scholarly journals 0851 Sleep Disturbance But Not Sleep Duration Is Associated With Perceived Stress And Self-esteem In Postpartum Women

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A324-A324
Author(s):  
X Wang ◽  
E E Kishma ◽  
J R Sparks ◽  
J Liu ◽  
L A Castleberry ◽  
...  
Keyword(s):  
Sleep Disturbance ◽  
Sleep Duration ◽  
Perceived Stress ◽  
Sleep Disturbances ◽  
Depression Scale ◽  
Well Being ◽  
Self Esteem ◽  
Summary Score ◽  
Pregnancy And Postpartum ◽  
Over Time

Abstract Introduction Healthy sleep is known to contribute to psychosocial well-being. Pregnancy and postpartum could have profound influences on women’s psychosocial well-being related to physiological changes and interrupted sleep due to caring for the infant. The purpose of this study was to determine the associations between self-reported sleep characteristics and psychosocial well-being. Methods Forty-seven women who delivered a singleton infant after ≥ 37 weeks of gestation were interviewed at 6-8 weeks, 4 months, and 6 months after delivery. The Pittsburgh Sleep Quality Index (PSQI) was used to obtain sleep duration, sleep disturbance, and the global PSQI score, and the Epworth Sleepiness Scale total score was used to assess daytime sleepiness. The Edinburgh Postnatal Depression Scale, Perceived Stress Scale, and Rosenberg Self-Esteem Scale were used to assess psychosocial well-being, and a summary score of each instrument was calculated. Results The self-reported nightly sleep duration decreased over time (535 ± 95, 505 ± 78, 488 ± 66 minutes, respectively at each timepoint, mean ± SD, p = 0.007). Other sleep characteristics did not change. There were also no significant changes over time in the scores of depressive symptoms, stress, or self-esteem. At 6-8 weeks postpartum, sleep disturbance was associated with stress (r = 0.32, p = 0.026) and self-esteem (r = -0.38, p = 0.008) so that women who had greater sleep disturbances perceived greater stress and lower self-esteem. These associations did not exist 4 months or 6 months after delivery. Sleep duration, global PSQI score, and sleepiness were not associated with any of the psychosocial measures. Conclusion Sleep disturbance is an important correlate of psychosocial well-being in early postpartum. The decreased sleep duration likely indicates recovering from pregnancy and delivery, and adapting to routine lifestyle. Support National Institute On Minority Health And Health Disparities of the National Institutes of Health under Award Number R21MD012740

scholarly journals Family Physicians’ Standpoint and Mental Health Assessment in the Light of COVID-19 Pandemic—A Nationwide Survey Study

2021 ◽  
Vol 18 (4) ◽  
pp. 2093
Author(s):  
Tina Vilovic ◽  
Josko Bozic ◽  
Marino Vilovic ◽  
Doris Rusic ◽  
Sanja Zuzic Furlan ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Perceived Stress ◽  
Depression Scale ◽  
Family Physicians ◽  
Knowledge Score ◽  
Well Being ◽  
Anxiety And Depression ◽  
Event Scale ◽  
The Impact

During the coronavirus disease 2019 (COVID-19) outbreak, family physicians (FPs) are the backbone of the healthcare system with considerable impact on the general population, and their well-being is of great importance. The aim of this investigation was to assess FPs mental health, as well as knowledge, attitudes and practices (KAPs) regarding the pandemic, and opinions on non-communicable disease (NCD) health care provided to patients. A cross-sectional study was carried out with a sample of 613 FPs. Anxiety and depression levels were estimated with the Hospital Anxiety and Depression Scale, subjective perceived stress with the Perceived Stress Scale, while trauma-related symptoms were assessed using the Impact on Event Scale-COVID19. KAPs toward the pandemic and opinions regarding NCD patients were evaluated with questionnaires accordingly. Results have shown that age (β = −0.02, p = 0.013) and personal risk of COVID‑19 (β = 1.05, p < 0.001) were significant independent correlates of the knowledge score. A total of 87.7% FPs expressed moderate/high perceived stress, 45.2% moderate/severe trauma-related symptoms, 60.4% borderline/abnormal anxiety levels, and 52.4% borderline/abnormal depression levels. Knowledge score was an independent predictor of perceived stress (β = −0.33, p = 0.023) and anxiety (β = −0.31, p = 0.006) levels. Limited accessibility to healthcare services and decreased number of newly-diagnosed NCD cases were mostly agreed on. The pandemic puts a considerable strain on FPs mental health, as well as on public health measures, due to the decreased overall quality of NCD patient health care. Educational programs may bridge the gaps between FPs’ knowledge. Thus lowering anxiety and improving patient care.

