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

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.

Download Full-text

Influential Factors on Sexual Function in Infertile Women with Endometriosis: A Path Analysis

10.21203/rs.2.21328/v1 ◽

2020 ◽

Author(s):

Shahideh Jahanian Sadatmahalleh ◽

samaneh youseflu ◽

Mahnaz Bahri Khomami ◽

Malihe Nasiri

Keyword(s):

Physical Activity ◽

Sleep Quality ◽

Sexual Function ◽

Pelvic Pain ◽

Anxiety And Depression ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Infertile Women ◽

Anxiety Depression

Abstract Background: Endometriosis have a negative influence on women’s sexual life. The aim of the current study was to test a conceptual model considering the interrelated role of anxiety, depression, sleep quality, physical activity, BMI, stage of endometriosis, the intensity of dyspareunia and pelvic pain on sexual function (SF) in infertile women with endometriosis. Also test the mediating role of sleep quality, anxiety, and depression. Method: In the present cross-sectional study, 220 infertile women with a laparoscopically confirmed endometriosis were recruited. Data were collected using a socio-demographic checklist, Female Sexual Function Index (FSFI), Pittsburgh Sleep Quality Index (PSQI), Hospital Anxiety and Depression Scale (HADS), Visual Analog Scale (VAS). Results: We found that anxiety, depression, sleep quality, BMI, level of education, stage of endometriosis, and dyspareunia have a direct effect on women’s SF. In our study, sleep quality, anxiety, pelvic pain, and depression were the four major mediators that the higher scores lead to a decrease in the SF of endometriosis patients. The intensity of pelvic pain with an effect on sleep quality and dyspareunia change women’s SF. The lower level of physical activity, and higher BMI with indirect effect thorough anxiety, and sleep quality can worsen SF. Also, a higher level of anxiety leads to poor sleep quality and depression. Anxiety with both direct and indirect effect impress women’s SF. Conclusion: It seems that the main risk factors for sexual dysfunction in women with endometriosis are higher rates of anxiety, depression, poor sleep quality, pelvic pain, and dyspareunia. In the care of women with endometriosis, not only laparoscopy and medical treatment should be performed but also psychotherapeutic and psychosexual help should be offered.

Download Full-text

Perceived Stress Mediates the Associations between Sleep Quality and Symptoms of Anxiety and Depression among College Nursing Students

International Journal of Nursing Education Scholarship ◽

10.1515/ijnes-2017-0020 ◽

2018 ◽

Vol 15 (1) ◽

Cited By ~ 11

Author(s):

Yuan Zhang ◽

Anya Peters ◽

Guanling Chen

Keyword(s):

College Students ◽

Nursing Students ◽

Sleep Quality ◽

Perceived Stress ◽

Well Being ◽

Mental Illnesses ◽

Anxiety And Depression ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Increased Risk

AbstractMental illnesses, such as anxiety and depression, are top concerns among college students. Poor sleep quality intensifies the risk of mental illnesses. However, the mechanism for the associations between sleep quality and mental illnesses in college students is not well understood. Online surveys were collected with 242 undergraduate nursing students at a public university in the northeast United States. Multivariate linear regression models suggested that poor sleep quality was associated with an increased risk of symptoms of anxiety (β = 1.08, p < 0.01) and depression (β = 1.00, p < 0.01). Perceived stress mediated the association between sleep quality and symptoms of anxiety by 85.3 %, and mediated the association between sleep quality and symptoms of depression by 60.0 %. This study suggested that in addition to sleep promotion, effective interventions to identify unique stressors in nursing students and facilitate the development of appropriate coping strategies are needed to enhance their mental health and well-being.

Download Full-text

Influential Factors on Sexual Function in Infertile Women with Endometriosis: A Path Analysis

10.21203/rs.2.21328/v2 ◽

2020 ◽

Author(s):

samaneh youseflu(Former Corresponding Author) ◽

Shahideh Jahanian Sadatmahalleh(New Corresponding Author) ◽

Mahnaz Bahri Khomami ◽

Malihe Nasiri

Keyword(s):

Physical Activity ◽

Sleep Quality ◽

Sexual Function ◽

Pelvic Pain ◽

Anxiety And Depression ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Infertile Women ◽

Anxiety Depression

Download Full-text

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

10.21203/rs.3.rs-30347/v1 ◽

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.

Download Full-text

Sleep quality and associated factors during the COVID-19 epidemic among community non-medical anti-epidemic Workers of Wuhan, China

BMC Public Health ◽

10.1186/s12889-021-11312-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Guanglin Si ◽

Yi Xu ◽

Mengying Li ◽

Yuting Zhang ◽

Shuzhen Peng ◽

...

