scholarly journals 0948 Sleep Quality, Depressive Symptoms, and Stress in Maternal Caregivers of Young Children with Bronchopulmonary Dysplasia

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A360-A360
Author(s):  
C Feeley ◽  
E Chasens

Abstract Introduction Maternal caregivers of young children with a chronic illness, like bronchopulmonary dysplasia (BPD), often report increased levels of stress and depressive symptoms, as well as poor quality of sleep. Caregiving duties are time-intensive and extend into the nighttime hours. The purpose of this study is to examine sleep, depressive symptoms, and stress in maternal caregivers of young children with BPD, as well as determine if depressive symptoms is a mediating variable between sleep quality and stress. Methods 61 maternal caregivers (mean age 29 yrs) of young children with BPD (mean age 14 mos) were recruited. Mothers had no reported history of a sleep disorder, and had a child diagnosed with BPD. The child had to have been home from the hospital for at least two months, and not require a ventilator or tracheotomy. Maternal caregivers were asked to complete a demographic questionnaire, as well as the Pittsburgh Sleep Quality Index (PSQI), the Perceived Stress Scale (PSS), and the Center for Epidemiological Studies-Depression Scale (CES-D). Upon completion, 56.9% of the sample was single, 67.2% were African American, and child had been home from hospital a mean of 8 mos. Results Over two thirds (67.2%) of the sample reported sleeping 6 or fewer hours a night, with a mean PSQI score of 7.6. Significant correlations were found between PSQI and CESD (; r=.546; p=.000), as well as PSQI and stress (r=.284; p=.031). Depressive symptoms were not found to mediate the relationship between sleep quality and stress, however, sleep quality was a significant predictor of stress (t=2.171; p=.034) and depressive symptoms (t=4.876; p=.000). Conclusion The majority of maternal caregivers of children with BPD reported insufficient and poor quality of sleep, which may affect their stress and depressive symptoms. Healthcare providers need to discuss the importance of sleep with caregivers, and ensure the child’s care schedule allows for sleep during the nighttime hours. Support  

2014 ◽  
Vol 29 (1) ◽  
pp. 29-38 ◽  
Author(s):  
Christine A. Feeley ◽  
Anne Turner-Henson ◽  
Becky J. Christian ◽  
Kristin T. Avis ◽  
Karen Heaton ◽  
...  

2020 ◽  
Vol 91 (8) ◽  
pp. e12.1-e12
Author(s):  
Chencheng Zhang ◽  
Yingying Zhang ◽  
Jun Li ◽  
Dianyou Li ◽  
Haiyan Jin ◽  
...  

Objectives/AimsThe habenular nucleus is a set of well-conserved structures involved in aversive reward and is inhibitory to major monoaminergic nuclei. Several cases indicated that it is a promising deep brain stimulation (DBS) target for treatment of major depressive disorder (MDD). In this study, we assess the effectiveness and safeness of bilateral habenula DBS in MDD patients.MethodsSix patients with MDD underwent DBS of bilateral habenula in the study (5 bipolar disorder and 1 unipolar disorder; 4 males and 2 females). Quantitative susceptibility mapping was used to visualize the habenula. Hamilton depression scale (HAM-D) and Montgomery-Asberg Depression Scale (MADRS) were used to qualify the severity of depressive symptoms and were the primary outcome measures.Response to DBS was defined as a 50% decrease on the HAM-D and MADRS compared to baseline. The pittsburgh sleep quality index (PSQI), 36-Item short form survey (SF-36) and sheehan disability scale (SDS) were used to assess quality of sleep, quality of life and disability respectively. These measures were implemented at baseline and 1-month, 3-month, 6-month and 12-month after surgery.ResultsAt one-month follow-up, compared to the baseline, the HAM-D and MADRS mean scores significantly decreased from 24 (2.2), 31 (4.1) to 14 (7.3), 17.3 (9.8) respectively and four patients were categorized as responders to DBS (p=0.018, p<0.01). Moreover, the PSQI mean score dramatically decreased from 16.3 (2.1) to 9.7 (3.3) (p<0.01) and the SF-36 total mean score increased from 317 (119.4) to 540 (228.3) (p=0.012). The SDS mean score also significantly decreased (p<0.05). There were no permanent side effects observed.ConclusionsThe results of one-month follow-up demonstrated that DBS of bilateral habenula may relieve the depressive symptoms rapidly. The quality of sleep, quality of life and functioning also improved.


