимосвязи между субъективным качеством сна и общими симптомами психического здоровья. Ключевые слова: психическое здоровье, трудоспособность, стресс, сон, бессонница

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Poor Sleep and Decision-Making Disturbance Are Associated With Suicidal Ideation in Pre-natal Depression

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.680890 ◽

2021 ◽

Vol 12 ◽

Author(s):

Ciqing Bao ◽

Ling Xu ◽

Weina Tang ◽

Shiyu Sun ◽

Wenmiao Zhang ◽

...

Keyword(s):

Risk Factors ◽

Decision Making ◽

Suicidal Ideation ◽

Sleep Quality ◽

Sleep Disturbance ◽

Poor Sleep ◽

Healthy Controls ◽

Subjective Sleep Quality ◽

Subjective Sleep ◽

Post Natal Depression

Although many risk factors for suicidal ideation have been identified, few studies have focused on suicidal ideation and pre-natal depression. The purpose was to investigate the relationship between decision-making (DM) dysfunction and sleep disturbance on suicidal ideation in pre-natal depression. Participants included 100 women in the third trimester of pregnancy, including pregnant women with pre-natal depression who had recent suicidal ideation (n = 30), pre-natal depression without SI (n = 35) and healthy controls (n = 35). The Iowa Gambling Task (IGT) was used to evaluate the DM function and the Pittsburgh Sleep Quality Index (PSQI) was used to assess the sleep index. The Edinburgh Post-natal Depression Scale (EPDS) was used to assess suicidal ideation and the seriousness of depression. Overall, the two groups with pre-natal depression showed worse sleep quality and decreased DM function compared with healthy controls. The pre-natal depression with suicidal ideation group showed a significantly higher score in subjective sleep quality and a lower score in block 5 of IGT than the pre-natal depression without suicidal ideation group. Further correlation analysis showed that suicidal ideation positively correlated with subjective sleep quality, sleep duration, and daytime function, and negatively correlated with IGT scores. Sleep disturbance and impaired DM function may be risk factors for suicidal ideation in pre-natal depression.

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Effect of kidney transplantation on sleep quality in patients admitted in ICU:a cross-section study in China

10.21203/rs.2.17473/v1 ◽

2019 ◽

Author(s):

Lu Long ◽

Jia Liu ◽

Jin Yan ◽

Jian fei Xie ◽

Huan Liu ◽

...

Keyword(s):

Kidney Transplantation ◽

Sleep Quality ◽

Linear Regression Analysis ◽

Sleep Onset ◽

Sleep Time ◽

Middle Level ◽

Sleep Disruption ◽

Poor Sleep ◽

Subjective Sleep Quality ◽

Subjective Sleep

Abstract Background Although evidences showed that sleep disorder is common in patient with end stage renal disease (ESRD), less is known about their sleep quality after early post-kidney transplantation (kTx) especially in Intensive Care Unite (ICU). Thus, the purpose of this study is to investigate sleep quality of kTx recipients in ICU and explore factors related poor sleep, second, to measure the correlation of subjective sleep quality and sleep architecture assessed by PSG in kTx recipients. Methods This study recruited participants from ESRD patients registered in transplantation waiting list at the third xiangya hospital of central south university in China. Participants required to complete the Pittsburgh sleep quality index(PSQI) and demographic questionnaire as baseline data and received one night of Polysomnography (PSG) in the ICU within 96 hours of surgery, during which time sound and light data were monitored. After that Richards Campbell sleep questionnaires (RCSQ) also need completed. Results 26 participants self-reported sleep quality and sleep efficiency based on RCSQ was at middle level (49.2 ± 25.6mm), and 14/26(53.8%) kTx recipients in ICU were poor sleepers defined by RCSQ <50. PSG showed that most kTx recipients in ICU had shallow sleep with mainly stage 2 sleep time (80.90 ±70.10 min), lower total sleep time (136.50 ±86.41 min), higher awakening frequency after sleep onset (8.87 ±5.92 times) and long awaken time (94.67 ±75.09 min) when a sleep disruption occured. multiple linear regression analysis showed that self-reported noise and pain were the significant factor affecting sleep(P < 0.05).Conclusion Subjective sleep quality based on RCSQ scored better than objective one measured by PSG in kTx recipients, sleep disruption always remained a substantial problem and affected by self-reported noise and pain.

