scholarly journals Expanding the screening toolbox to promote athlete health: how the US Olympic & Paralympic Committee screened for health problems in 940 elite athletes

2020 ◽  
pp. bjsports-2020-102756
Author(s):  
Dustin Nabhan ◽  
Melie Lewis ◽  
David Taylor ◽  
Roald Bahr
Keyword(s):  
Mental Health ◽  
Sleep Quality ◽  
Sleep Apnoea ◽  
Screening Tools ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Positive Screen ◽  
Health History ◽  
Patient Health ◽  
Anxiety Depression

AimTo assess the value of including validated screening tools for allergies, anxiety, depression, sleep apnoea and sleep quality into an electronic patient health history questionnaire.MethodsIn this descriptive study, we reviewed electronic medical records of Olympic and Paralympic athletes who completed health screenings, which included validated screens for allergies (Allergy Questionnaire for Athletes), anxiety (General Anxiety Disorder-2), depression (Patient Health Questionaire-2), sleep apnoea (Berlin Questionnaire) and sleep quality (Pittsburgh Sleep Quality Index), using established criteria for a positive screen. We report the prevalence of positive tests and the associations between positive screening tools.ResultsA total of 683 Olympic and 257 Paralympic athletes (462 male, 478 female) completed the health history between May and September of 2019. At least one positive screen was reported by 37% of athletes training for the Olympics and 48% of athletes training for the Paralympics. More than 20% of all athletes screened positive for allergies and poor sleep quality. Athletes training for the Paralympics had a significantly higher percentage of positive screens for anxiety, depression, poor sleep quality and sleep apnoea risk. Females had significantly more positive screens for allergy and poor sleep quality.ConclusionsThe addition of standardised screening tools to an electronic health history resulted in the identification of potential mental health, sleep and allergy problems in both Olympic and Paralympic athletes. Strong associations between mental health and sleep disorders suggest these problems should be considered together in health screening programmes.

scholarly journals Anxiety and Depression Symptoms of Patients in Fangcang Shelter Hospital During the COVID-19 Outbreak in China: a Web-Based Cross-Sectional Study

2020 ◽  
Author(s):  
Ling-Ling Dai ◽  
Xi Wang ◽  
Tian-Chi Jiang ◽  
Peng-Fei Li ◽  
Yu Wang ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Sleep Quality ◽  
Physical Symptoms ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Independent Risk Factors ◽  
Anxiety Depression

Abstract Background The COVID-19 pandemic is a major health crisis has led to adverse mental health consequences in the general public, medical staff, and individual in self isolation. In order to stop transmission of the virus and save lives, Fangcang shelter hospitals were developed and used for the first time in China. However, there is no research on mental health problems in Fangcang shelter hospitals patients during the COVID-19 outbreak. The aim of this study was to survey the prevalence and major influencing factors of anxiety, depression among the hospitalized Coronavirus Disease 2019 (COVID-19) cases in Fangcang shelter hospital. Methods From February 23rd, 2020, to February 26th, 2020, we obtained the information of demographic data, clinical symptoms, and assessed the mental health status, sleep quality by using an online questionnaire including self-rating anxiety scale (SAS), self-rating depressive scale (SDS) and pittsburgh sleep quality index (PSQI) at Jianghan Fangcang shelter hospital. We assessed the prevalence of anxiety, depression symptoms and poor sleep quality via the scores of SAS, SDS and PSQI. We explored the influencing factors of anxiety and depression in COVID-19 patients using multivariable logistic regression models. Results We collected data from 307 COVID-19 patients in Jianghan Fangcang shelter hospital. The prevalence of anxiety, depression symptoms were 18.6% and 13.4%, respectively. Poor Sleep quality, number of current physical symptoms ≥ 2 were independent risk factors for anxiety symptoms (P < 0.05); female, family member confirmed COVID-19, number of current physical symptoms ≥ 2 were independent risk factors for depression symptoms (P < 0.05). PSQI scores were significant positively associate with SAS scores and SDS scores (P ༜ 0.05). Conclusions Anxiety and depression are common among the COVID-19 patients in Fangcang shelter hospital. Those with more current physical symptoms, poor sleep quality are more likely to have anxiety. Females, those with their family members diagnosed with COVID-19, more current physical symptoms are more vulnerable to depression symptom. Our findings can be used to formulate targeted psychological interventions to reduce adverse psychological impacts in Fangcang shelter hospital during the outbreak of epidemic disease in the future.

