Predictive factors of subjective sleep quality and insomnia complaint in patients with stroke: implications for clinical practice

The complaints regarding sleep problems have not been well identified after a stroke. The aim of this study was to investigate the predictive factors of sleep quality and insomnia complaints in patients with stroke. A total of 70 subjects, 40 patients (57 ± 7 years) and 30 healthy controls (52 ± 6 years) assessed by the Pittsburgh Sleep Quality Index (PSQI) and the Sleep Habits Questionnaire took part in the study. The data were analyzed using the chi-square test, the Student's t-test and logistic regression analysis. On average, the patients showed poor sleep quality (patients: 6.3 ± 3.5; controls: 3.9 ± 2.2; p= 0.002) and insomnia complaint was the most prevalent (patients: 37.5%; controls: 6.7%; p= 0.007). The absence of insomnia complaint (OR= 0.120; 95%CI= 0.017-0.873; p= 0.036) and the decreased latency of sleep (OR= 0.120; 95%CI= 0.017-0.873; p= 0.036) were the protective factors of sleep quality. Female sex (OR= 11.098; 95%CI= 1.167-105.559; p= 0.036) and fragmented sleep (OR= 32.040; 95%CI= 3.236-317.261; p= 0.003) were the risk factors for insomnia complaint. We suggest that complaints of poor sleep quality and insomnia should be given priority assessment during clinical diagnosis of sleep disorders in stroke.

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Association between sedentary time and sleep quality based on the Pittsburgh Sleep Quality Index among South Korean adults

BMC Public Health ◽

10.1186/s12889-021-12388-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Sung Hoon Jeong ◽

Bich Na Jang ◽

Seung Hoon Kim ◽

Gyu Ri Kim ◽

Eun-Cheol Park ◽

...

Keyword(s):

Sleep Quality ◽

Quality Index ◽

Sedentary Time ◽

Sleep Problems ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Subjective Sleep Quality ◽

South Korean ◽

Korean Adults ◽

Evidenced Based

Abstract Background Sleep problems increase the risk of premature illness and death. We evaluated the association between sedentary time and sleep quality among South Korean adults. Methods The data of adults (aged ≥ 19 years) from the 2018 Korea Community Health Survey were analyzed. Sedentary time, which included hours spent sitting or lying down daily, was categorized into four standardized groups. Poor sleep quality was defined using the global cutoff point (> 5 points) of the Pittsburg Sleep Quality Index. Multiple logistic regression analyses were performed to identify the association between sedentary time (≤ 3.9, 4.0–5.9, 6.0–7.9, and ≥ 8 hours /day) and sleep quality, by sex. Results Of the 224,118 participants, 35,784/100,454 men (35.6%) and 58,271/123,664 women (47.1%) had poor sleep quality. Compared with ≤ 3.9 h/day, sedentary times 4.0–5.9, 6.0–7.9, and ≥ 8 h/day were associated with worse sleep quality among men (odds ratio [OR]: 1.12, 95% confidence interval [CI]: 1.08–1.16; OR: 1.19, 95% CI: 1.14–1.25; OR: 1.30, 95% CI: 1.25–1.34, respectively) and women (OR: 1.06, 95% CI: 1.03–1.10; OR: 1.12, 95% CI: 1.08–1.16; OR: 1.22, 95% CI: 1.18–1.26, respectively). In subgroup analyses of sleep quality, subjective sleep quality, latency, disturbance, use of sleeping medication, and daytime dysfunction showed a strong dose-response relationship with increasing sedentary time in both sexes. Conclusions Regardless of sex, the longer the sedentary time, the stronger the association with poor sleep quality. Nationwide efforts are required to recommend standards for sedentary time and develop evidenced-based healthy behavior guidelines.

