Investigating the link between subjective sleep quality, symptoms of PTSD, and level of functioning in a sample of trauma-affected refugees

SLEEP ◽  
2021 ◽  
Author(s):  
Hinuga Sandahl ◽  
Jessica Carlsson ◽  
Charlotte Sonne ◽  
Erik Lykke Mortensen ◽  
Poul Jennum ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Treatment Response ◽  
Well Being ◽  
Ptsd Symptoms ◽  
Subjective Sleep Quality ◽  
Treatment As Usual ◽  
Mediation Analyses ◽  
Level Of Functioning ◽  
Bivariate Correlation ◽  
Superiority Trial

Abstract Study Objectives To examine whether baseline sleep quality is associated with baseline symptoms of posttraumatic stress disorder (PTSD) and level of functioning and whether baseline sleep quality and improvement of sleep quality are specific predictors of change in PTSD symptoms and level of functioning. Methods Data were derived from a four-armed randomized controlled superiority trial (N = 219 trauma-affected refugees). All four groups received treatment as usual consisting of a 10–12 months bio-psycho-social treatment program with an additional differential treatment component added to each arm. We performed bivariate correlation analyses, multiple linear regression analyses, and mediation analyses to examine associations between baseline sleep quality, change in sleep quality, and treatment response for PTSD symptoms and level of functioning. Results Baseline sleep quality correlated with symptoms of PTSD (r = 0.33) and level of functioning (r = 0.15). Baseline sleep quality, improvement of sleep quality, and improvement of general well-being were predictors of treatment response for symptoms of PTSD and level of functioning when controlling for age, gender, and baseline symptoms of PTSD and depression. Conclusions We found that good sleep quality at baseline and improvement of sleep quality were predictors of PTSD treatment response. However, treatment response was more closely associated with improvement in general well-being. The results indicate that the effect of improved sleep quality was partly mediated by a more general mental state improvement. Further research is needed to differentiate if a selected subgroup of patients may profit from sleep-enhancing treatment. ClinicalTrials.gov registration NCT02761161.

scholarly journals The influence of subjective sleep quality on the association between eveningness and depressive symptoms.

2018 ◽  
Author(s):  
Charlotte Mary Horne ◽  
Ray Norbury
Keyword(s):  
Depressive Symptoms ◽  
Sleep Quality ◽  
Mediation Analysis ◽  
Depression Scale ◽  
Well Being ◽  
Poor Sleep ◽  
Subjective Sleep Quality ◽  
Subjective Sleep ◽  
Increased Risk ◽  
Healthy Participants

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.

scholarly journals Exposure to relaxing words during sleep promotes slow-wave sleep and subjective sleep quality

2020 ◽  
Author(s):  
Jonas Beck ◽  
Erna Loretz ◽  
Björn Rasch
Keyword(s):  
Sleep Quality ◽  
Slow Wave ◽  
Slow Wave Sleep ◽  
Well Being ◽  
Subjective Sleep Quality ◽  
Sleep Depth ◽  
Activity Band ◽  
Underlying Mechanisms ◽  
Healthy Participants ◽  
Subjective Level

AbstractOur thoughts alter our sleep, but the underlying mechanisms are still unknown. We propose that mental processes are active to a greater or lesser extent during sleep and that this degree of activation affects our sleep depth. We examined this notion by activating the concept of “relaxation” during sleep using relaxation-related words in 50 healthy participants. In support of our hypothesis, playing relaxing words during non-rapid eye movement sleep extended the time spent in slow-wave sleep, increased power in the slow-wave activity band after the word cue, and abolished an asymmetrical sleep depth during the word presentation period. On the subjective level, participants reported a higher sleep quality and elevated alertness ratings. Our results support the notion that the activation of mental concepts during sleep can influence sleep depth and provide a basis for interventions using targeted activations to promote sleep depth and sleep quality to foster well-being and health.

scholarly journals A Cross-Sectional Questionnaire Based Study to Evaluate Subjective Sleep Quality among Undergraduate Students in India

2013 ◽  
Author(s):  
Nirmegh Basu ◽  
Akansha Saxena ◽  
Ayushi Sarraf ◽  
Anoop Singh ◽  
Akshanshi Gulani ◽  
...  
Keyword(s):  
Academic Performance ◽  
Sleep Quality ◽  
Undergraduate Students ◽  
Negative Impact ◽  
Well Being ◽  
Common Belief ◽  
Survey Analysis ◽  
Subjective Sleep Quality ◽  
Subjective Sleep