scholarly journals Acne Severity and Sleep Quality in Adults

2019 ◽  
Vol 1 (4) ◽  
pp. 510-516 ◽  
Author(s):  
Kory P. Schrom ◽  
Sayeeda Ahsanuddin ◽  
Michelle Baechtold ◽  
Raghav Tripathi ◽  
Amy Ramser ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Quality Index ◽  
Life Quality ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Increased Risk ◽  
Patient Health ◽  
The Usa ◽  
Grading Scale ◽  
Psychiatric Conditions

Poor sleep quality is extremely prevalent, with about one third of adults in the USA obtaining less than the recommended amount of sleep. In addition, poor sleep quality has been linked to an increased risk of many conditions, including diabetes, hypertension, psychiatric conditions, and overall all-cause mortality. Research has shown that sleep disturbance does impact skin disease, although many details of this relationship are still unclear. The goal of this study is to determine if there is a relationship between acne severity and sleep quality in adults. Forty subjects with acne were recruited from dermatology clinics in Cleveland, OH, to participate in this study. Acne severity was assessed using the Global Acne Grading Scale (GAGS). To assess sleep quality, subjects completed the Pittsburgh Sleep Quality Index (PSQI) and completed a seven-day sleep journal. Subjects also completed the Dermatology Life Quality Index (DLQI), the Patient Health Questionnaire-2 (PHQ-2), and provided information about current and past acne treatments as well as their opinion regarding their own acne severity and exacerbating factors. Our findings support the hypothesis that there is a potential relationship between sleep quality and acne.

scholarly journals The relationship between sleep quality, fatigue and psychological wellbeing amongst primary carers for those with brain injury

2018 ◽  
Author(s):  
Maria Gardani
Keyword(s):  
Brain Injury ◽  
Sleep Quality ◽  
Sleep Disturbances ◽  
Depression Scale ◽  
Psychological Wellbeing ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Perceived Burden ◽  
Fatigue Severity ◽  
Anxiety Depression

Objectives: The study aimed to investigate possible mediating factors that contribute to poor sleep quality in carers for those with brain injury (BI). More specifically, whether fatigue, anxiety, depression and perceived burden were associated with and/or predicted poor sleep in carers of those with brain injury. Methods: A cross-sectional correlational design was utilised. The Pittsburgh Sleep Quality Index (PSQI), Hospital Anxiety Depression Scale (HADS) Fatigue Severity Scale (FSS), Zarit Buren Interview Short (ZBI-12) were completed by 237 carers of people with BI to assess sleep quality, psychological wellbeing and fatigue. Results: Carers demonstrated elevated levels of poor sleep quality, fatigue and poor psychological wellbeing. The results indicated there was a significant relationship between anxiety, depression, perceived burden, fatigue severity and sleep quality. Multiple regression analysis revealed that anxiety, depression, fatigue and burden explained 31.8% of variance in sleep quality. Depression and fatigue were significant predictors of sleep quality with fatigue symptomology being the strongest predictor of poor sleep amongst carers. Conclusion: Psychological wellbeing, perceived burden and fatigue are associated with sleep disturbances in carers with fatigue and depression predicting poor sleep quality. These results provide insight into an under-researched area and emphasise the necessity for support provisions which aim to improve sleep hygiene practices, improve psychological wellbeing and fatigue symptomology.

scholarly journals The Prevalence and Management of Poor Sleep Quality in a Secondary Care Mental Health Population

2015 ◽  
Vol 11 (02) ◽  
pp. 111-116 ◽  
Author(s):  
Michelle O'Sullivan ◽  
Masuma Rahim ◽  
Christopher Hall
Keyword(s):  
Mental Health ◽  
Sleep Quality ◽  
Secondary Care ◽  
Poor Sleep ◽  
Poor Sleep Quality

scholarly journals Effects of COVID-19 2021 lockdown on the sleep quality and mental health of undergraduate medical and dental students of Pakistan: A cross-sectional study.