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Association between smartphone addiction proneness and poor sleep quality in korean university students

European Psychiatry ◽

10.1016/j.eurpsy.2017.02.276 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S332-S332 ◽

Cited By ~ 2

Author(s):

K.B. Min ◽

M. Jin-young ◽

K. Hyun-Jin ◽

K. Hye-Jin

Keyword(s):

University Students ◽

Sleep Quality ◽

Online Survey ◽

Sleep Problems ◽

Well Being ◽

Smartphone Addiction ◽

Poor Sleep ◽

User Group ◽

Sleep Habits ◽

Poor Sleep Quality

BackgroundThe number of Korean smartphone users exceeded 40 million in 2015, in which roughly 1 in 5 university students were expected to be addicted to their smartphone. Of importance is that smartphone addiction negatively affects physical and mental well-being and health. Sleep problems associated with smartphone is also a serious public concern; but the evidence is lacking. The aim of this study is to investigate the association between smartphone addiction proneness and sleep problems in Korean university students.MethodsWe conducted an online-survey which received responses from 608 university students. All participants completed questionnaires on the Korean smartphone addiction scale (K-SAS), the Pittsburgh Sleep Quality Index (PSQI), and personal characteristics. Based on the scores of the K-SAS, university students were classified into two groups–the addiction proneness group and the normal-user group.ResultsThe addiction proneness groups had a higher PSQI score than the normal-user group (7.5 vs. 6.7, P-value < 0.0001). After adjustment for potential covariates (i.e., age, income, and smoking), PSQI scores was significantly increased in the addiction proneness groups (Beta coefficient = 0.69; 95% CI : 0.29 ∼ 1.09). The risk of sleep problems was more increased in the addiction proneness groups (odds ratio = 1.99; 95% CI: 1.33 ∼ 2.98) than the normal-user groups.ConclusionWe found that the smartphone addiction proneness was associated with sleep problems in university students. Although our findings are further confirmed by elucidating causal relationships between smartphone uses and sleep habits, smartphone addiction proneness may be a risk factor for poor sleep quality.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Sleep quality among medical students

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.2216 ◽

2016 ◽

Vol 33 (S1) ◽

pp. S594-S594

Author(s):

I. Gassara ◽

R. Ennaoui ◽

N. Halwani ◽

M. Turki ◽

J. Aloulou ◽

...

Keyword(s):

Medical Students ◽

Alcohol Consumption ◽

Sleep Quality ◽

Sleep Problems ◽

Population Group ◽

Average Score ◽

Poor Sleep ◽

Sleep Habits ◽

Poor Sleep Quality

IntroductionCollege students seem to be a population group that is increasingly recognized to be at risk of having sleep difficulties. Some studies revealed that medical students, in particular, are believed to be more stressed and sleep deprived than their non-medical peers.AimThe present work aimed at investigating the quality of sleep among medical students at the University College of Medicine in Sfax, Tunisia.MethodsThe study consisted of an anonymous, voluntary survey for a sample of 74 students. A two-part questionnaire was used, including demographic criteria and the Pittsburgh Sleep Quality Index (PSQI), a self-rated instrument that measures sleep habits for a month (a total score of 5 or greater is indicative of poor sleep quality).ResultsThe average age was 24 years (range 19–33) with a sex ratio almost equal to 1. In 47.3% of cases, students were married. These latter had at least one child in 34.2% of cases. A total of 39.4% of the students reported being smokers, while 25.6% of them admitted having regular alcohol consumption.Poor sleep quality was reported by 63.5% of students with a PSQI average score of 9.32 ± 3.64.The most correlated factors with poor sleep quality were parenthood (P = 0.031), alcohol consumption (P = 0.004) and stressful studies (P = 0.02).ConclusionPoor sleep quality was pervasive among surveyed medical students and this seemed to be in relationship with some factors. This study points to the need for further evaluation of medical students’ sleep problems in order to improve their performance and their quality of life as well.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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Gambling Problems Are Associated with Alcohol Misuse and Insomnia: Results from a Representative National Telephone Survey

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18136683 ◽

2021 ◽

Vol 18 (13) ◽

pp. 6683

Author(s):

Hannah Briony Thorne ◽

Matthew Justus Rockloff ◽

Sally Anne Ferguson ◽

Grace Elizabeth Vincent ◽

Matthew Browne

Keyword(s):