P–478 Quality of life assessment in women undergoing assisted reproduction. A study of FertiQol and HADS

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
N Figueras-Puigderrajols ◽  
A Ballesteros ◽  
D Guerra
Keyword(s):  
Quality Of Life ◽  
Depression Scale ◽  
Well Being ◽  
Self Esteem ◽  
Mobile App ◽  
Life Assessment ◽  
Fertility Treatment ◽  
Anxiety And Depression ◽  
Gamete Donation

Abstract Study question The present study aims to explore infertility-related psychosocial outcomes, including fertility quality of life (QoL), as well as anxiety and depression levels, in women diagnosed with infertility. Summary answer Differences on fertility-related QoL appeared when comparing treatment types (gamete donation vs own gamete). Furthermore, statistically significant associations were found between QoL and anxious-depressive symptomatology. What is known already Those who wish to have children and do not achieve their objective just like other peers can see their goals and expectations with pessimism, generating concern and a series of negative emotions. Several psychological implications of infertility have been described, such as increased levels of stress, anxiety, depression, decreased self-esteem, mood and hope, or poor relationship adjustment. The emotional impact of infertility in people’s life cycle can be so strong that reducing it only to biological aspects would lead to a dangerous situation of neglect. For this reason, QoL assessment in ART becomes an important need. Study design, size, duration FertiQol stands as the most widely used tool to assess infertility-related QoL, overcoming the limitations of other instruments that only target specific medical conditions. The present is a multi-site cross-sectional study over patients with infertility (n = 104), aiming to explore their fertility-QoL, as well as their anxiety and depression levels, which are symptoms that have been previously associated.Questionnaire administration, and sociodemographic and medical data gathering took place between January 2019 and December 2020. Participants/materials, setting, methods Participants were 104 female patients (M.age= 39.8) undergoing or expecting a fertility treatment. The FertiQol Spanish version was administered through mobile app, and its paper version distributed at medical/psychological appointments. QoL was self-reported through FertiQol, assessing the influence of infertility problems in various areas (e.g. impact on self-esteem, emotions, general health, family, partners, social relationships, work, life projects...). Additionally, HADS (Hospital Anxiety and Depression Scale) was provided as a measurement of anxiety and depression levels. Main results and the role of chance Regarding treatments, 50.6% of participants were currently undergoing gamete donation while 44.3% were undergoing treatments that involved using their own gametes. After comparing QoL between these treatment types, results showed that patients who underwent egg donation, compared to those who used their own eggs, reported statistically significantly lower scores of QoL in the Social Subscale (p = .03), but not in the other psychological outcomes. Also, statistically significant negative correlations were found between HADS and all core FertiQol subscales (p&lt; .05). Results are consistent with previous studies showing similar associations between fertility QoL and anxiety and depression, as well as with increased psychological negative implications of gamete donation. The majority of participants reported non-pathological scores of anxiety and depression when considering the cut off value of 8 for HADS, thus suggesting the presence of a relatively healthy sample. The number of treatments that patients had previously taken and the years of infertility were not associated with any of the psychological variables. Limitations, reasons for caution Some limitations to consider are presence of co-morbid diagnosis, differences in medication, or patient’s cultural backgrounds.Also, conclusions should be interpreted cautiously since the design doesn’t allow causal inferences. Further investigations should consider a continuous assessment to explore changes in psychological well-being at different points of intervention, specially with gamete donation. Wider implications of the findings: The great advantage we’ve seen so far when using FertiQol is the possibility to identify more accurately the true impact on other aspects of patient’s well-being besides the emotional area.ART professionals, including psychologists and counselors,will have more information within a small amount of time about QoL when using this tool. Trial registration number 1503-BCN–019-DG

scholarly journals Assessment of Stress Salivary Markers, Perceived Stress, and Shift Work in a Cohort of Fishermen: A Preliminary Work