2021 ◽  
Author(s):  
Naveen Siddique Sheikh ◽  
Aiza Anwar ◽  
Iqra Pervaiz ◽  
Zunaira Arshad ◽  
Huma Saeed Khan ◽  
...  
Keyword(s):  
Mental Health ◽  
Sleep Quality ◽  
Cross Sectional Study ◽  
Dental Students ◽  
Depression Symptoms ◽  
Poor Sleep ◽  
Sectional Study ◽  
Poor Sleep Quality ◽  
Cross Sectional ◽  
Medical And Dental Students

Background and objectives: The COVID-19 pandemic has been recognized as a cause of direct and indirect psychological consequences that impact mental health such as acute stress disorders, anxiety, irritability, poor concentration, and insomnia. This study was planned to evaluate the sleep quality and mental health of undergraduate students amidst the COVID-19 lockdown of 2021. Materials and Methods: This observational cross-sectional study was conducted in Lahore, Pakistan, where 261 undergraduate medical and dental students enrolled at a private medical and dental school were approached from March to May 2021. The Pittsburg Sleep Quality Index (PSQI) was used to identify the sleep quality along with the Generalized Anxiety Disorder Scale (GAD-7) to establish anxiety symptoms and the Physical Health Questionnaire (PHQ-9) for depression symptoms. Results: The results show that 212 (81.2%) female and 49 (18.8%) male students participated in the study. Of the participants 75.1% experienced poor sleep quality, 90% had symptoms of depression, and 85.4% had symptoms of anxiety. The mean score on the PSQI scale was 8.59+4.10, on the GAD-7 scale was 11.36+5.94 and on the PHQ-9 scale was 13.70+6.81. Multiple regression analysis showed that anxiety symptoms (β = 0.315, p = 0.000) and depression symptoms (β = 0.398, p = 0.000) were significant predictors of sleep quality amongst the undergraduate medical and dental students. Conclusion: A high majority of the study participants are experiencing poor sleep quality along with suffering from depression and anxiety amidst the COVID-19 lockdown. It is concluded from the analysis that anxiety and depression symptoms are significant predictors of sleep quality. Relevant authorities need to set up systems that help undergraduate medical students in alleviating and coping with these symptoms midst the COVID-19 pandemic.

scholarly journals The association between perceived stress with sleep quality, insomnia, anxiety and depression in kidney transplant recipients during Covid-19 pandemic

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248117
Author(s):  
Dilek Barutcu Atas ◽  
Esra Aydin Sunbul ◽  
Arzu Velioglu ◽  
Serhan Tuglular
Keyword(s):  
Sleep Quality ◽  
Kidney Transplant ◽  
Perceived Stress ◽  
Independent Predictor ◽  
Anxiety And Depression ◽  
Poor Sleep ◽  
Transplant Recipients ◽  
Kidney Transplant Recipients ◽  
Poor Sleep Quality ◽  
Anxiety Depression

Background The psychological distress and sleep problems caused by current Covid-19 outbreak is not well known in kidney transplant recipients. In this study, we aimed to investigate the association between perceived stress with sleep quality, insomnia, anxiety, depression and kidney function in kidney transplant recipients during the Covid-19 pandemic. Material and methods A hundred-six kidney transplant recipients were enrolled. Questionnaire of "Socio-demographics", "Perceived Stress Scale (PSS)", "Pittsburgh Sleep Quality Index (PSQI)", "Insomnia Severity Index (ISI)" and “Hospital Anxiety Depression Scale (HADS)” are performed. The laboratory data is recorded. The perceived stress related to Covid-19 pandemic and its associations were investigated. Results The mean age of patients was 44.2±13.3 years, and 65 of the patients (61.3%) were men. Forty-nine (46.2%) of the patients had high-perceived stress; 51 (48.1%) of the patients had poor sleep quality, 40 (37.7%) of the patients had insomnia, 25 (23.6%) of the patients had anxiety and 47 (44.3%) of the patients had depression. The patients having a history of Covid-19 infection in own or closed relatives (9.09±4.17 vs 6.49±4.16, p:0.014) and the patients who have a rejection episode any of time (8.24±5.16 vs 6.37±3.57, p:0.033) have had significantly higher anxiety scores, when they compared to others. The high PSS were positively correlated with PSQI, ISI, HAD-A and HAD-D. Regression analyses revealed that high-perceived stress is an independent predictor of anxiety and depression. There was not significant difference between kidney function with PSS, PSQI, ISI, HAD-A and HAD-D. Conclusions High PSS is positively correlated with poor sleep quality and insomnia and also an independent predictor of anxiety and depression in kidney transplant recipients during the outbreak of Covid-19. As the pandemic is still spreading worldwide quickly early identification and intervention of sleep disturbances and psychiatric disorders are essential to protect graft function with high compliance to treatment in transplantation patients.

