Habitability in Berthing Compartments and Well-Being of Sailors Working on U.S. Navy Surface Ships

2020 ◽  
pp. 001872082090605 ◽  
Author(s):  
Panagiotis Matsangas ◽  
Nita Lewis Shattuck
Keyword(s):  
Sleep Quality ◽  
Daytime Sleepiness ◽  
Cost Effective ◽  
Well Being ◽  
Factors Affecting ◽  
Operational Conditions ◽  
Total Mood Disturbance ◽  
Anxiety Depression ◽  
Insomnia Symptoms ◽  
Insomnia Severity

Objective The study had two objectives: (a) to assess the prevalence of sleep-related habitability concerns in the berthing compartments of U.S. Navy surface ships and (b) to assess whether habitability issues in berthing compartments affected the sleep and well-being of crew members. Background The importance of habitability for human well-being is recognized. Little is known, however, about the association between habitability factors in the sleeping/berthing compartments and sailor well-being in operational conditions. Method Fit-for-duty sailors ( N = 1,269; from six ships) participated in this naturalistic and longitudinal study. Sailors reported habitability factors affecting their sleep and completed four standardized questionnaires to assess daytime sleepiness, insomnia, sleep quality, and mood. Sleep was assessed through wrist-worn actigraphy and activity logs. Results Noise, ambient temperature, poor bedding conditions, and ambient light were the most frequently reported factors of concern. Compared to their peers with fewer complaints, sailors with more habitability-related complaints were more likely to have elevated daytime sleepiness (by 23%) and to report insomnia symptoms (145%) and lower sleep quality (21%). Sailors who reported more habitability-related issues also tended to sleep longer. Individuals with more complaints about habitability also tended to report worse mood (total mood disturbance, tension/anxiety, depression, fatigue, and confusion/bewilderment). Conclusion Habitability-related complaints are associated with sailor well-being and sleep. Future studies should expound on the various detrimental factors that degrade conditions in berthing compartments and negatively impact crew well-being. Application Habitability in berthing compartments of surface ships is associated with sailors’ daytime sleepiness, insomnia severity, mood, and sleep attributes. Ship designers should take these findings into consideration and investigate viable and cost-effective methods to mitigate the problems we identified.

scholarly journals A brief sleep focused psychoeducation program for sleep-related outcomes in new mothers: a randomized controlled trial

SLEEP ◽  
2020 ◽  
Vol 43 (11) ◽  
Author(s):  
Liora Kempler ◽  
Louise A Sharpe ◽  
Nathaniel S Marshall ◽  
Delwyn J Bartlett
Keyword(s):  
Sleep Quality ◽  
Daytime Sleepiness ◽  
Linear Mixed Model ◽  
Intervention Group ◽  
Control Group ◽  
Poor Sleep ◽  
Maternal Sleep ◽  
Pregnancy And Postpartum ◽  
Secondary Outcomes ◽  
Insomnia Symptoms

Abstract Study Objectives Poor sleep is commonly problematic during pregnancy and postpartum and is associated with depression. This trial investigated the efficacy of prenatal brief, group sleep psychoeducation in improving postpartum maternal sleep, and depression. Methods A total of 215 healthy expectant first-time mothers were cluster randomized (1:1) to receive either a 2 × 1.5 h psychoeducation intervention and a set of booklets, or a set of booklets only. Participants completed questionnaires during pregnancy (pre-intervention), and 6 weeks and 4 months postpartum. A post hoc subset of questionnaires was collected at 10 months postpartum. The primary hypothesis was the intervention group would have improved postpartum sleep quality, and reduced levels of insomnia symptoms, fatigue, and daytime sleepiness compared to the control group. Secondary outcomes included depression, anxiety, and stress. Results Linear mixed model analyses failed to confirm a group by time interaction on primary or secondary outcomes across all time points. There was no effect of the intervention on outcomes at 6 weeks, or 10 months postpartum. A significant time by group interaction was found at 4 months, favoring the intervention for sleep quality (p = 0.03) and insomnia symptoms (p = 0.03), but not fatigue or daytime sleepiness. Conclusions Prenatal sleep psychoeducation did not produce a sustained effect on maternal sleep throughout the postpartum period. There was little evidence of benefits on depressive symptoms. Clinical Trial Registration ACTRN12611000859987