2022 ◽  
Vol 19 (2) ◽  
pp. 699
Author(s):  
Roberto Zefferino ◽  
Francesca Fortunato ◽  
Addolorata Arsa ◽  
Sante Di Gioia ◽  
Gianfranco Tomei ◽  
...  
Keyword(s):  
Perceived Stress ◽  
Sleep Disturbances ◽  
Interleukin 1 ◽  
Self Esteem ◽  
Mean Values ◽  
Work Related ◽  
Work Conflict ◽  
Home Work ◽  
Physical Disorders ◽  
The Difference

Due to work-related stress, today, work itself represents a daily challenge that must be faced in many occupations. While, in the past, the scientific community has focused on the helping professions, since, an increasing number of professions have since been investigated. Therefore, different approaches exist in order to assess this disorder, representing a scientific field wherein biological and psychological dimensions both need to be evaluated. In this paper, we consider three biological salivary markers: interleukin 1 beta (IL-1β), cortisol, and melatonin. The choice derives from recent contributions to the literature in which the interplay between these markers has been verified. Briefly, such interplay could explain how the central nervous, endocrine, and immune systems communicate with each other, supporting a holistic concept of person. In 30 marine fishermen from the Apulia region of Italy, perceived stress was measured using the Professional Stress Scale (PSS) and sleep disturbances were assessed through the Pittsburgh Sleep Quality Index (PSQI). Salivary markers were collected at 8:00 a.m. and 2:00 p.m. Those subjects reporting sleep disturbance and having altered scores in two PSS subclasses, home–work conflict and self-esteem, presented inverted salivary melatonin and cortisol nictemeral rhythms (with regard to melatonin levels at 8:00 a.m., those workers reporting values higher than the median showed 64.1% versus 48.6% home–work conflict with respect to cortisol levels, subjects having an inverted circadian rhythm showed 69.9% versus 52.5% home–work conflict, and these values resulted 47.7% versus 25.3% when the self-esteem was considered). As regards melatonin, PSQI score is statistically different in the two groups of subjects as identified by median melatonin at 8:00 a.m.; specifically, the subjects who had mean values higher than the median shared higher PSQI scores (10.8 versus 9.8). The same subjects reported more frequent home–work conflict and more sleep disorders. We found a negative correlation between IL-1β at 8:00 a.m. and Cortdiff (the difference between cortisol at 8:00 a.m.–cortisol at 2:00 p.m.), and that high IL-1β at 8:00 a.m. was associated with low Cortdiff. Based on our results we would like to propose this approach in health surveillance, in order to prevent mental and/or physical disorders, however our study is surely preliminary. The interesting perspectives and hypotheses cited in this paper, in which the roles of IL-1β and norepinephrine appear central and important, could remain hypothetical if not supported by more robust observation in order to produce, truly, new knowledge. In the future we will deepen this study with a larger sample, and if these results will be confirmed, this approach could allow preventing, not only mental and physical disorders, but also immuno-mediated diseases, and, perhaps, cancer.

scholarly journals Resilience, Perceived Stress, and Depressed Mood in Women Under in Vitro Fertilization Treatment

2021 ◽  
Author(s):  
Carmen Fernandez-Ferrera ◽  
David Llaneza-Suarez ◽  
Daniel Fernandez-Garcia ◽  
Vanesa Castañon ◽  
Cristina Llaneza-Suarez ◽  
...  
Keyword(s):  
Protective Effect ◽  
Perceived Stress ◽  
Depressed Mood ◽  
Sleep Disturbances ◽  
Depression Scale ◽  
Short Version ◽  
Cross Sectional ◽  
Vitro Fertilization ◽  
Infertile Women

