Exploring the Relationship Between Sleep Quality, Sleep Hygiene, and Psychological Distress in a Sample of Canadian Varsity Athletes

Author(s):  
Jessica Murphy ◽  
Christopher Gladney ◽  
Philip Sullivan

Student athletes balance academic, social, and athletic demands, often leading to increased levels of stress and poor sleep. This study explores the relationship between sleep quality, sleep hygiene, and psychological distress in a sample of student athletes. Ninety-four student athletes completed the six-item Kessler Psychological Distress Scale (K6), Sleep Hygiene Practice Scale, and four components from the Pittsburgh Sleep Quality Index. Age, gender, and sport were also collected. The Pittsburgh Sleep Quality Index revealed that 44.7% of student athletes received ≥6.5 hr of sleep each night; 31% of athletes showed signs of severe mental illness according to the K6. Stepwise regression predicted K6 scores with the Pittsburgh Sleep Quality Index and the Sleep Hygiene Practice Scale scores as independent variables. A significant model accounting for 26% of the variation in K6 scores emerged; sleep schedule and sleep disturbances were significant predictors. Athletic staff should highlight the importance of sleep for mental health; suggestions on how to help athletes are provided.

2018 ◽  
Vol 25 (7) ◽  
pp. 1608-1612
Author(s):  
Amrita Asok ◽  
Sreelakshmi Sreekumar ◽  
Radhika TK ◽  
Anagha CC ◽  
Uma Devi P ◽  
...  

Objective To study the effectiveness of zolpidem and sleep hygiene counseling in managing insomnia in solid tumor patients. Methods Cancer patients with a Pittsburgh Sleep Quality Index score ≥ 5 were grouped into two. Both groups received treatment for insomnia in the form of either zolpidem 5 mg for 7 days or sleep hygiene counseling. Result At baseline, zolpidem and counseling group had a mean Pittsburgh Sleep Quality Index score of 14.82 ± 2.61 and 11.67 ± 3.32, respectively. The difference in mean Pittsburgh Sleep Quality Index score was found to be 4.03 in patients using zolpidem and 1.5 in counseled patients (p = 0.003). The components of Pittsburgh Sleep Quality Index namely difficulty falling asleep within 30 min (sleep latency), overall sleep quality, trouble staying awake during daytime and trouble staying motivated to get things done showed statistically significant improvement after treatment with zolpidem. Following sleep hygiene counseling, the proportion of patients with sleep latency > 30 min reduced considerably. Waking up to use the bathroom was the most common problem reported by approximately 94% patients in both groups before treatment which remained the most prevalent problem even after treatment. Night or early morning awakenings seemed to decrease significantly in patients taking zolpidem (p = 0.039) while it did not show any improvement with counseling. Counseling seemed to get patients to sleep within 30 min. Conclusion Patients on zolpidem showed a reduction in their Pittsburgh Sleep Quality Index scores thereby suggesting it as a treatment for insomnia in solid tumor patients. Sleep hygiene counseling, though not as effective as zolpidem, made a slight difference in the overall sleep.


2021 ◽  
Vol 8 (1) ◽  
pp. 17-24
Author(s):  
Fuji Rahmawati ◽  
Jaji ◽  
Firnaliza Rizona

Penderita Diabetes Melitus (DM) tipe 2 memiliki gejala klinis seperti polidipsia, polyuria,dan nyeri yang juga terjadi pada malam hari dan dapat menyebabkan gangguan tidur.Bertambahnya frekuensi terbangun, susah untuk tertidur kembali, dan ketidakpuasantidur yang menyebabkan kualitas tidur menurun adalah serangkaian akibat yangdisebabkan oleh gangguan tidur. Sleep hygiene merupakan salah satu metode untukmeningkatkan kualitas tidur berupa sekumpulan daftar kegiatan yang dapat dilakukanuntuk memfasilitasi mulainya tidur dan mempertahankannya. Penelitian ini bertujuanuntuk mengetahui pengaruh sleep hygiene terhadap kualitas tidur penderita DM tipe 2di wilayah kerja Puskesmas Indralaya. Penelitian ini adalah penelitian kuantitatif denganrancangan penelitian praeksperimen dan Desain One Group Pretest Posttest. Sejumlah29 responden dipilih untuk menjadi sampel berdasarkan kriteria inklusi. Alat ukurmenggunakan kuesioner Pittsburgh Sleep Quality Index (PSQI) untuk mengukur kualitastidur. Data kemudian dianalisis menggunakan uji wilcoxon. Hasil analisis menunjukkanbahwa terdapat perbedaan yang bermakna antara sebelum dan setelah intervensi sleephygiene (p-value =0.000) sehingga dapat disimpulkan bahwa terdapat pengaruh sleephygiene terhadap kualitas tidur penderita DM Tipe 2. Berdasarkn hasil tersebut, perawatkomunitas di Puskesmas Indralaya diharapkan dapat memasukkan sleep hygiene dalampendidikan kesehatan yang wajib diberikan pada penderita DM tipe 2 dan keluarganya.