scholarly journals ASSOCIATION OF SLEEP PROBLEMS AND COMMON MENTAL HEALTH PROBLEMS IN ENGINEERING STUDENTS OF SGT UNIVERSITY, GURUGRAM, INDIA

2020 ◽  
Vol 8 (12) ◽  
pp. 148-155
Author(s):  
Niyatisheokand a ◽  
◽  
Nimmi A. Jose ◽  
Abhishek Kapoor ◽  
Priya Arora ◽  
...  
Keyword(s):  
Mental Health ◽  
Sleep Quality ◽  
Engineering Students ◽  
Mental Health Problems ◽  
Sleep Problems ◽  
General Health Questionnaire ◽  
Poor Sleep ◽  
Quality Of Sleep ◽  
Poor Sleep Quality

Introduction:Sleep is naturally recurring state of mind and body, characterized by altered consciousness, inhibition of nearly all voluntary muscles and reduced interactions with surroundings. Chronic disturbances can lead to poor sleep quality which may manifest as increased irritability, anxiety, tension, depression, confusion. The undergraduate years are a period of vulnerability when considering sleep problems and mental health may tend to worsen over time. Alcohol, tobacco, and stimulant beverages such as tea/ caffeine affect the quality of sleep. Students are more prone to adopt and practice maladaptive sleep hygiene such as irregular bedtime, academic pressure, internet addiction, electronic media exposure, alcohol consumption and smoking, which affects quality of sleep. Material and Methods:The study was a cross sectional, interview based, non-interventional studyconducted on the engineering students at SGT University, Budhera, Gurgaon, Haryana, India. Data was collected through questionnaires such as Pittsburgh Sleep Quality Index, The Epworth `Sleepiness Scale, Depression Anxiety Stress Scale, The general health questionnaire. Results:A total of 274 students were included in the study. The mean age was20.11 ± 1.30 years and there were more male (77.3%) students as compared to females (22.7%). Alcohol use was present in 43(11.7%) of students, cannabis intake was present in 11(4%), nicotine intake was reported by 39(14.2%) of students and only one student reported of taking opioid. DASS-A, DASS-S, DASS-D, GHQ-12, PSQI were positively correlated with each other when associations were studied individually. Conclusion:In our study,it was established that poor sleep quality in engineering students was significantly associated with poor mental and physical health.

scholarly journals Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 epidemic in China: a web-based cross-sectional survey

2020 ◽  
Author(s):  
Yeen Huang ◽  
Ning Zhao
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Sleep Quality ◽  
Healthcare Workers ◽  
Influence Factors ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Web Based

Abstract Background China has been severely affected by COVID-19 (Corona Virus Disease 2019) since December, 2019. This study aimed to assess the population mental health burden during the epidemic, and to explore the potential influence factors. Methods Using a web-based cross-sectional survey, we collected data from 7,236 self-selected volunteers assessed with demographic information, COVID-19 related knowledge, Generalized Anxiety Disorder-7 (GAD-7), Center for Epidemiology Scale for Depression (CES-D), and Pittsburgh Sleep Quality Index (PSQI). Logistic regressions were used to identify influence factors associated with mental health problem. Results Of the total sample analyzed, the overall prevalence of GAD, depressive symptoms, and sleep quality were 35.1%, 20.1%, and 18.2%, respectively. Young people reported a higher prevalence of GAD and depressive symptoms than older people ( P <0.001). Compared with other occupational group, healthcare workers have the highest rate of poor sleep quality ( P <0.001). Multivariate logistic regression showed that age (< 35 years) and times to focus on the COVID-19 (≥ 3 hours per day) were associated with GAD, and healthcare workers were associated with poor sleep quality. Conclusions Our study identified a major mental health burden of the public during COVID-19 epidemic in China. Young people, people who spent too much time on the epidemic, and healthcare workers were at high risk for mental illness. Continuous surveillance and monitoring of the psychological consequences for outbreaks should become routine as part of preparedness efforts worldwide.