Review of the impact Covid-19 has on the Psychosocial factors affecting Well-Being

2021 ◽  
pp. 3404-3408
Author(s):  
Sheila Menon FBSCH ◽  
Vidya Bhagat
Keyword(s):  
Psychosocial Factors ◽  
Health Workers ◽  
Public Awareness ◽  
Cost Effective ◽  
Well Being ◽  
Security Measures ◽  
Post Traumatic Stress ◽  
Negative Effects ◽  
Factors Affecting ◽  
The Impact

The COVID-19 pandemic has had a significant impact on the psychosocial factors that effect people globally. Particularly affected are children, students and health workers and the common symptoms identified are stress, anxiety disorders, depression and post-traumatic stress disorder. In addition, the various security measures implemented to ensure public safety have adversely affected relationships between people. This study directs public awareness to the value of psychotherapeutic support. Tele-therapy can be offered easily to people both at home or in the workplace, providing both cost effective and time sensitive solutions during times of crisis. The current review article provides an overview of the importance of maintaining psychological well-being during a pandemic and the identifies the role that empathetic communication has on wellbeing. The literature review was completed using electronic databases such as PubMed, Medline, and Scopus databases using the keywords covid-19, affected groups, affected relationships, psychology and its technological interventions, negative effects of pandemic so on.

scholarly journals The Relationship between Sleep Hygiene, Mood, and Insomnia Symptoms in Men with Prostate Cancer

2021 ◽  
Author(s):  
Kathleen T. Galvin ◽  
Sheila N. Garland ◽  
Erik Wibowo
Keyword(s):  
Prostate Cancer ◽  
Depressive Symptoms ◽  
Daytime Sleepiness ◽  
Online Survey ◽  
Psychological Symptoms ◽  
Sleep Hygiene ◽  
Psychological Conditions ◽  
Mailing Lists ◽  
Anxiety Depression ◽  
Insomnia Symptoms

Abstract PurposeInsomnia symptoms are commonly experienced by men after prostate cancer (PCa) treatment. Here we explored how sleep hygiene behaviours and psychological symptoms are associated with insomnia symptoms in PCa patients.MethodsAn online survey was posted on social media and sent to mailing lists of PCa and general cancer organisations. The survey collected information on demographic, sleep hygiene and psychological symptoms using validated questionnaires. ResultsData from 142 participants were compared based on the absence (age = 68.3 ± 8.9 years) and presence (age = 66.6 ± 9.0 years) of insomnia symptoms. Participants with insomnia symptoms had significantly higher levels of anxiety, depression, fatigue, and daytime sleepiness as well as poorer sleep hygiene than those without insomnia symptoms. Control variables (age, comorbidities, ADT experience and BMI) accounted for 12.5% of the variance in insomnia symptoms. Adding sleepiness, fatigue, anxiety, depressive symptoms to the model explained an additional 45.1% of the variance in insomnia symptoms. Further, including the sleep hygiene item “I think, plan, or worry when I am in bed” and “I sleep in an uncomfortable bedroom” explained an additional 3.6% of the variance in insomnia symptoms. ConclusionsPoor sleep hygiene, fatigue, daytime sleepiness, anxiety, depressive symptoms were all associated with worse insomnia symptoms in PCa patients. Improving sleep hygiene and treating psychological conditions may potentially help prevent and/or alleviate insomnia symptoms in PCa patients.

scholarly journals 0482 A Preliminary Study on the Efficacy of Forehead-Cooling for Relieving Menopausal Sleep Difficulties and Hot Flashes

