P026 Sleep during the transition to shift work: Preliminary findings of a longitudinal field study of commencing paramedics

Abstract Paramedics are at increased risk of occupational injuries, mental illness and poor health outcomes. Little is known however about the role of poor sleep in such outcomes and the way in which sleep may change as an individual commences work as a paramedic. The aim of the present study is to investigate changes in sleep as paramedics commence work. As part of an ongoing, longitudinal study of Australian paramedics, participants undertake a baseline assessment prior to commencing work and a follow up every three months for a year. At each time point paramedics wear an actigraph (GENEActiv) for seven days, and complete an online survey including the Pittsburgh Sleep Quality Index (PSQI). The present preliminary analysis utilised linear mixed models to test the effect of commencing work as a paramedic on participants’ sleep quality. Preliminary results from the first cohort of recruits are reported (n=9 commencing paramedics, mean age (+SD) = 25.2±4.4, 56% female). There was a significant increase in PSQI scores from baseline (T0: 2.4±1.4) to three months (T1: 5.2±3.9) (F(1, 8) = 5.47, p = 0.05). The percentage of individuals with clinically poor sleep (PSQI ≥5) increased from 0% (n=0) at T0 to 56% (n=5) at T1. Commencing paramedics report significantly poorer sleep quality compared to their pre-commencement levels. Interestingly, baseline PSQI scores indicate no participants were experiencing clinically defined poor sleep. However, at follow-up over half the sample reported clinically defined poor sleep. Findings of objective sleep and wake outcomes are anticipated for the meeting in October.

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Factors associated with poor sleep quality in women with cancer

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.1478.2858 ◽

2017 ◽

Vol 25 (0) ◽

Cited By ~ 4

Author(s):

Thalyta Cristina Mansano-Schlosser ◽

Maria Filomena Ceolim

Keyword(s):

Sleep Quality ◽

Quality Index ◽

Sleep Disturbances ◽

Pittsburgh Sleep Quality Index ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Factors Associated ◽

Scale Data

ABSTRACT Objectives: to analyze the factors associated with poor sleep quality, its characteristics and components in women with breast cancer prior to surgery for removing the tumor and throughout the follow-up. Method: longitudinal study in a teaching hospital, with a sample of 102 women. The following were used: a questionnaire for sociodemographic and clinical characterization, the Pittsburgh Sleep Quality Index; the Beck Depression Inventory; and the Herth Hope Scale. Data collection covered from prior to the surgery for removal of the tumor (T0) to T1, on average 3.2 months; T2, on average 6.1 months; and T3, on average 12.4 months. Descriptive statistics and the Generalized Estimating Equations model were used. Results: depression and pain contributed to the increase in the score of the Pittsburgh Sleep Quality Index, and hope, to the reduction of the score - independently - throughout follow-up. Sleep disturbances were the component with the highest score throughout follow-up. Conclusion: the presence of depression and pain, prior to the surgery, contributed to the increase in the global score of the Pittsburgh Sleep Quality Index, which indicates worse quality of sleep throughout follow-up; greater hope, in its turn, influenced the reduction of the score of the Pittsburgh Sleep Quality Index.

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Social Media Use and Sleep Quality among Adults: The Role of Gender, Age and Social Media Checking Habit

10.31234/osf.io/eqxdh ◽

2019 ◽

Cited By ~ 3

Author(s):

Liese Exelmans ◽

Holly Scott

Keyword(s):

Social Media ◽

Sleep Quality ◽

Technology Use ◽

Online Survey ◽

Media Use ◽

Poor Sleep ◽

Social Media Use ◽

Survey Results ◽

The Difference

This study expands knowledge on the effects of technology use on sleep by (1) focusing onsocial media use in an adult sample, (2) investigating the difference between overall andnighttime-specific social media use with regards to sleep, and (3) exploring a vulnerabilityperspective. For the latter, the moderating roles of gender, age, and habitual social mediachecking behavior were examined. A representative quota sample of 584 adults (18-96 yearsold) participated in an online survey. Results indicated that 2 out of 3 adults used socialmedia, and that use both shortly before and in bed was prevalent. Only nighttime use wasassociated with poorer sleep quality. Age and habitual checking behavior moderated thisassociation, identifying younger adults and those with strong checking habits as possiblevulnerable groups for poor sleep. The findings are interpreted in light of existing research onmedia habits and problematic (social) media use.

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Decrease in Sleep Duration and Poor Sleep Quality over Time Is Associated with an Increased Risk of Incident Non-Alcoholic Fatty Liver Disease

Journal of Personalized Medicine ◽

10.3390/jpm12010092 ◽

2022 ◽

Vol 12 (1) ◽

pp. 92

Author(s):

Yoo Jin Um ◽

Yoosoo Chang ◽

Hyun-Suk Jung ◽

In Young Cho ◽

Jun Ho Shin ◽

...