scholarly journals Early indicators and risk factors associated with mental health problems during COVID-19 quarantine: Is there a relationship with the number of confirmed cases and deaths?

2020 ◽  
pp. 002076402096602
Author(s):  
Héctor Badellino ◽  
María Emilia Gobbo ◽  
Eduardo Torres ◽  
María Emilia Aschieri
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Sleep Quality ◽  
Perceived Stress ◽  
Mental Health Problems ◽  
Significant Risk ◽  
Health Problems ◽  
Poor Sleep ◽  
Strong Impact ◽  
Anxiety Depression

Background: On March 20 2020, the Argentine Ministry of Health enforced a mandatory quarantine throughout the country in response to the COVID-19 pandemic. Aims: The object of this study is to determine the initial impact on mental health of Argentine population, by measuring the prevalence of anxiety, depression, insomnia, and self-perceived stress and by determining the associated risk factors, and to analyze that impact in relation to the number of confirmed cases and deaths. Method: A cross-sectional survey was conducted through a digital questionnaire, which was completed by 1,985 respondents between March 29 and April 12. The prevalence of anxiety, depression, stress and insomnia was measured with the Generalized Anxiety Disorder-7 Scale (GAD-7), the 9-Item Patients Health Questionnaire (PHQ-9); the Perceived Stress Scale (PSS-10) and the Pittsburgh Sleep Quality Index (PSQI), respectively. Results: The 62.4% of the surveyed population reported signs of psychological distress. It was found that being a woman, being 18 to 27 years old, living with family members or a partner, smoking, and having a poor sleep quality were the significant risk factors. Conclusion: Despite the low number of COVID-19 confirmed cases and deaths at that time, a strong impact on mental health indicators was revealed. The authors of this study recommend the monitoring of the population at risk over time and early interventions in order to avoid long-lasting mental health problems.

scholarly journals Disentangling the Sleep-Pain Relationship in Pediatric Chronic Pain: The Mediating Role of Internalizing Mental Health Symptoms

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Maria Pavlova ◽  
Jennifer Ference ◽  
Megan Hancock ◽  
Melanie Noel
Keyword(s):  
Mental Health ◽  
Chronic Pain ◽  
Depressive Symptoms ◽  
Sleep Quality ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Pediatric Chronic Pain ◽  
Pain Outcomes

Background. Pediatric chronic pain often emerges in adolescence and cooccurs with internalizing mental health issues and sleep impairments. Emerging evidence suggests that sleep problems may precede the onset of chronic pain as well as anxiety and depression. Studies conducted in pediatric populations with pain-related chronic illnesses suggest that internalizing mental health symptoms may mediate the sleep-pain relationship; however, this has not been examined in youth with primary pain disorders.Objective. To examine whether anxiety and depressive symptoms mediated relationships between sleep quality and pain outcomes among youth with chronic pain.Methods. Participants included 147 youth (66.7% female) aged 8–18 years who were referred to a tertiary-level chronic pain program. At intake, the youth completed psychometrically sound measures of sleep quality, pain intensity, pain interference, and anxiety and depressive symptoms.Results. As hypothesized, poor sleep quality was associated with increased pain intensity and pain interference, and anxiety and depressive symptoms mediated these sleep-pain relationships.Discussion. For youth with chronic pain, poor sleep quality may worsen pain through alterations in mood and anxiety; however, prospective research using objective measures is needed. Future research should examine whether targeting sleep and internalizing mental health symptoms in treatments improve pain outcomes in these youth.

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