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A185-A185
Author(s):  
F C Baker ◽  
M de Zambotti ◽  
L Chiappetta ◽  
E Nofzinger
Keyword(s):  
Sleep Quality ◽  
Hot Flashes ◽  
Severity Index ◽  
Cooling Device ◽  
Hot Flash ◽  
Subjective Sleep ◽  
Preliminary Study ◽  
Insomnia Symptoms ◽  
Sleep Difficulties ◽  
Insomnia Severity

Abstract Introduction Many women experience sleep difficulties in the approach to menopause and post-menopause, with about 25% experiencing severe symptoms that impact daytime functioning and quality of life. Hot flashes contribute to these sleep difficulties, being associated with nocturnal awakenings, poorer sleep quality, and chronic insomnia. New non-pharmacological sleep solutions have become available, including a forehead cooling device designed to target elevated brain metabolism in insomnia sufferers. Here, we explored whether this device was effective in improving subjective sleep and hot flashes in menopausal-age women with insomnia symptoms. Methods This study was an open-label, in-home investigation of the efficacy of nightly treatment with a forehead cooling device in 20 women (55.1 ± 4.2 years) with insomnia symptoms and daily hot flashes. Participants completed daily diaries assessing sleep quality and hot flashes across a baseline week (no treatment) followed by 4 weeks of treatment. They also completed questionnaires before and after treatment including the insomnia severity index and the hot flash related daily interference scale. Results Women reported better sleep quality with a shorter sleep onset latency and fewer awakenings (between 14-30% improvement) during the first week of device use, with further improvements over time, relative to baseline (p <0.001). Women also reported fewer nocturnal hot flashes that were less severe during treatment (p<0.001). They had lower insomnia severity scores post-treatment (9.3±5.8) compared to pre-treatment (20.0±5.7) (p<0.001), with 17 participants showing a reduction of 6 points or greater on the insomnia severity index. There was also a significant reduction in hot flash related daily interference post-treatment (p<0.001). Conclusion Use of a forehead cooling device during the night improved subjective sleep quality and reduced insomnia symptoms and hot flash frequency and severity in this preliminary study of menopausal-age women. Further large scale randomized controlled trials are required to determine efficacy. Support Ebb Therapeutics

Feasibility, Acceptability, and Preliminary Efficacy of an App-Based Meditation Intervention to Improve Firefighter Well-Being During and After the COVID-19 Pandemic (Preprint)

2021 ◽  
Author(s):  
Thaddeus W W Pace ◽  
Katharine H Zeiders ◽  
Stephanie Cook ◽  
Evelyn Sarsar ◽  
Lindsay T Hoyt ◽  
...  
Keyword(s):  
Negative Affect ◽  
Cost Effective ◽  
Well Being ◽  
The Self ◽  
Future Research ◽  
Occupational Stressors ◽  
Objective Indicator ◽  
Before And After ◽  
Anxiety Depression ◽  
Insight Into

BACKGROUND Firefighters are often exposed to occupational stressors that can result in psychological distress. These occupational stressors have only intensified with the onset of the COVID-19 pandemic and will likely persist in the post-pandemic world. OBJECTIVE To address occupational stressors confronting firefighters and to improve their well-being, we pilot tested a novel, cost-effective smartphone-based meditation intervention created by Healthy Minds Innovations (Madison, WI) that focused on trainings in mindfulness (awareness) along with practices designed to cultivate positive relationships (connection), insight into the nature of the self (insight), as well as sense of purpose in the context of challenge (purpose) with a sample of professional firefighters from a large metropolitan area in the southwestern United States. METHODS Participants (N = 35) completed the self-guided, 10-unit meditation app over the course of 10 days, with one unit per day. We assessed several aspects of psychological well-being (anxiety, depression, burnout, and negative affect) and an objective indicator of stress-related biology, saliva diurnal cortisol rhythm, before and after use of the meditation app. RESULTS The study demonstrated the meditation app was both feasible and acceptable for use with firefighters. We also found significant reductions in firefighters’ anxiety, burnout, and negative affect, as well as changes in cortisol diurnal rhythm from before to after use of the meditation app. CONCLUSIONS Findings support future research to demonstrate efficacy of this meditation app to improve firefighter well-being.