Keyword(s):

Sleep Quality ◽

Sleep Duration ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Alcoholic Fatty Liver ◽

Increased Risk ◽

Alcoholic Fatty Liver Disease ◽

Good Sleep ◽

Over Time

The impact of changes in sleep duration and sleep quality over time on the risk of non-alcoholic fatty liver disease (NAFLD) is not known. We investigated whether changes in sleep duration and in sleep quality between baseline and follow-up are associated with the risk of developing incident NAFLD. The cohort study included 86,530 Korean adults without NAFLD and with a low fibrosis score at baseline. The median follow-up was 3.6 years. Sleep duration and quality were assessed using the Pittsburgh Sleep Quality Index. Hepatic steatosis (HS) and liver fibrosis were assessed using ultrasonography and the fibrosis-4 index (FIB-4). Cox proportional hazard models were used to determine hazard ratios (HRs) and 95% confidence intervals (Cis). A total of 12,127 subjects with incident HS and 559 with incident HS plus intermediate/high FIB-4 was identified. Comparing the decrease in sleep duration of >1 h, with stable sleep duration, the multivariate-adjusted HR (95% CIs) for incident HS was 1.24 (1.15–1.35). The corresponding HRs for incident HS plus intermediate/high FIB-4 was 1.58 (1.10–2.29). Comparing persistently poor sleep quality with persistently good sleep quality, the multivariate-adjusted HR for incident HS was 1.13 (95% CI, 1.05–1.20). A decrease in sleep duration or poor sleep quality over time was associated with an increased risk of incident NAFLD, underscoring an important potential role for good sleep in preventing NAFLD risk.

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Deleterious Association of Inhalant Use on Sleep Quality during the COVID-19 Pandemic

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182413203 ◽

2021 ◽

Vol 18 (24) ◽

pp. 13203

Author(s):

Deepti Gunge ◽

Jordan Marganski ◽

Ira Advani ◽

Shreyes Boddu ◽

Yi Jan Ella Chen ◽

...

Keyword(s):

Sleep Quality ◽

Behavioral Interventions ◽

Online Survey ◽

Pittsburgh Sleep Quality Index ◽

Acute Stress ◽

Lifestyle Changes ◽

Poor Sleep ◽

Cigarette Use ◽

Poor Sleep Quality ◽

Global Pandemic

The COVID-19 pandemic generated large amounts of stress across the globe. While acute stress negatively impacts health, defining exact consequences and behavioral interventions can be difficult. We hypothesized that a generalized increase in stress and anxiety caused by continuation of the global pandemic would negatively impact sleep quality and that ever users of e-cigarettes and conventional tobacco would have more profound alterations over time. Participants were recruited via social media to complete an online survey in April 2020 (n = 554). Inhalant use was assessed through the UCSD Inhalant Questionnaire and sleep quality was gauged through the Pittsburgh Sleep Quality Index (PSQI). A set of participants (n = 217) retook the survey in June 2020. Inhalant users—historical or current e-cigarette vapers, conventional tobacco smokers, and dual users—had higher PSQI scores than never smoker/never vapers, demonstrating worse sleep quality in inhalant users. Non-smoking/non-vaping subjects who retook the survey in June 2020 had improvement in their PSQI scores by paired t test, indicating better sleep quality as the pandemic continued, while inhalant users of all types had persistently high PSQI scores (poor sleep quality). These data suggest that ever users of tobacco products may be susceptible to overall diminished sleep quality in the setting of stressful life circumstances. These data also suggest that pandemic-initiated lifestyle changes may have led to improvements in sleep quality. Finally, these findings raise concerns for correlations between either past or active e-cigarette use on sleep, and thus overall health.

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Self-Reported Perceptions of Sleep Quality and Resilience Among Dance Students

Perceptual and Motor Skills ◽

10.1177/0031512518757352 ◽

2018 ◽

Vol 125 (2) ◽

pp. 351-368 ◽

Cited By ~ 5

Author(s):

F. Arbinaga

Keyword(s):

Sleep Quality ◽

Odds Ratio ◽

Pittsburgh Sleep Quality Index ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Resilience Scale ◽

Personal Resilience ◽

Perceived Sleep Quality ◽

Good Sleep

This study examined relationships between self-perceived sleep quality and resilience among 116 dance students (Mean age = 21.6 years; SD = 4.348). who self-reported sleep quality with the Pittsburgh Sleep Quality Index (PSQI) and personal resilience with the Resilience Scale (RS). Most participants (59.5%) reported poor sleep quality on the PSQI, with 62.9% of the women and 42.1% of the men ( p = .092) scoring higher than five points on this instrument. On the RS, a large majority of the participants (75%) obtained scores less than 147, indicating low resilience, with no significant gender differences observed. Those reporting poor sleep quality (PSQI scores > 5) obtained lower resilience scores (RS < 147) than those reporting good sleep quality (PSQI scores ≤ 5; p = .025), and participants with poorer sleep quality were at higher risk of low resilience (Odds Ratio = 3.273) relative to those with good sleep quality ( p = .006). Those with shorter duration sleep (claiming they slept <7 hours/night) were also at higher risk for low resilience (Odds Ratio = 3.266), relative to those with longer duration sleep (>7 hours/night). These findings can help students and dance professionals improve their performance and face pressures inherent in dance practice. Follow-up research should verify these findings in varied populations with objective sleep measures and observational data from multiple respondents.