At Risk ◽

Alcohol Consumption ◽

Sleep Quality ◽

Problem Gambling ◽

Alcohol Misuse ◽

Sleep Problems ◽

Online Gambling ◽

Poor Sleep ◽

Gambling Problems ◽

Poor Sleep Quality

Gambling has significant costs to the community, with a health burden similar in scale to major depression. To reduce its impact, it is necessary to understand factors that may exacerbate harm from gambling. The gambling environment of late-night licensed venues and 24/7 online gambling has the potential to negatively impact sleep and increase alcohol consumption. This study explored gambling, alcohol, and sleep problems to understand whether there is a relationship between these three factors. Telephone interviews were conducted with a representative sample of Australian adults (n = 3760) combined across three waves of the National Social Survey. Participants completed screening measures for at-risk gambling, at-risk alcohol consumption, insomnia (2015 wave only), and sleep quality. There were small but significant positive correlations between problem gambling and alcohol misuse, problem gambling and insomnia, and problem gambling and poor sleep quality. A regression model showed that gambling problems and alcohol misuse were significant independent predictors of insomnia. A separate regression showed gambling problems (and not alcohol misuse) were a significant predictor of poor sleep quality, but only in one survey wave. Findings suggest that gambling, alcohol, and sleep problems are related within persons. Further research should examine the mechanisms through which this relationship exists.

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Left superior temporal sulcus morphometry mediates the impact of anxiety and depressive symptoms on sleep quality in healthy adults

Social Cognitive and Affective Neuroscience ◽

10.1093/scan/nsab012 ◽

2021 ◽

Author(s):

Yanlin Wang ◽

Ping Jiang ◽

Shi Tang ◽

Lu Lu ◽

Xuan Bu ◽

...

Keyword(s):

Depressive Symptoms ◽

Sleep Quality ◽

Sleep Problems ◽

Superior Temporal Sulcus ◽

Healthy Adults ◽

Poor Sleep ◽

Emotional Symptoms ◽

Neural Basis ◽

Poor Sleep Quality ◽

The Impact

Abstract Anxiety and depressive symptoms may predispose individuals to sleep disturbance. Understanding how these emotional symptoms affect sleep quality, especially the underlying neural basis, could support the development of effective treatment. The aims of the present study were therefore to investigate potential changes in brain morphometry associated with poor sleep quality and whether this structure played a mediating role between the emotional symptoms and sleep quality. One hundred and forty-one healthy adults (69 women, mean age = 26.06 years, SD = 6.36 years) were recruited. A structural magnetic resonance imaging investigation was performed, and self-reported measures of anxiety, depressive symptoms and sleep quality were obtained for each participant. Whole-brain regression analysis revealed that worse sleep quality was associated with thinner cortex in left superior temporal sulcus (STS). Furthermore, the thickness of left STS mediated the association between the emotional symptoms and sleep quality. A subsequent commonality analysis showed that physiological component of the depressive symptoms had the greatest influence on sleep quality. In conclusion, thinner cortex in left STS may represent a neural substrate for the association between anxiety and depressive symptoms and poor sleep quality and may thus serve as a potential target for neuromodulatory treatment of sleep problems.

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Association between depression and sleep quality in patients with systemic lupus erythematosus: a systematic review and meta-analysis

Sleep And Breathing ◽

10.1007/s11325-021-02405-0 ◽

2021 ◽

Author(s):

Rulan Yin ◽

Lin Li ◽

Lan Xu ◽

Wenjie Sui ◽

Mei’e Niu ◽

...