Author(s):  
Anna Lipert ◽  
Remigiusz Kozłowski ◽  
Dariusz Timler ◽  
Michał Marczak ◽  
Kamila Musiał ◽  
...  

Background: The coronavirus pandemic and the government restrictions significantly disturbed the daily functioning of people, thereby influencing healthy behaviors, such as physical activity—the core indicator of well-being. This study evaluates the associations between physical activity (PA), the level of stress and quality of sleep during the COVID-19 pandemic lockdown. Methods: An online survey was distributed during the governmental lockdown in April 2020 and included measures for assessing physical activity, stress and sleep. The surveyed participants included all adults aged 18 years and over. The final data were collected from the 1959 respondents using: International Physical Activity Questionnaire-Short Form (IPAQ-SF), Perceived Stress Scale (PSS) and Pittsburgh Sleep Quality Index (PSQI). Findings: Almost half of the respondents indicated a low level of PA, performing only 60 min of PA daily. Most of the participants reported a moderate or high level of stress (57% and 29%, respectively) and 64% of them reported poor quality of sleep. People with low levels of stress performed on average 85.1 min/day of walking (WPA), 40.9 min/day of moderate PA (MPA) or 52.6 min/day of vigorous PA (VPA). People with good quality of sleep performed 82.9 min/day of WPA, 43.6 min/day MPA and 40.5 min/day VPA. Interpretation: The results from the study indicate that the volume of daily PA may be a predictor of the level of stress and sleep quality in adults during the COVID-19 pandemic lockdown. To retain a low level of stress and good quality of sleep, a lifestyle that allows to achieve a moderate level of physical activity should be maintained. The optimal daily dose of PA is at least 70 min per day, involving different intensities.


2021 ◽  
pp. 22-26
Author(s):  
Prakash Jha ◽  
Preeti Anand ◽  
Prashant Prashant ◽  
Priya Priya ◽  
Priyanka Roy ◽  
...  

A good high-quality of sleep and it's have an effect on in daily existence of both the healthful and sick character turns into one of the most important cognizance of problem. Aims: The study aimed to assess the Quality of Sleep and Perceived Sleep Distractors among patients. Methods: Non-Experimental descriptive research design was conducted among 135 patients through convenient sampling technique. Modied Sleep quality Scale and Structured Perceived Sleep Distractors Perfoma was used. Results: Showed (27.4%) of the patients had poor quality of sleep, most of the patients (47.4%) were having fair quality of sleep. Most of the patients (52.6%) were having severe distractions while sleeping, less than half (44.4%) were having moderate level of distractions while sleeping only (3.0%) perceived very severe distraction during hospital stay. There was a moderate positive relationship between Quality of Sleep and Perceived Sleep Distractors NS Score(r=0.113, p=0.19 ). Further the results also indicated that quality of sleep is only associated with Patient admitted in 2 2 (department) (χ = 30.652, p=0.01) whereas perceived sleep distractors is associated with Education status (χ = 17.280, 2 2 p=0.02), Duration of Hospitalization (χ = 45.425, p=0.00), Patient admitted in (department) (χ = 28.066, p=0.03).Conclusion: The study concludes that there is a need to identify factors responsible that hinders good quality sleep among patients admitted in hospital as well as the sleep quality can be enhanced by decreasing the sleep distractors and thus it can be helpful in the early recovery of the patients


2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A95.3-A96
Author(s):  
Kampanat Wangsan ◽  
Naesinee Chaiear ◽  
Kittisak Sawanyawisuth ◽  
Paanumas Krisorn

IntroductionShift work associated with many health problems, work performance and injury. Disturbance of sleep quality is the main mechanism of shift work effects. Nurses are at risk of many occupational hazards and also shift work. The information about shiftwork and the association of sleep quality amongst nurses of Thailand is still limit.ObjectiveTo study the association of shift work and quality of sleep and which pattern has highest risk of poor quality of sleep amongst nurses in university hospital in Northeastern region of Thailand.Material and methodOne thousand and one hundred nurses were met inclusion and exclusion criteria with 75.5%(n=831) participation rate. The data was collected via questionnaire including personal information, shift schedule, depression screening questionnaire, obstructive sleep apnea screening questionnaire and sleep quality questionnaire (PSQI). Cross-sectional analytical study was conducted.ResultAll patterns of shift work amongst sample were irregular shift work. There were statistically significant association between shift work and poor quality of sleep . Predominant backward shift pattern has higher association of poor quality of shiftwork than predominant forward shift pattern.ConclusionEven shift work associate with poor quality of sleep but good strategy of shift work scheduling help to decrease risk of poor quality of sleep.