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Home confinement during the COVID-19: day-to-day associations of sleep quality with rumination, psychotic-like experiences and somatic symptoms

10.31234/osf.io/wceqt ◽

2020 ◽

Author(s):

Peter Simor ◽

Bertalan Polner ◽

Noemi Bathori ◽

Rebeca Sifuentes Ortega ◽

Anke Van Roy ◽

...

Keyword(s):

Sleep Quality ◽

Negative Mood ◽

Somatic Complaints ◽

Temporal Association ◽

Poor Sleep ◽

Psychological Consequences ◽

Subjective Experiences ◽

Subjective Sleep Quality ◽

Cross Sectional ◽

Subjective Sleep

Due to the COVID-19 pandemic, populations from many countries have been confined at home for extended periods of time in stressful environmental and media conditions. Cross-sectional studies already evidenced deleterious psychological consequences, with poor sleep as a risk factor for impaired mental health. However, limitations of cross-sectional assessments are response bias tendencies, and the inability to track daily fluctuations in specific subjective experiences in extended confinement conditions. In a prospective study conducted across three European countries, we queried participants (N = 166) twice a day through an online interface about their sleep quality and their negative psychological experiences for two consecutive weeks. Focus was set on between-and within-person associations of subjective sleep quality with daytime experiences such as rumination, psychotic-like experiences, and somatic complaints about the typical symptoms of the coronavirus. Results show that daily reports of country-specific COVID-19 deaths predicted increased negative mood, psychotic-like experiences and somatic complaints during the same day, and decreased subjective sleep quality the following night. Disrupted sleep was globally associated with negative psychological outcomes during the study period, and a relatively poorer night of sleep predicted increased rumination, psychotic-like experiences, and somatic complaints the following day. This temporal association was unidirectional since daytime reports of negative mental experiences were not associated with poor sleep quality on the following night. Our findings show that night-to-night changes in sleep quality predict how individuals cope the next day with daily challenges induced by home confinement

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The Benefits of Closed-Loop Transcranial Alternating Current Stimulation on Subjective Sleep Quality

Brain Sciences ◽

10.3390/brainsci8120204 ◽

2018 ◽

Vol 8 (12) ◽

pp. 204 ◽

Cited By ~ 6

Author(s):

Charles Robinson ◽

Natalie Bryant ◽

Joshua Maxwell ◽

Aaron Jones ◽

Bradley Robert ◽

...

Keyword(s):

Sleep Quality ◽

Slow Wave ◽

Closed Loop ◽

Slow Wave Sleep ◽

The United States ◽

Alternating Current ◽

Poor Sleep ◽

Subjective Sleep Quality ◽

Subjective Sleep ◽

Transcranial Alternating Current Stimulation

Background: Poor sleep quality is a common complaint, affecting over one third of people in the United States. While sleep quality is thought to be related to slow-wave sleep (SWS), there has been little investigation to address whether modulating slow-wave oscillations (SWOs) that characterize SWS could impact sleep quality. Here we examined whether closed-loop transcranial alternating current stimulation (CL-tACS) applied during sleep impacts sleep quality and efficiency. Methods: CL-tACS was used in 21 participants delivered at the same frequency and in phase with endogenous SWOs during sleep. Sleep quality was assessed in the morning following either verum or sham control stimulation during sleep, with order counterbalanced within participants. Results: Higher sleep quality and efficiency were found after verum stimulation nights compared to control. The largest effects on sleep quality were found immediately following an adaptation night in the laboratory for which sleep quality was reduced. Conclusions: Applying CL-tACS at the same frequency and phase as endogenous SWOs may offer a novel method to improve subjective sleep quality after a night with poor quality sleep. CL-tACS might be helpful for increasing sleep quality and efficiency in otherwise healthy people, and in patients with clinical disorders that involve sleep deficits.

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