Keyword(s):

Social Support ◽

Sleep Quality ◽

Perceived Stress ◽

Associated Factors ◽

Perceived Social Support ◽

Educational Background ◽

Physical Symptoms ◽

Poor Sleep ◽

Poor Sleep Quality

Abstract Background Since the outbreak of Coronavirus Disease 2019 (COVID-19) in December 2019, community non-medical anti-epidemic workers have played an important role in the prevention of COVID-19 in China. The present study aimed to assess sleep quality and its associated factors among community non-medical anti-epidemic workers. Method A survey was conducted using anonymous online questionnaire to collect information from 16 March 2020 to 24 March 2020. A total of 474 participants were included, with a 94.23% completion rate. The questionnaire contained demographic data, physical symptoms, and contact history with COVID-19. The researchers assessed perceived social support by the Multidimensional Scale of Perceived Social Support (MSPSS), assessed perceived stress by the Perceived Stress Scale (PSS), and measured sleep quality by the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Results Among the participants, 46.20% reported poor sleep quality. A binary logistic regression revealed that having educational background of junior college or above, being a member of the police force, having contacted individuals with confirmed or suspected COVID-19 infection, having chronic disease(s), having illness within 2 weeks, and having high or moderate perceived stress were significant factors associated with an increased risk of poor sleep quality. Conclusion Demographic factors, physical symptoms, history of contact with COVID-19, and perceived stress are significantly associated with poor sleep quality of community non-medical anti-epidemic workers. Thus, targeting these factors might be helpful in enhancing sleep quality of community workers.

Download Full-text

Prevalence and risk factors of restless legs syndrome in patients of migraine without aura

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20195169 ◽

2019 ◽

Vol 6 (6) ◽

pp. 1706

Author(s):

Karthik Nagaraj ◽

Ramesh Patil

Keyword(s):

Sleep Quality ◽

Restless Legs Syndrome ◽

Migraine Without Aura ◽

Rating Scale ◽

Depression Scale ◽

Anxiety And Depression ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Restless Legs ◽

Midas Questionnaire

Background: An association between migraine and Restless Legs Syndrome (RLS) has been proposed due to shared dopaminergic dysfunction. Both have substantial effects on the quality of life. Identifying co morbidities of migraine helps in optimizing patient management. Objectives To study the prevalence of RLS in patients of migraine without aura, and associated co morbidities of RLS.Methods: This was a hospital based prospective observational study. All patients diagnosed as Migraine without aura as per ICHD-3 criteria completed the questions regarding migraine headache, Migraine Disability Assessment (MIDAS) questionnaire, Hospital Anxiety and Depression Scale (HADS), Pittsburgh Sleep Quality Index (PSQI) and International RLS Study Group (IRLSSG) Rating Scale. RLS was diagnosed using the IRLSSG criteria. Serological investigations were done to look for secondary causes of RLS.Results: Out of 200 consecutive patients of migraine without aura were included in the study over a period of 18 months. Frequency of RLS was 13.5% (n=27). All patients had primary RLS. Mean PSQI score was higher in the patients of migraine without aura with RLS than in non RLS patients of migraine without aura (3.30±2.66 vs 2.24±2.03 p≤0.0168). Poor sleep quality, anxiety, depression was found in 9%, 8% and 2.5% respectively in patients of migraine without aura.Conclusions: An association between migraine without aura and RLS was demonstrated. Migraine without aura was associated with increased frequency of poor sleep quality, anxiety and depression.

Download Full-text

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

10.31234/osf.io/wmnc8 ◽

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.

Download Full-text

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?

International Journal of Social Psychiatry ◽

10.1177/0020764020966020 ◽

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.

Download Full-text

Identification of Anxiety and Depression Among Adolescent Kidney Transplant Recipients: A Cross-Sectional Observational Study

Journal of Pediatric Health Care ◽

10.1016/j.pedhc.2021.10.007 ◽

2021 ◽

Author(s):

Rachel Bush ◽

Kiran Upadhyay ◽

Steadman McPeters

Keyword(s):

Observational Study ◽

Kidney Transplant ◽

Anxiety And Depression ◽

Transplant Recipients ◽

Kidney Transplant Recipients ◽

Cross Sectional

Download Full-text

Perceived Stress and Coffee and Energy Drink Consumption Predict Poor Sleep Quality in Podiatric Medical Students

Journal of the American Podiatric Medical Association ◽

10.7547/14-082 ◽

2015 ◽

Vol 105 (5) ◽

pp. 429-434 ◽

Cited By ~ 18

Author(s):

Mohomad Al Sawah ◽

Naeemah Ruffin ◽

Mohammad Rimawi ◽

Carmen Concerto ◽

Eugenio Aguglia ◽

...

Keyword(s):

Medical Students ◽

Sleep Quality ◽

Perceived Stress ◽

Daytime Sleepiness ◽

Energy Drink ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Grade Point ◽

Energy Drink Consumption ◽

Second Year

Background A cross-sectional survey administered to first- and second-year podiatric medical students aimed to investigate the effect of coffee intake, energy drink consumption, and perceived stress on sleep quality in medical students during their preclinical studies. Methods Ninety-eight of 183 students contacted (53.6%) completed a questionnaire comprising standard instruments measuring sleep quality (Pittsburgh Sleep Quality Index), daytime sleepiness (Epworth Sleepiness scale), and perceived stress (ten-item Perceived Stress Scale). Furthermore, we investigated coffee and energy drink consumption. Logistic regression was conducted to identify factors associated with poor sleep quality and the relation between sleep quality and academic performance (grade point average). Results High prevalences of poor sleep quality, excessive daytime sleepiness, and perceived stress were reported. In addition, higher odds of developing poor sleep quality were associated with coffee and energy drink intake, perceived stress, and excessive daytime sleepiness. The total Pittsburgh Sleep Quality Index score was inversely correlated with grade point average. Conclusions First- and second-year podiatric medical students have poor sleep quality. Further research is needed to identify effective strategies to reduce stress and decrease coffee and energy drink intake to minimize their negative effect on sleep quality and academic performance in podiatric medical students.

Download Full-text