2019 ◽  
Vol 65 (2) ◽  
pp. 151-157 ◽  
Author(s):  
Sneha B Vadher ◽  
Bharat N Panchal ◽  
Ashok U Vala ◽  
Imran J Ratnani ◽  
Kinjal J Vasava ◽  
...  

Background: Problematic Internet use (PIU) is the inability of individuals to control their Internet use, resulting in marked distress and/or functional impairment in daily life. Aim/Objective: We assessed the frequency of PIU and predictors of PIU, including social anxiety disorder (SAD), quality of sleep, quality of life and Internet-related demographic variables among school going adolescents. Methods: This was an observational, single-centered, cross-sectional, questionnaire-based study of 1,312 school going adolescents studying in Grades 10, 11 and 12 in Bhavnagar, India. Every participant was assessed by a pro forma containing demographic details, questionnaires of Internet Addiction Test (IAT), Social Phobia Inventory (SPIN), Pittsburgh Sleep Quality Index (PSQI) and Satisfaction With Life Scale (SWLS) for PIU severity, SAD severity, Quality of Sleep assessment and Quality of Life assessment, respectively. The statistical analysis was done with SPSS Version 23 (IBM Corporation) using chi-square test, Student’s t test and Pearson’s correlation. Multiple linear regression analysis was applied to find the predictors of PIU. Results: We found frequency of PIUs as 16.7% and Internet addiction as 3.0% among school going adolescents. Participants with PIU are more likely to experience SAD ( p < .0001), poor quality of sleep ( p < .0001) and poor quality of life ( p < .0001). There is positive correlation between severity of PIU and SAD ( r = .411, p < .0001). Linear regression analysis shows PIU can be predicted by SAD, sleep quality, quality of life, English medium, male gender, total duration of Internet use, monthly cost of Internet use, education, social networking, gaming, online shopping and entertainment as purpose of Internet use. Conclusion: Participants with PIU are more likely to experience SAD, poor quality of sleep and poor quality of life.


2021 ◽  
Vol 9 ◽  
Author(s):  
Maria Kyprianidou ◽  
Demosthenes Panagiotakos ◽  
Maria Kambanaros ◽  
Konstantinos C. Makris ◽  
Costas A. Christophi

Poor sleep is a relatively common condition with possibly serious adverse health consequences. Lack of sleep affects the endocrine, immune, and nervous systems. In Cyprus, there is no information about the quality of sleep in the population. The goal of this study was to assess the quality of sleep in the Cypriot population and evaluate its association with multimorbidity. A representative sample of the adult population of Cyprus was selected in 2018–2019 among the five government-controlled municipalities of the Republic of Cyprus using stratified sampling. Data on sleep quality as well as on the presence of chronic, clinical, and mental health conditions were collected using a validated questionnaire. Diseases were classified according to the International Classification of Diseases, 10th Revision (ICD-10). A total of 1,140 Cypriot men and women over 18-years of age (range: 18–94) participated in the study. The median Pittsburgh sleep quality index score of the participants was 5 (first quartile = 3, third quartile = 7) with the maximum score being 17, which suggests that the Cypriot population has a relatively good quality of sleep overall, although, almost one-third of the study population had a poor quality of sleep. Women, residents of Paphos, and married people had a poorer quality of sleep (p &lt; 0.05). Having a poor quality of sleep was associated with higher odds of multimorbidity (OR = 2.21, 95% CI: 1.55, 3.16), even after adjusting for demographics, socioeconomic, and lifestyle factors. Adopting good sleep habits could be beneficial and would potentially help reduce the risk of multimorbidity. Public health guidelines regarding the importance of sleep and its association with multimorbidity should be considered.