Frequency and characteristics of drowsiness, somnolence, or daytime sleepiness in patients with advanced cancer

2018 ◽  
Vol 17 (04) ◽  
pp. 459-463 ◽  
Author(s):  
Sriram Yennurajalingam ◽  
Srikanth Reddy Barla ◽  
Joseph Arthur ◽  
Gary B. Chisholm ◽  
Eduardo Bruera
Keyword(s):  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
Depression Scale ◽  
Well Being ◽  
Severity Index ◽  
Hospital Anxiety ◽  
Hospital Anxiety Depression Scale ◽  
Clinically Significant ◽  
Anxiety Depression ◽  
Insomnia Severity

AbstractIntroductionCancer-related drowsiness (CRD) is a distressing symptom in advanced cancer patients (ACP). The aim of this study was to determine the frequency and factors associated with severity of CRD. We also evaluated the screening performance of Edmonton Symptom Assessment Scale-drowsiness (ESAS-D) item against the Epworth Sedation Scale (ESS).MethodWe prospectively assessed 180 consecutive ACP at a tertiary cancer hospital. Patients were surveyed using ESAS, ESS, Pittsburgh Sleep Quality Index, Insomnia Severity Index, and Hospital Anxiety Depression Scale.ResultNinety of 150 evaluable patients had clinically significant CRD (ESS); median (interquartile ratio): ESS. 11 (7–14); ESAS-D. 5 (2–6); Pittsburgh Sleep Quality Index. 8 (5–11); Insomnia Severity Index. 13 (5–19); Stop Bang Scoring 3 (2–4), and Hospital Anxiety Depression Scale-D 6 (3–10). ESAS-D was associated with ESAS (r, p) sleep (0.38, <0.0001); pain (0.3, <0.0001); fatigue (0.51, <0.0001); depression (0.39, <0.0001); anxiety (0.44, <0.0001); shortness of breath (0.32, <0.0001); anorexia (0.36, <0.0001), feeling of well-being [(0.41, <0.0001), ESS (0.24, 0.001), and opioid daily dose (0.19, 0.01). Multivariate-analysis showed ESAS-D was associated with fatigue (odds ratio [OR] = 9.08, p < 0.0001), anxiety (3.0, p = 0.009); feeling of well-being (OR = 2.27, p = 0.04), and insomnia (OR = 2.35; p = 0.036). Insomnia (OR = 2.35; p = 0.036) cutoff score ≥3 (of 10) resulted in a sensitivity of 81% and 32% and specificity of 70% and 44% in the training and validation samples, respectively.Significance of resultsClinically significant CRD is frequent and seen in 50% of ACP. CRD was associated with severity of insomnia, fatigue, anxiety, and worse feeling of well-being. An ESAS-D score of ≥3 is likely to identify most of the ACP with significant CRD.

scholarly journals COVID-19 Pandemi Sürecinde Sağlık Çalışanlarının Yaşadıkları Mental Sorunlar

2021 ◽  
pp. 83-90
Author(s):  
Özlem ÖZAYDIN ◽  
Özden GÜDÜK
Keyword(s):  
Healthcare Workers ◽  
Health Workers ◽  
Well Being ◽  
Quality Service ◽  
Factors Affecting ◽  
Mental Problems ◽  
Mental Health Support ◽  
The Subject ◽  
Health Support ◽  
Anxiety Depression

The epidemic of COVID-19, which started in Wuhan province of China and rapidly turned into a pandemic worldwide, affected all individuals in the society in different directions and levels. Depression, anxiety, stress and sleep disorders are among the mental problems experienced by healthcare workers during the epidemic. These problems not only affect the mental state and well-being of the employees negatively, but also affect their job satisfaction and quality service delivery. The purpose of this study to examine the mental problems affecting health workers, what factors affecting these problems, and what mental health support approaches can be done for health workers in cases of epidemics. Accordingly, a detailed literature review was made and published studies on the subject were compiled. It is inevitable that health managers will work to strengthen the workers mentally. Keywords: COVID-19, pandemic, medical workers, mental problems, anxiety, depression.