Irregular sleep patterns are often a major hindrance in the life of undergraduate students, fueled by the undulating lifestyle anomalies and new vulnerabilities that come with college life. Insomnia, slapdash sleep cycles, and daytime dysfunction may affect both physical as well as mental well-being of individuals. India has the largest share of young adults in the world, which also makes it a likely epicenter for increasing sleep disorders. Students are often exposed to a significantly high level of academic burden and turn to options such as pulling all-nighters that further propel these issues. Most students realize the effects of a bad sleep schedule but nonetheless sacrifice it for the promise of better grades ignoring the double-edged sword. This study assesses the association of self-rated subjective sleep quality with habits prevalent among undergraduate students in India and its effect on their academic performance. Based on a modified PSQI questionnaire, the participants’ sleep quality was scored and a large majority of students showed an overall moderately good sleep quality. Insufficient sleep was seen to have an adverse effect on facial appearance, work productivity and enthusiasm for daily chores, among students. Unlike previous reports, the current dataset did not reveal any significant impact of sleep quality on the academic performance of the students. We also analyzed the most prevalent factors that were responsible for disruption of sleep in college goers and probed the major reasons for nighttime phone usage, which revealed social media to be a major contributor. Although the negative impact of sleep deprivation on academic performance has been studied earlier, any differential impact of stream has not been addressed thoroughly. Unlike the common belief of disparity induced due to stream-based academic pressure, our survey analysis showed insignificant contribution of stream leading to differences in sleep quality of students. Although participants’ reported mild disruption in sleep, it was observed across all streams and it did not seem to have an immediate effect on overall sleep quality of undergraduate students.

scholarly journals Reciprocal relations of subjective sleep quality and affective well-being in late childhood.

2021 ◽  
Vol 57 (8) ◽  
pp. 1372-1386
Author(s):  
Andreas B. Neubauer ◽  
Andrea C. Kramer ◽  
Andrea Schmidt ◽  
Tanja Könen ◽  
Judith Dirk ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Well Being ◽  
Late Childhood ◽  
Subjective Sleep Quality ◽  
Reciprocal Relations ◽  
Subjective Sleep

scholarly journals Does bedtime music listening improve subjective sleep quality and next-morning well-being in young adults? A randomized cross-over trial.

2021 ◽  
Vol 31 (3-4) ◽  
pp. 149-158
Author(s):  
Nadyanna M. Majeed ◽  
Verity Y. Q. Lua ◽  
Jun Sen Chong ◽  
Zoey Lew ◽  
Andree Hartanto
Keyword(s):  
Young Adults ◽  
Sleep Quality ◽  
Well Being ◽  
Music Listening ◽  
Subjective Sleep Quality ◽  
Subjective Sleep

548 Predicting Perceived Functional Limitation in Midlife and Older Adulthood: The Role of Sleep and Perceived Control

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A216-A216
Author(s):  
Claire Williams ◽  
Sarah Ghose ◽  
Morgan Reid ◽  
Sahar Sabet ◽  
Ashley MacPherson ◽  
...  
Keyword(s):  
Older Adults ◽  
Sleep Quality ◽  
Perceived Control ◽  
Functional Limitations ◽  
Functional Limitation ◽  
Well Being ◽  
The United States ◽  
Control Beliefs ◽  
Middle Aged ◽  
Subjective Sleep Quality

Abstract Introduction Functional limitations become increasingly common and debilitating as individuals age, potentially impacting several facets of well-being. As such, it is important to understand malleable factors that may potentially impact functional limitation outcomes. Both sleep and perceived control have been linked to the development of functional limitation. The current study sought to clarify the unique contributions of both sleep quality and perceived control to functional limitation status in middle-aged and older adults. Methods Data from the second wave of the Midlife in the United States study were used for the current study. Participants included 527 participants (59.9% female, Mage=59.83 years, SD=9.75 years) who completed measures of functional limitation levels (Functional Status Questionnaire), subjective sleep quality (Pittsburg Sleep Quality Index), and perceived control (MIDI Sense of Control Scales). A hierarchical regression analysis was conducted to examine sleep quality and perceived control as predictors in a unique model for predicting functional limitation. Demographic variables of age, gender, and race were used as covariates in study analyses. Results The overall model predicted 19.0% of the variance in functional limitation levels. Sleep quality was significantly associated with self-reported functional limitation (β=-.27, p<.001) over and above perceived control (β=.20, p<.001). Specifically, findings indicate that worse sleep quality is associated with increased functional limitation, while higher levels of perceived control are associated with lower levels of functional limitation. Conclusion Though perceived control is known to be associated with functional limitation status, the present study suggests a unique effect of sleep quality on functional limitation even after accounting for perceived control. Due to the potential for negative effects of functional limitation in middle-aged to older adults, it is important to identify and target constructs for research and intervention related to the development of these limitations. Care models for individuals who report experiencing functional limitations may benefit from targeting sleep health and control beliefs in intervention and assessment. Support (if any):

scholarly journals A Cross-Sectional Questionnaire Based Study to Evaluate Subjective Sleep Quality among Undergraduate Students in India