2018 ◽  
Vol 25 (9) ◽  
pp. 1176-1186 ◽  
Author(s):  
Alexandro Andrade ◽  
Guilherme Torres Vilarino ◽  
Sofia Mendes Sieczkowska ◽  
Danilo Reis Coimbra ◽  
Guilherme Guimarães Bevilacqua ◽  
...  

This study investigated the relationship between sleep quality and fibromyalgia symptoms in 326 patients. The Pittsburgh Sleep Quality Index was used to assess the presence of sleep disorders. Multivariate analysis of variance was performed to determine the influence of fibromyalgia symptoms on sleep quality. The prevalence of sleep disorders was 92.9 percent. Patients reported generalized pain (88.3%), memory failure (78.5%), moodiness (59%), excessive anxiety (77.5%), and concentration difficulties (69.1%). Patients with more symptoms reported poor sleep quality ( p < .05; d = .74), and the total Pittsburgh Sleep Quality Index score correlated with the number of symptoms ( p < .01). Sleep quality has an important association with fibromyalgia symptoms.


2018 ◽  
Vol 15 (3) ◽  
pp. 210-219 ◽  
Author(s):  
Onala Telford ◽  
Clarissa J Diamantidis ◽  
Hayden B Bosworth ◽  
Uptal D Patel ◽  
Clemontina A Davenport ◽  
...  

Objectives Data suggest that poor sleep quality as measured by the Pittsburgh Sleep Quality Index (PSQI) contributes to suboptimal diabetes control. How the subscales comprising the PSQI individually relate to diabetes control is poorly understood. Methods In order to explore how PSQI subscales relate to diabetes control, we analyzed baseline data from a trial of a telemedicine intervention for diabetes. We used multivariable modeling to examine: (1) the relationship between the global PSQI and hemoglobin A1c (HbA1c); (2) the relationships between the 7 PSQI subscales and HbA1c; and (3) medication nonadherence as a possible mediating factor. Results Global PSQI was not associated with HbA1c ( n = 279). Only one PSQI subscale, sleep disturbances, was associated with HbA1c after covariate adjustment; HbA1c increased by 0.4 points for each additional sleep disturbances subscale point (95%CI 0.1 to 0.8). Although the sleep disturbances subscale was associated with medication nonadherence (OR 2.04, 95%CI 1.27 to 3.30), a mediation analysis indicated nonadherence does not mediate the sleep disturbances-HbA1c relationship. Discussion The sleep disturbances subscale may drive the previously observed relationship between PSQI and HbA1c. The mechanism for the relationship between sleep disturbances and HbA1c remains unclear, as does the impact on HbA1c of addressing sleep disturbances.


2016 ◽  
Vol 2 ◽  
pp. 205521731668277 ◽  
Author(s):  
Mayis Aldughmi ◽  
Jessie Huisinga ◽  
Sharon G Lynch ◽  
Catherine F Siengsukon

Background Perceived fatigue and fatigability are constructs of multiple sclerosis (MS)-related fatigue. Sleep disturbances lead to poor sleep quality, which has been found to be associated with perceived fatigue in people with MS (PwMS). However, the relationship between fatigability and sleep quality is unknown. Objective To explore the relationship between physical and cognitive fatigability with self-reported and objective measures of sleep quality in PwMS. Methods Fifty-one ambulatory PwMS participated in the study. Physical fatigability was measured by percent-change in meters walked on the six-minute walk test (6MWT) and in force exerted on a repeated maximal hand grip test. Cognitive fatigability was measured using response speed variability on the continuous performance test. Self-report sleep quality was measured using the Pittsburgh Sleep Quality Index, and objective sleep quality was measured using 1 week of actigraphy. Results Components of the Pittsburgh Sleep Quality Index and several actigraph parameters were significantly associated with physical fatigability and cognitive fatigability. However, controlling for depression eliminated the association between the sleep outcomes and cognitive fatigability and attenuated the association between the sleep outcomes and physical fatigability. Conclusion Poor sleep quality is related to fatigability in MS but depression appears to mediate these relationships.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A144-A144
Author(s):  
Saumy Johnson ◽  
Dr Sami Al Abdulkareem