scholarly journals Using Slow-Paced Breathing to Foster Endurance, Well-Being, and Sleep Quality in Athletes During the COVID-19 Pandemic

2021 ◽  
Vol 12 ◽  
Author(s):  
Uirassu Borges ◽  
Babett Lobinger ◽  
Florian Javelle ◽  
Matthew Watson ◽  
Emma Mosley ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Endurance Performance ◽  
Cost Effective ◽  
Well Being ◽  
Review Literature ◽  
Sports Performance ◽  
Physiological Mechanisms ◽  
Specific Population ◽  
Paced Breathing ◽  
Lung Capacity

The coronavirus disease 2019 (COVID-19) has been causing major disruptions in the sporting world. Negative physiological and psychological effects on athletes have been reported, such as respiratory issues and increased stress. Therefore, it is timely to support this population by presenting cost-effective and accessible intervention techniques to reduce this impact. Slow-paced breathing (SPB) has the potential to counteract many of the detrimental effects of COVID-19 that can directly affect sports performance. In this article, we present and justify the use of SPB in athletes by focusing on three key outcomes, namely aerobic endurance performance, emotional well-being, and sleep quality. We examine the physiological mechanisms that underpin these three outcomes and review literature showing that SPB can activate anti-inflammatory pathways, increase lung capacity and, in turn, improve aerobic endurance, emotional well-being, and sleep quality. We conclude that interventions using SPB can have preventive and rehabilitative properties for athletes. Future studies should empirically test the potential of SPB to help this specific population.

scholarly journals 0837 Well-Being Predicts Sleep Disturbance in a Prospective Cohort of Older Adults

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A319-A319
Author(s):  
S D Hershner ◽  
L M Swanson ◽  
A Meng ◽  
E C Jansen ◽  
J F Burke ◽  
...  
Keyword(s):  
Older Adults ◽  
Sleep Quality ◽  
Sleep Duration ◽  
Well Being ◽  
Community Dwelling ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Logistic Regression Models ◽  
The Mean ◽  
Insomnia Symptoms

Abstract Introduction Lower well-being negatively impacts health among older adults. Optimal sleep - a determinant of health - has been associated with higher well-being. Several domains of well-being, e.g., mindfulness and purpose in life have been shown to improve sleep. But, whether well-being impacts sleep remains unclear. This study examined associations between well-being and sleep duration, sleep quality, and incident insomnia symptoms among a nationally representative sample of older US adults. Methods This study analyzed data from the 2011-2013 National Health and Aging Trends Study (NHATS), a longitudinal, annual survey of community-dwelling Medicare beneficiaries. The exposure, a validated scale of well-being used questions on purpose, emotion, and self-satisfaction and divided responses into quartiles. Sleep outcomes included sleep duration, sleep quality, and insomnia symptoms. Unadjusted and adjusted linear and logistic regression models examined relationships between the health characteristics and well-being score in 2012 and sleep outcomes in 2013. Covariates included demographics and health characteristics. Results Half of study participants (n=2,000) were women. The mean sleep duration was 7.2 and 7.3 (standard error(SE) ±0.1) for men and women. Poor sleep quality was reported by 30% of subjects and more frequently among Hispanic subjects, older adults, and those with less education. The mean well-being score was 17.2 (SE ±0.07). Higher well-being scores correlated with male gender, younger age, higher education, marriage, and increased physical activity. Well-being scores in the 2nd - 4th quartile had lower odds of poor sleep quality (4th quartile adjusted odd ratio 0.24 (95% CI 0.15, 0.38). The highest well-being quartile had a 4-fold lower incidence of insomnia symptoms. Well-being scores were not associated with sleep duration Conclusion Higher well-being may protect older adults against the development of insomnia and poor sleep quality. Strategies to improve well-being could offer an innovative way to improve the health of older Americans though better sleep. Support none

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