AbstractIt has been suggested that women who display higher resilience levels may have less psychological distress during IVF. The aim of this study was to evaluate how infertile women deal with perceived stress, depressed mood, and sleep disturbances at the first IVF attempt and after one or more negative IVF outcomes depending on their level of resilience. An observational, cross-sectional study was carried out in a sample of 207 infertile women undergoing IVF procedures. The participants completed the short version of the Connor-Davidson Resilience Scale (CD-RISC), the short version of the European Spanish Version of Perceived Stress Scale (PSS-10), the Center of Epidemiologic Studies Depression Scale (CESD-10), and the Jenkins Sleep Scale (JSS). The relationship between CD-RISC scores ranked according to percentiles and mean PSS-10 scores revealed that women with strong resilience had lower perceived stress. After splitting the sample according to CD-RISC percentiles, differences were observed only at the first IVF attempt and the observed protective effect of high resilience scores appears to disappear following a negative IVF outcome. Women with high resilience are less likely to suffer from perceived stress or depressed mood during their first IVF attempt, this protective effect appears to be lost after a negative outcome.

scholarly journals 0785 Associations Between Circadian Preference And Sleep-related Thoughts: Data From The 2015 Sleep In America Poll

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A298-A299
Author(s):  
B Jeon ◽  
F S Luyster ◽  
E R Chasens
Keyword(s):  
Sleep Disturbance ◽  
Sleep Duration ◽  
Sleep Disturbances ◽  
Secondary Analysis ◽  
Logistic Models ◽  
Poor Sleep ◽  
Sleep Habits ◽  
Circadian Preference ◽  
Physical Consequences ◽  
The Impact

Abstract Introduction Evening types of sleep tend to have poorer sleep quality and sleep habits than morning types. Maladaptive beliefs or thoughts about sleep can affect one’s sleep and may differ between evening and morning types. We examined the association between the circadian preference and sleep-related thoughts in U.S adults. Methods A secondary analysis used survey data from the 2015 National Sleep Foundation’s Sleep in America Poll. Questions included normal bedtime and wake-up time for week/work days and weekend/non-work days. Circadian preference was determined by midpoint of sleep calculated as midpoint of sleep on weekends corrected for average nightly sleep duration. Participants were excluded if their sleep midpoint was from noon to midnight. Midpoint of sleep was divided into two groups using median split (“earlier” vs. “later”). Sleep-related thoughts were “worry about getting a good sleep”, “overwhelming thoughts about getting enough sleep”, “motivation to get sleep”, and “concern about serious physical consequences due to poor sleep”; responded often/always or extremely to somewhat for these items were coded as maladaptive. Logistic regression analysis controlling for socio-demographics, sleep duration, and sleep disturbance (PROMIS Scale; higher scores = greater sleep disturbance) was conducted to examine the relationships between midpoint of sleep and sleep-related thoughts. Results The sample (N = 1011) was primarily White (73.6%), male (50.9%), college educated (62.2%), married/partnered (67.6%) with a mean age of 51.65 ± 17.05 years. Mean midpoint of sleep in “earlier” type was 2:33AM and 5:29AM in “later” type. “Later” type had shorter sleep duration on weekdays and longer sleep duration on weekends than “earlier” type (p &lt; .01), but average sleep duration was similar between two types. “Later” type had more “worry” and “overwhelming thoughts” (p &lt; .05) about sleep. In logistic models, midpoint of sleep was significant only for “concern” (p = .02). Conclusion In this study, late chronotype was associated with increased sleep disturbances and greater variability in sleep duration. The relationship between the timing of sleep and thoughts about the impact of impaired sleep remains unclear and an area for further study with objective measures. Support  

Is self-esteem a resource for the parental couple? A longitudinal study on the quality of the romantic and coparental relationships

2019 ◽  
Vol 36 (11-12) ◽  
pp. 3773-3795
Author(s):  
Nahema El Ghaziri ◽  
Joëlle Darwiche ◽  
Jean-Philippe Antonietti
Keyword(s):  
Relationship Quality ◽  
Well Being ◽  
Self Esteem ◽  
The Self ◽  
Family Unit ◽  
The Family ◽  
Parental Couple ◽  
The Relationship ◽  
Over Time