Keyword(s):

Systemic Lupus Erythematosus ◽

Sleep Quality ◽

Lupus Erythematosus ◽

Sleep Disturbances ◽

Cochrane Library ◽

Poor Sleep ◽

Moderate Correlation ◽

Systemic Lupus ◽

Poor Sleep Quality ◽

Subjective Sleep Quality

Abstract Background Currently, there is no consistent understanding of the relationship between depression and sleep quality in patients with systemic lupus erythematosus (SLE). This study aimed to explore the correlation between depression and sleep quality in SLE patients. Methods Five English (PubMed, Web of Science, EMBASE, Cochrane Library, and CINAHL) databases were systematically searched from inception to January 12, 2021. Two authors independently screened publications and extracted data according to set inclusion and exclusion criteria. Statistical analyses were performed with STATA 16.0. Data were pooled using a random-effects model. Results A total of 9 identified studies matched the inclusion criteria, reporting on 514 patients with SLE in the analysis. A moderate correlation of depression with sleep quality was found (pooled r = 0.580 [0.473, 0.670]). Compared to good sleepers, patients with SLE and poor sleep quality had higher levels of depression (standardized mean difference = − 1.28 [− 1.87, − 0.69]). Depression was associated with subjective sleep quality (r = 0.332 [0.009, 0.592]), sleep latency (r = 0.412 [0.101, 0.649]), sleep disturbances (r = 0.405 [0.094, 0.645]), daytime dysfunction (r = 0.503 [0.214, 0.711]), the four dimensions of Pittsburgh Sleep Quality Index (PSQI), while no significant correlation was found in the other three PSQI dimensions. Conclusion Depression had a moderate correlation with sleep quality in patients with SLE. Patients with poor sleep quality tended to have higher level of depression than that of good sleepers. Awareness of the correlation may help rheumatology physicians and nurses to assess and prevent depression and improve sleep quality in patients with SLE.

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The effect of long-term poor sleep quality on risk of back-related disability and the modifying role of physical activity

Scientific Reports ◽

10.1038/s41598-021-94845-7 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Eivind Schjelderup Skarpsno ◽

Tom Ivar Lund Nilsen ◽

Paul Jarle Mork

Keyword(s):

Physical Activity ◽

Back Pain ◽

Sleep Quality ◽

Sleep Problems ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Physical Activity Guidelines ◽

Adjusted Risk ◽

Increased Risk

AbstractSleep problems and regular leisure time physical activity (LTPA) are interrelated and have contrasting effects on risk of back pain. However, no studies have investigated the influence of long-term poor sleep quality on risk of back-related disability, or if LTPA modifies this association. The study comprised data on 8601 people who participated in three consecutive surveys over ~ 22 years, and who reported no chronic back pain at the two first surveys. Adjusted risk ratios (RRs) for back-related disability were calculated at the last survey, associated with the joint effect of changes in sleep quality between the two first surveys and meeting physical activity guidelines at the second survey. Compared to people with long-term good sleep, people with long-term poor sleep had nearly twice the risk of back-related disability (RR 1.92, 95% CI 1.48–2.49). There was no statistical interaction between sleep and LTPA but people who reported long-term poor sleep and meeting the physical activity guidelines had 35% lower risk of back-related disability compared to people with same level of sleep problems, but who not met the guidelines. These findings suggest that long-term poor sleep quality contributes to a substantially increased risk of chronic and disabling back pain irrespective of LTPA.

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Differential Diagnosis of Sluggish Cognitive Tempo Symptoms in College Students

Journal of Attention Disorders ◽

10.1177/1087054719896856 ◽

2020 ◽

pp. 108705471989685

Author(s):

Benjamin J. Lovett ◽

Whitney L. M. Wood ◽

Lawrence J. Lewandowski

Keyword(s):

College Students ◽

Sleep Quality ◽

Substance Misuse ◽

Sleep Problems ◽

Sluggish Cognitive Tempo ◽

Poor Sleep ◽

Depression And Anxiety ◽

Poor Sleep Quality ◽

Clinically Significant ◽

Cognitive Tempo

Objective: Sluggish cognitive tempo (SCT) refers to a set of symptoms that prior research has found to be related to several different psychological disorders, especially the predominantly inattentive presentation of ADHD. This study collected evidence relevant to the question of whether SCT is a distinct disorder. Method: College students ( N = 910) completed measures of SCT, ADHD, depression, anxiety, sleep quality, and substance misuse. Results: Students reporting clinically high SCT (reporting at least five symptoms often or very often) had significantly higher levels and rates of other types of psychopathology. Moreover, when students reporting clinically significant levels of ADHD, depression, and anxiety symptoms, poor sleep quality, or hazardous levels of alcohol or cannabis use were removed, very few students reporting high SCT remained (only 4.8% of the original high-SCT group). Conclusion: SCT may be best thought of as a symptom set common to many types of psychopathology, and it may be caused by sleep problems or substance misuse as well.