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Sleep quality deterioration in middle-aged and older adults living in a rural Ecuadorian village severely struck by the SARS-CoV-2 pandemic. A population-based longitudinal prospective study

SLEEP ◽

10.1093/sleep/zsab041 ◽

2021 ◽

Author(s):

Oscar H Del Brutto ◽

Robertino M Mera ◽

Aldo F Costa ◽

Bettsy Y Recalde ◽

Pablo R Castillo

Keyword(s):

Sleep Quality ◽

Mixed Models ◽

Regression Models ◽

Pittsburgh Sleep Quality Index ◽

Population Based ◽

Logistic Regression Models ◽

Before And After ◽

Atahualpa Project ◽

Relevant Covariates

Abstract Study Objectives This study assessed changes in sleep quality before and after the peak of the SARS-CoV-2 pandemic in community dwellers enrolled in the Atahualpa Project. Methods Atahualpa residents aged ≥40 years were eligible if they had a Pittsburgh Sleep Quality Index (PSQI) 9 months before the pandemic and a lateral flow-based test for identification of SARS-CoV-2 antibodies during the peak of the pandemic. Six months later, individuals completed a follow-up PSQI. The independent relationship between SARS-CoV-2 infection and deterioration in sleep quality was assessed by fitting logistic mixed models for longitudinal data. Results Of 639 participants (mean age at baseline: 59 ± 12.8 years), 325 (51%) had SARS-CoV-2 antibodies. A total of 185 (29%) individuals at baseline and 311 (49%) at follow-up were poor sleepers (p < 0.001). Mixed logistic regression models demonstrated a significant increase in poor sleepers at follow-up (odds ratio [OR]: 2.85; 95% CI: 2.16 to 3.75), which was more marked among SARS-CoV-2 seropositive subjects (OR: 3.8; 95% CI: 2.48 to 5.81). The adjusted proportion of poor sleepers increased from 29% to 56.2% (95% CI: 50.9% to 61.6%) among SARS-CoV-2 seropositive individuals, but only to 40.7% (95% CI: 35.3% to 46.1%) in their seronegative counterparts (p < 0.001). Likewise, progression from a good to a poor sleeper status was higher among seropositive individuals than in their seronegative counterparts (38.1% vs 22.3%; p < 0.001), after adjusting for relevant covariates. Conclusions This study shows a deleterious effect of SARS-CoV-2 in sleep quality. An effect of SARS-CoV-2 in disrupting sleep-related pathways cannot be ruled out. Trial registration The Atahualpa Project has been registered at ClinicalTrials.gov; the identifier number is NCT01627600, and the date was: 10/02/2012 (https://clinicaltrials.gov/ct2/show/NCT01627600?cond=Atahualpa&draw=2&rank=1). The Sleep Disorders substudy has been registered at ClinicalTrials.gov; the identifier number is NCT01877616, and the date was: 06/13/2013 (https://clinicaltrials.gov/ct2/show/NCT01877616?cond=Atahualpa&draw=2&rank=4).

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P152 Poor sleep quality, individual experiences and increased risk of self-harm – A multi-method study

SLEEP Advances ◽

10.1093/sleepadvances/zpab014.192 ◽

2021 ◽

Vol 2 (Supplement_1) ◽

pp. A71-A71

Author(s):

P Varma ◽

M Burge ◽

H Meaklim ◽

M Junge ◽

M Jackson

Keyword(s):