Abstract Introduction Though sleep hygiene practice is a promising approach to individuals with poor sleep quality, less research has been done in different ethnic population regarding the effect of sleep hygiene in individuals with poor sleep quality. Aim: To investigate the efficacy of sleep hygiene among individuals with poor sleep quality Methods Methodology: This was a prospective study of 250 participants from different ethnic populations using the Pittsburgh Sleep Quality Index (PSQI). Sleep hygiene advices were given online to the individuals with poor sleep quality (PSQI &gt; 5). Post- test of PSQI score was done after 8 weeks following the Sleep hygiene practices. Survey was done online through google forms and the score was calculated and the level pf sleep quality was sent to the participants (good or poor). A cut of value of PSQI 5 was taken in to consideration. .Questionnaire was sent to participants through snowball sampling. Results Results There were 250 participants in this study and the sleep quality index was found to be significantly different (p&lt;0.001) between pre- and post-intervention (Sleep hygiene advice). Age was 30.21±10.70 (mean ± SD) years and there were 157 (63%) females and 93 (37%) males. There were participants from 16 countries, majority responses from India, Saudi and Philippines. PSQI was 8.58 ± 2.49 before the sleep hygiene advice and 5.74± 1.86 post sleep hygiene practice. There was a significant improvement in the sleep quality. Significant correlation was seen between global PSQI score and the 7 components of the PSQI scoring. Conclusion: Conclusion Sleep hygiene can help in improving the sleep quality of individuals with poor sleep quality Support (if any):


Author(s):  
Rehanna Mansor ◽  
Nur Hidayati Nasrudin ◽  
Anis Adila Fahmy Mohd Akmal ◽  
Azmiera Azwa Azizul ◽  
Nur Syahira Khairina Khairuddin

Poor sleep quality is a common problem among medical students and often leads to daytime hypersomnolence and fatigue. Having a good sleep hygiene is considered to be an effective way to improve sleep quality. The purpose of this study is to assess students' sleep hygiene awareness and practices and evaluate their sleep quality. The association of sleep quality with sleep hygiene awareness and practice was also explored. The study was a cross-sectional, self-administered, and questionnaire-based study. A total of 262 UniKL RCMP MBBS students were recruited to complete sleep questionnaires adopted from internationally recognized instruments, like Sleep Hygiene Index (SHI); to assess sleep hygiene and Pittsburgh Sleep Quality Index (PSQI); to assess sleep quality. It was found that more than half of the participants (57.3%) had good knowledge on sleep hygiene. However, most of them (82.4%) had poor sleep hygiene practice. 65.6% of the students were also found to have poor sleep quality. Sleep quality was strongly correlated with sleep hygiene practice (p< 0.01) but not with sleep hygiene knowledge (p> 0.05). Appropriate measures and sleep hygiene education should be emphasized in order to raise awareness on the importance of adopting a good practice of sleep hygiene among the students.


2018 ◽  
Vol 71 (suppl. 1) ◽  
pp. 17-24 ◽  
Author(s):  
Ilija Andrijevic ◽  
Svetlana Simic ◽  
Cedomirka Stanojevic ◽  
Boris Golubovic ◽  
Dragana Milutinovic

Introduction. The purpose of this study was to evaluate sleep quality among healthcare science students and to assess its association with sleep hygiene knowledge and practices, circadian typology and lifestyle factors. Material and Methods. The research was conducted as a cross-sectional questionnaire-based internet study on a sample of 268 students. The Pittsburgh Sleep Quality Index and The Self-Morningness-Eveningness Questionnaire were applied as research instruments to assess sleep quality and chronotypes respectively, while evaluation of the other variables was conducted using he Sleep Hygiene Knowledge Questionnaire, socio-demographic questionnaire and the questionnaire of lifestyle factors. Results. The average of the Pittsburgh Sleep Quality Index global score for all students was 6.9 ? 3.2. The poor sleep quality (The Pittsburgh Sleep Quality Index > 5) was reported in 62.7% of students. Sleep efficiency less than 85% was found in 43.0% of students, and 78% of students reported daytime dysfunctionality. Sleep quality was significantly worse among female students; coffee, alcohol and energy drink consumers and long-term cell phone users. Only 11.9% of students were classified as the morning chronotype and they had the best quality of sleep and the best sleep hygiene knowledge and practices, whereas the evening chronotype had the worst quality of sleep. A significant negative correlation was identified between sleep hygiene knowledge (r = - 0.133) and practice (r = 0.501) and sleep quality whereby the lower t he Sleep Hygiene Knowledge Questionnaire and Sleep Hygiene Practice Scale scores follow a higher the Pittsburgh Sleep Quality Index score. Conclusion. Majority of students had a suboptimal level of overall sleep quality, satisfactory knowledge of sleep hygiene, but they did not have the sleep hygiene practices which suggests that knowledge is not a factor of deterring from unhealthy behaviors.


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