2021 ◽  
Author(s):  
Nirmegh Basu ◽  
Akansha Saxena ◽  
Ayushi Sarraf ◽  
Anoop Singh ◽  
Akshanshi Gulani ◽  
...  
Keyword(s):  
Academic Performance ◽  
Sleep Quality ◽  
Undergraduate Students ◽  
Negative Impact ◽  
Well Being ◽  
Common Belief ◽  
Survey Analysis ◽  
Subjective Sleep Quality ◽  
Subjective Sleep

Irregular sleep patterns are often a major hindrance in the life of undergraduate students, fueled by the undulating lifestyle anomalies and new vulnerabilities that come with college life. Insomnia, slapdash sleep cycles, and daytime dysfunction may affect both physical as well as mental well-being of individuals. India has the largest share of young adults in the world, which also makes it a likely epicenter for increasing sleep disorders. Students are often exposed to a significantly high level of academic burden and turn to options such as pulling all-nighters that further propel these issues. Most students realize the effects of a bad sleep schedule but nonetheless sacrifice it for the promise of better grades ignoring the double-edged sword. This study assesses the association of self-rated subjective sleep quality with habits prevalent among undergraduate students in India and its effect on their academic performance. Based on a modified PSQI questionnaire, the participants’ sleep quality was scored and a large majority of students showed an overall moderately good sleep quality. Insufficient sleep was seen to have an adverse effect on facial appearance, work productivity and enthusiasm for daily chores, among students. Unlike previous reports, the current dataset did not reveal any significant impact of sleep quality on the academic performance of the students. We also analyzed the most prevalent factors that were responsible for disruption of sleep in college goers and probed the major reasons for nighttime phone usage, which revealed social media to be a major contributor. Although the negative impact of sleep deprivation on academic performance has been studied earlier, any differential impact of stream has not been addressed thoroughly. Unlike the common belief of disparity induced due to stream-based academic pressure, our survey analysis showed insignificant contribution of stream leading to differences in sleep quality of students. Although participants’ reported mild disruption in sleep, it was observed across all streams and it did not seem to have an immediate effect on overall sleep quality of undergraduate students.

scholarly journals Exposure to relaxing words during sleep promotes slow-wave sleep and subjective sleep quality

SLEEP ◽  
2021 ◽  
Author(s):  
Jonas Beck ◽  
Erna Loretz ◽  
Björn Rasch
Keyword(s):  
Sleep Quality ◽  
Slow Wave ◽  
Slow Wave Sleep ◽  
Well Being ◽  
Subjective Sleep Quality ◽  
Sleep Depth ◽  
Activity Band ◽  
Underlying Mechanisms ◽  
Subjective Alertness ◽  
Healthy Participants

Abstract Our thoughts alter our sleep, but the underlying mechanisms are still unknown. We propose that mental processes are active to a greater or lesser extent during sleep and that this degree of activation affects our sleep depth. We examined this notion by activating the concept of “relaxation” during sleep using relaxation-related words in 50 healthy participants. In support of our hypothesis, playing relaxing words during non-rapid eye movement sleep extended the time spent in slow-wave sleep, increased power in the slow-wave activity band after the word cue, and abolished an asymmetrical sleep depth during the word presentation period. In addition, participants reported a higher sleep quality and elevated subjective alertness. Our results support the notion that the activation of mental concepts during sleep can influence sleep depth. They provide a basis for interventions using targeted activations to promote sleep depth and sleep quality to foster well-being and health.

scholarly journals The Efficacy of Aromatherapy With Lemon Balm (Melissa Officinalis L.) on Sleep Quality in Cardiac Patients: A Randomized Controlled Trial

2020 ◽  
Author(s):  
Adeleh Lotfi ◽  
Jamileh Mohtashami ◽  
Zahra Arab Khangholi ◽  
Nasrin Shirmohammadi-Khorram
Keyword(s):  
Sleep Quality ◽  
Controlled Trial ◽  
Well Being ◽  
Nursing Intervention ◽  
Cardiac Patients ◽  
Melissa Officinalis ◽  
Subjective Sleep Quality ◽  
Lemon Balm ◽  
Before And After ◽  
Quality Sleep

Abstract Background: The importance of sleep in physical and mental well-being is generally acknowledged by both health professionals and the general public.This study investigated the effects on inhalation aromatherapy on sleep quality in cardiac patients.Methods: Ninety-six men and women aged between 20 and 75 were randomized to inhale aromatherapy essential oil from Lemon Balm (Melissa officinalis L.) or odorless sesame oil (the placebo) for 30 minutes twice daily for 3 days. Sleep quality by Verran Synder- Halpern (VSH) scale were assessed before and after period.Results: Compared with the placebo, the experimental group showed that the components such as subjective sleep quality, sleep disturbance, and daytime dysfunction were significantly decreased (P< 0.005).Conclusion: Aromatherapy may be used as an independent nursing intervention for improving sleep quality of cardiac patients.

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