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The relationship between sleep hygiene and sleep quality among residents of an elderly care institution in DKI Jakarta

UI Proceedings on Health and Medicine ◽

10.7454/uiphm.v4i1.258 ◽

2020 ◽

Vol 4 (1) ◽

Author(s):

Mutia Annisa ◽

Dwi Nurviyandari Kusuma Wati

Keyword(s):

Sleep Quality ◽

Sleep Problems ◽

Elderly Care ◽

Sleep Hygiene ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Cross Sectional ◽

Cross Sectional Design ◽

The Relationship ◽

Purposive Sample

Objective: Elderly are at risk of poor slepp quality and other health problems due to reduced sleep satisfaction. The objective of this study was to explore the association between sleep hygiene and sleep quality in elderly.Methods: This was a descriptive study with cross sectional design. The study was conducted in four elderly care institutions in Jakarta, Indonesia, involving a purposive sample of 103 elderly aged 60 to 111 years old. Data were collected using Sleep Hygiene Index (SHI) and Pittsburgh Sleep Quality Index (PSQI).Results: Over half of the residents had poor sleep hygiene (51.5%) and more than three quarter (81.6%) had poor sleep quality. The study revealed that there was a highly significant relationship between sleep hygiene and sleep quality (p = 0.001). The study also showed that those with poor sleep hygiene were 7.834 times more likely to have poor sleep quality.Conclusion: Nurses need to include interventions that may address residents’ sleep problems. They also need to promote sleep hygiene and improve residents’ sleep quality.Keywords: elderly, institution, sleep hygiene, sleep quality

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Sleep Quality and Fatigue Are Associated with Pain Exacerbations of Hip Osteoarthritis: An Internet-based Case-crossover Study

The Journal of Rheumatology ◽

10.3899/jrheum.181406 ◽

2019 ◽

Vol 46 (11) ◽

pp. 1524-1530 ◽

Cited By ~ 8

Author(s):

Kai Fu ◽

Joanna Makovey ◽

Ben Metcalf ◽

Kim L. Bennell ◽

Yuqing Zhang ◽

...

Keyword(s):

Sleep Quality ◽

Sleep Duration ◽

Rating Scale ◽

Multivariable Analysis ◽

Hip Osteoarthritis ◽

Hip Pain ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Short Sleep Duration ◽

Subjective Sleep Quality

Objective.To evaluate the association of sleep quality, sleep duration, and fatigue with hip pain exacerbations in persons with symptomatic hip osteoarthritis (OA).Methods.Participants (n = 252) were followed for 90 days and asked to complete online questionnaires at 10-day intervals (control periods). A hip pain exacerbation (case periods) was defined as an increase of 2 points in pain intensity compared with baseline on a numeric rating scale (0–10). Subjective sleep quality and sleep duration were assessed using the Pittsburgh Sleep Quality Index, and fatigue was measured by Multidimensional Assessment of Fatigue in both periods. Univariable and multivariable conditional logistic regressions were used to assess the association.Results.Of the 252 participants, 130 (52%) were included in the final analysis. Univariate association analysis showed that both poor sleep quality and greater fatigue were associated with increased odds of pain exacerbations (OR 1.72, 95% CI 1.04–2.86; OR 1.92, 95% CI 1.21–3.05, respectively). Short sleep duration was not associated with pain exacerbations. Poor sleep quality and greater fatigue remained associated with pain exacerbations after adjustment for physical activity and night pain levels in multivariable analysis. There was no significant interaction between sleep quality and fatigue (p = 0.21).Conclusion.Poor sleep quality and greater fatigue were related to pain exacerbation in persons with symptomatic hip OA. Sleep disorders and fatigue should be considered when dealing with pain exacerbations.

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