2020 ◽  
pp. 1-5
Author(s):  
R. Barath ◽  
C.P. Rabindranath ◽  
Bindu Menon ◽  
Mathan. K ◽  
Mithun Prasad. V

Background: In recent years the internet had become the most indispensable tool for students for learning, entertainment, and communication. Internet over-usage had emerged as a major problem among students causing the emergence of a problem that is defined as internet addiction (IA) which affects sleep and leads to several mental health problems. This study is the step toward understanding the effect of internet addiction on sleep quality among medical college students in Pondicherry. Methods: This was a cross-sectional study. It is a questionnaire-based study administrated among 298 consenting medical students. The participants were assessed by proforma containing demographic details, variables related to internet use, questionnaires of Internet Addiction Test, and Pittsburgh Sleep Quality Index for Sleep quality. Statistical data were analysed by SPSS-25. Results: A total of 287 students participated; 113 (39.4%) were males and 174 (60.6%) are females. Out of which Average users were 244 (85.01%) and problematic internet usage was 43 (14.99%), whereas poor sleep quality is found in 132 (45.99%) individuals. A significant correlation was found between internet addiction and the quality of sleep. Conclusions: Participants with problematic internet users were more likely to have a poor quality of sleep and vice versa.


2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Citra Windani Mambang Sari ◽  
Upi Parida ◽  
Dian Adiningsih

Diabetes Mellitus (DM) is a chronical community health problem, and mostly suffered by the elderly. The elderly with DM have several symptoms at night that caused a sleep disorder and it may be affected by the poor quality of sleep.  The poor quality of sleep has several negative impacts to elderly including sleepy in the daylight, a lack of attention, memory disorders, depression, easy to fall, and reduce of the quality of life. There is a need for a study that assesses the sleep quality of elderly with DM. This study used descriptive quantitative approach. The samples were chosen using total sampling technique. This study involved 47 elderly with DM in the primary health center (PHC) Garuda. The data were collected using Pittsburgh Sleep Quality Index (PSQI) Questionnaire that has been adapted for elders. The data were analyzed using distribution frequency. The results showed that the majority of elderly had a poor sleep quality (51%). All elders in this study had sleep disorders, and some of them had behavior that affected   their sleep quality, such as sleeping in a bright room (n=25), sleeping in low temperature room (n=27), and consuming caffeine (n=28). Nurses in the community setting are expected to provide health education to maintenance a good sleep quality, such as the importance of sleeping in the dark and warm temperature room, and avoiding to consume caffeine.


2020 ◽  
Vol 9 (1) ◽  
pp. 12-18
Author(s):  
Dyah G. R. Kareri ◽  
Derri R. Tallo Manafe ◽  
Maria Kurniati Ester Payon

ABSTRACT Background: The quality of sleep in elderly tend to decline. This occurs as a result of certain changes such as physical, biological, mental and socio-economic. The quality of sleep may influence the healthcondition for short or long terms. Poor quality of sleep may cause difficulty in concentrating, slow response, memory disturbance and decrease of performance in daily life. The decline of sleep qualitymay be resolved with Jacobson’s Progressive Muscular Relaxation (JPMR) exercise. Objective: To analyze the effect of Jacobson’s Progressive Muscular Relaxation on sleep quality inelderly at Budi Agung Social Institution. Methods: This study is a pre experimental study with one group pretest-posttest design. The subject ofthis study were the 19 elderly at Budi Agung Social Institution. In this study, JPMR exercise was done in5 days. Sleep quality before and after JPMR exercise was measured using Pittsburgh Sleep Quality Index(PSQI) questionnair. The data obtained was analyzed using McNemar test. Results: From a total of 19 subjects, 3 subjects had good sleep quality while 16 subjecst had poor sleepquality. On the other hand, after the JPMR excercise, improved sleep qualiy was found in the 16 subjectswhile the 3 subjects still had poor sleep quality; bivariate analysis p value = 0.002 (p <0.05). Conclusion: Jacobson’s Progressive Muscular Relaxation (JPMR) has a significant effect on sleepquality in elderly at Budi Agung Social Institution. Keywords: elderly, sleep quality, Jacobson’s Progressive Muscular Relaxation, Pittsburgh Sleep QualityIndex.


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