Sleep Quality ◽

Sleep Disturbances ◽

Online Survey ◽

Suicide Ideation ◽

Poor Sleep ◽

Free Text ◽

Poor Sleep Quality ◽

Cross Sectional ◽

Increased Risk ◽

Self Harm

Abstract Introduction The COVID-19 pandemic has caused significant psychological distress to many people across the globe. Poor sleep quality may be linked to poor mental health and increased suicide ideation. To contextualise the risk factors associated with self-harm or suicidal ideation during the COVID-19 pandemic, this cross-sectional study examined links between poor sleep quality, individual experiences and self-harm risk. Methods N=1544 (Mage=44.3y) from 63 countries completed an online survey in March-April 2020. Participants reported their pandemic experiences as free text responses, which were examined quantitatively for frequent word usage using Linguist Inquiry and Word Count software. Pittsburgh Sleep Quality Index assessed poor sleep quality (cut-off score >8). Item-9 of Patient Health Questionnaire-9 measured the risk of self-harm. Results Individuals with poor sleep quality (45%) used more negative emotional tone and had greater use of anxiety or money-related words in their comments than good sleepers (all ps<.05). Additionally, 19% of respondents (n=295) reported thoughts of self-harm at least several days a week (3.4% nearly every day). Logistic regression indicated that younger individuals, males, and those feeling isolated or less resilient had 1.2 to 1.5 times greater risk of self-harm (all ps<.001). Poor sleep quality was associated with a two-fold increased risk of self-harm (95%CI=1.5–2.7, p<.0001) after controlling for demographic variables. Discussion Poor sleep quality is linked to negative emotionality and increased risk of self-harm during the COVID-19 pandemic. Sleep is a modifiable factor; therefore interventions aimed at addressing sleep disturbances may improve resilience and reduce the risk of self-harm in vulnerable individuals.

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Nivel de desarrollo madurativo, actividad física y calidad del sueño en chicas adolescentes: proyecto DADOS (Maturational development, physical activity, and sleep quality in adolescent girls: DADOS project)

Retos ◽

10.47197/retos.v0i35.60553 ◽

2018 ◽

pp. 71-74

Author(s):

Maria Reyes Beltran Valls ◽

Mireia Adelantado-Renau ◽

Daniel Segura-Ayala ◽

Míriam Toledo-Bonifás ◽

Diego Moliner-Urdiales

Keyword(s):

Physical Activity ◽

Sleep Quality ◽

Adolescent Girls ◽

Emotional Development ◽

Quality Index ◽

Pittsburgh Sleep Quality Index ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Increased Risk ◽

Los Grupos

El sueño y la actividad física (AF) son hábitos fundamentales para la salud durante la adolescencia ya que favorecen un óptimo desarrollo físico, cognitivo y emocional. El objetivo del estudio fue analizar la influencia del desarrollo madurativo sobre la calidad del sueño en niñas adolescentes, así como los niveles AF diaria según su nivel de desarrollo. Se evaluó el nivel de desarrollo madurativo de 129 chicas participantes del proyecto DADOS a través de la escala de Tanner. Se dividió al grupo en dos según su nivel de desarrollo madurativo (Tanner <4; Tanner ≥4). La calidad del sueño fue evaluada mediante la versión española del cuestionario Pittsburgh Sleep Quality Index (PSQI) y se crearon los grupos óptima (PSQI ≤5) y mala (PSQI >5) calidad del sueño. Se evaluó la AF mediante acelerometría triaxial. El índice de masa corporal (IMC, kg/m2) se incluyó como covariable. No se encontraron diferencias en la puntuación total del PSQI en función del desarrollo madurativo (p >.05). Las adolescentes con mayor nivel de desarrollo mostraron menor AF diaria (p <.05). El porcentaje de chicas que presentaba óptima/mala calidad del sueño fue similar entre los grupos de desarrollo madurativo (p >.05). Las chicas con nivel de desarrollo madurativo superior (Tanner ≥4) no mostraron mayor riesgo de tener mala calidad del sueño (OR=1.08, 95%CI 0.51–2.34), teniendo en cuenta su IMC y AF diaria. En conclusión, el nivel de desarrollo madurativo de las adolescentes no parece estar relacionado con la calidad del sueño pero sí con la AF. Abstract: Sleep and physical activity (PA) are fundamental behaviors for adolescents’ health since they are related to optimal physical, cognitive, and emotional development. The aim of our study was to analyze the influence of the maturational development on sleep quality in adolescent girls, as well as to evaluate the daily PA level based on the level of maturational development. The level of maturational development of 129 girls participating in the DADOS project was assessed through the Tanner scale. Two groups were created (Tanner <4 and Tanner ≥4). Sleep quality was assessed using the Spanish version of the Pittsburgh Sleep Quality Index (PSQI), based on which the following groups were created: optimal (PSQI ≤5) and poor (PSQI >5) sleep quality. PA was measured with triaxial accelerometers. Body mass index (BMI, kg/m2) was included in the study as a covariable. No significant differences were found in the total PSQI score between the maturational development groups (p >.05). Adolescents with higher maturational development performed less PA (p <.05). The percentage of girls who presented optimal/poor sleep quality was similar between the two maturational development groups (p >.05). Girls with higher maturational development (Tanner ≥4) did not show increased risk of poor sleep quality (OR=1.08, 95%CI 0.51-2.34), considering their BMI and daily PA. In conclusion, the maturational development of adolescent girls does not seem to be related with sleep quality but it influences the PA levels.

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