The aim of this study is to investigate the longitudinal influence of self-esteem on romantic and coparental relationship quality. The data were drawn from the German Family Panel, pairfam. Parents ( n couples = 2,364) were assessed three times over 4 years. The results indicated that romantic and coparental quality decreased over time, while self-esteem remained stable. The self-esteem of both parents predicted initial romantic and coparental quality. Additionally, mothers’ self-esteem reduced the decline in romantic quality. Finally, romantic quality mediated the relationship between parents’ self-esteem and coparental quality. These results suggest that self-esteem might be a resource for the parental couple and even for the family unit, as romantic and coparental quality are key elements for the well-being of both parent and child.

scholarly journals The impact of sleep disturbances on care home residents with dementia: the SIESTA qualitative study

2020 ◽  
Vol 32 (7) ◽  
pp. 839-847
Author(s):  
Lucy Webster ◽  
Kingsley Powell ◽  
Sergi G. Costafreda ◽  
Gill Livingston
Keyword(s):  
Qualitative Study ◽  
Sleep Disturbance ◽  
Sleep Disturbances ◽  
Care Home ◽  
Well Being ◽  
Structured Interviews ◽  
Topic Guide ◽  
Disturbed Sleep ◽  
Risk Of Falls ◽  
The Impact

ABSTRACTObjectives:Nearly 40% of care home residents who are living with dementia also have symptoms of disturbed sleep. However, the impact of these disturbances is relatively unknown and is needed to indicate whether interventions are warranted; therefore, we aimed to investigate the impact.Design:One-to-one semi-structured interviews.Settings:Four UK care homes.Participants:We interviewed 18 nurses and care assistants about residents with sleep disturbances.Measurements:We used a topic guide to explore staff experience of sleep disturbance in residents with dementia. The interviews were audio recorded and transcribed and then analyzed thematically by two researchers independently.Results:Staff described that sleep disturbances in most, but not all, residents impacted negatively on the resident, other residents, staff, and relatives. Residents became more irritable or agitated if they had slept badly. They slept in the daytime after a bad night, which then increased their chances of being awake the following night. For some, being sleepy in the day led to falls, missing medication, drinks, and meals. Staff perceived hypnotics as having low efficacy, but increasing the risk of falls and drowsiness. Other residents were disturbed by noise, and staff described stress when several residents had sleep disturbance. Some of the strategies reported by staff to deal with sleep disturbances such as feeding or providing caffeinated tea at night might be counterproductive.Conclusions:Sleep disturbances in care home residents living with dementia negatively affect their physical and psychological well-being. These disturbances also disturb other residents and increase stress in staff.

Effect of Meditation on Social/Emotional Well-Being in a High-Performing High School

2019 ◽  
Vol 23 (1) ◽  
pp. 2156759X2094063
Author(s):  
Jane E. Bleasdale ◽  
Margaret C. Peterson ◽  
Sanford Nidich
Keyword(s):  
High School ◽  
School Counselors ◽  
Perceived Stress ◽  
Well Being ◽  
Self Esteem ◽  
Anxiety And Depression ◽  
Social Emotional ◽  
High Performing ◽  
Randomized Controlled ◽  
The Impact

This study explored the impact of a meditation program on stress, anxiety, and depression in a high-performing high school. Using a randomized controlled design with 52 students, the study took place over 4 months. Students participated in Transcendental Meditation (treatment) or silent reading (active control) twice daily. We observed significant reductions in perceived stress ( p = .040), anxiety ( p = .028), anger ( p = .047), depression ( p = .024), and fatigue ( p = .075), and improvement in self-esteem ( p = .054). The program has important implications for school counselors because of the impact on social/emotional well-being.

Lifestyle and Shiftwork: Designing and Testing a Model for Health Promotion of Iranian Nurses

2019 ◽  
Vol 26 (3) ◽  
pp. 262-268 ◽  
Author(s):  
Hamidreza Mokarami ◽  
Tayebe Rahimi Pordanjani ◽  
Ali Mohammadzadeh Ebrahimi ◽  
Fariba Kiani ◽  
Mohammad Faridan
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Sleep Disturbance ◽  
Indirect Effect ◽  
Structural Equation ◽  
Sleep Disturbances ◽  
Well Being ◽  
Chronic Fatigue ◽  
Equation Modeling ◽  
Physical And Mental Health

BACKGROUND: Lifestyle is one factor that forms the nurses’ health, particularly those who work in shiftwork schedules. AIMS: The aim of this study was to design and test a model for health promotion of Iranian nurses. In this model, nurses’ lifestyle was considered as the precedent, physical and mental health as the outcomes, and sleep disturbance and chronic fatigue as the mediators. METHODS: A cross-sectional study using structural equation modeling was conducted among 240 shiftworker nurses in Iran. The data collection was performed using the Persian versions of the Survey of Shiftworkers Questionnaire and Life Style Questionnaire. Bootstrap in Preacher and Hayes’ Macro program was used for testing mediation. RESULTS: Lifestyle had a weak significant direct effect on physical (β = 0.13, p < .04) and mental health (β = 0.12, p < .02), and it had a significant indirect effect on physical health via chronic fatigue (β = −0.11, p < .001) and sleep disturbance (β = −0.05, p < .01). This variable only had a significant indirect effect on mental health via chronic fatigue (β = −0.19, p < .001). The final model proposed a new significant path between sleep disturbances and chronic fatigue (β = 0.22, p < .001). CONCLUSIONS: Therefore, the hospital officials can enhance the nurses’ physical and mental well-being by providing interventions and training courses on aspects of healthy lifestyles, such as physical activity, avoidance of smoking, and maintenance of body weight.

Pain, sleep disturbance, and fatigue symptom cluster in patients suffering from chronic chemotherapy-induced neuropathic pain (CINP).

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. 9113-9113
Author(s):  
Jennifer S. Gewandter ◽  
Charles E Heckler ◽  
Katie Devine ◽  
Supriya Gupta Mohile ◽  
Oxana Palesh ◽  
...  
Keyword(s):  
Cancer Survivors ◽  
Sleep Disturbance ◽  
Depression Scale ◽  
Symptom Cluster ◽  
Cancer Center ◽  
Future Research ◽  
Cluster Analyses ◽  
Associated Symptoms ◽  
The University ◽  
Over Time

9113 Background: Various symptom cluster combinations of pain, fatigue, sleep disturbance (SD), and depression have been identified in cancer patients. The presence of symptom clusters has not been assessed in patients with persistent CINP. This exploratory analysis aimed to determine which symptoms statistically clustered with pain in cancer survivors with CINP. Methods: The University of Rochester Cancer Center Community Clinical Oncology Program recruited 461 patients with CINP > 4 (on a 0-10 scale) who had completed chemotherapy (median 7 months ago) for a pain intervention trial. At baseline, groups of highly associated symptoms that included pain were identified empirically using factor and cluster analyses of the 11 symptoms in the University of Rochester Symptom Inventory plus the Hospital Anxiety and Depression Scale (HADS) scores. To investigate if associated symptoms track together over time, multiple linear regression (MLR) analysis was performed using changes in symptom severity between baseline and week 6, controlling for gender, age, education, race, and marital status. Results: Subjects were 88% white and 71% female, and on average 61 years old. Mean (standard deviation) baseline pain, fatigue, and SD were 5.7 (2.8), 5.0 (2.7), and 4.2 (3.1), respectively; 26% of subjects had borderline or abnormal HADS scores. Factor analysis identified 3 factors that accounted for 88% of the variance. One factor included pain, fatigue, SD, but not HADS, and accounted for 37% of the variance. Variable clustering also identified pain, SD, and fatigue as 1 symptom cluster. Changes in severity of SD and fatigue (p < 0.0001), but not HADS, were associated with changes in pain (adjusted R2 = 0.168) in MLR analysis. Conclusions: Pain, fatigue, and SD were identified as a symptom cluster by factor and cluster analyses, and were found to track together over time by MLR. Since these data suggest that pain is associated with sleep quality and fatigue in patients with persistent CINP, targeting one of these symptoms may lead to reductions in the others. Future research should investigate interventions that target pain, fatigue, and SD concurrently in cancer survivors suffering from CINP.

Sign in / Sign up

Export Citation Format

Share Document