Subjective sleep complaints indicate objective sleep problems in psychosomatic patients: a prospective polysomnographic study

Introduction: A patient with compromised respiratory system due to some diseases, may have disturbed sleep to a great extent. It has been proved in various community based epidemiologic studies. Though most of such studies available had concentrated on single respiratory disease like COPD or Asthma in the community. But such studies are hardly available for patients attending a respiratory clinic, where all respiratory ailments were evaluated with concurrent sleep problems. The present study is one such. Methods: Total 163 patients were screened and among them 100 were selected as the study group. The patients were enquired with a standard questionnaire provided to them. In addition, they were given seperate questionnaire as STOP BANG, Insomnia Severity Index Score, RLS questionnaire . Those persons with STOP BANG > 5, were also advised for a Polysomnography (PSG) , if not already done. Descriptive statistical analysis has been carried out in the present study. Results: The present study is a cross-sectional depiction of relationships between various respiratory diseases and sleep problems. As per this study, most patients were asthmatic and commonest sleep problem was OSA. A subgroup analysis was done to determine the significance of difference of various parameters between the three groups of asthmatic patients, patients having COPD and the 'Other' group. Discussion: Subjective sleep problems were significantly more in Asthma group than COPD group (p<0.0362). The mean STOP BANG was more in COPD group than the Asthma group (p<0.0301). Though OSA was the commonest sleep problem between the three groups, but the prevalence was not statistically significant between them. More patients in the COPD group had insomnia, but it was not statistically significantly more than in Asthma group. Sleeping pill use was significantly more in COPD group than the Asthma group (p<0.0039). Conclusion: Sleep problems are common in patients with respiratory diseases and OSA is the most common problem according to the present study. Asthma patients had more subjective sleep problems. Sleeping pill use is more common in COPD patients instead of having less subjective sleep complaints than asthma patients.

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Relationship between Perceived Sleep Problems and Thalamic Size in Patients with Chronic Fatigue Syndrome Compared to Non-Fatigued Controls: A Preliminary Study

Clinical Medicine Insights Psychiatry ◽

10.4137/cmpsy.s704 ◽

2008 ◽

Vol 1 ◽

pp. CMPsy.S704

Author(s):

Stefan Begré ◽

Tobias Lütgert ◽

Luca Remonda ◽

Roland Wiest ◽

Claus Kiefer ◽

...

Keyword(s):

Chronic Fatigue Syndrome ◽

Sleep Problems ◽

Chronic Fatigue ◽

Unknown Etiology ◽

Subjective Sleep Quality ◽

Sleep Complaints ◽

Subjective Sleep ◽

Fatigue Syndrome ◽

Post Hoc

Chronic fatigue syndrome (CFS) is characterized by disabling fatigue of unknown etiology. The thalamus is a key subcortical structure in sleep disorders and certain cognitive functions previously shown to be impaired in CFS patients. We investigated the association between subjective sleep quality and thalamic size in CFS. Twelve right-handed CFS patients and 12 age-, gender-, and handedness-matched healthy controls completed the Jenkins Sleep Questionnaire in order to assess subjective sleep problems. Thalamic size was determined by MR-based volumetry. More sleep problems correlated with greater total thalamic volume in patients (rP = 0.62, 95% CI 0.07–0.88, p = 0.032) but not in controls (rP = −0.034, p = 0.30). In post hoc analysis, more sleep problems correlated with right thalamic size in patients (rP = 0.70, 95% CI 0.21–0.91, p = 0.012) but not in controls (rP = −0.080, p = 0.81). Our preliminary results provide a basis for further studies on a possible role of the thalamus in sleep complaints and fatigue of patients with CFS.

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Subjective Sleep Problems and Cognitive Functioning in Nondemented Older Adults

PsycEXTRA Dataset ◽

10.1037/e532132007-001 ◽

2006 ◽

Author(s):

Timothy J. Schmutte ◽

Shelby Harris ◽

Ross Levin ◽

Richard Zweig ◽

Mindy Katz ◽

...

Keyword(s):

Older Adults ◽

Cognitive Functioning ◽

Sleep Problems ◽

Subjective Sleep

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352 Feasibility of Hypnosis as Adjunctive Treatment for Subjective Sleep Disturbance: A Pilot Study and Proof of Concept

SLEEP ◽

10.1093/sleep/zsab072.351 ◽

2021 ◽

Vol 44 (Supplement_2) ◽

pp. A140-A141

Author(s):

Emma Zhao ◽

Afik Faerman ◽

David Spiegel

Keyword(s):

Sleep Quality ◽

Sleep Disturbances ◽

Positive Impact ◽

Self Report ◽

Adjunctive Treatment ◽

Current Evidence ◽

Data Set ◽

Sleep Complaints ◽

Subjective Sleep ◽

Before And After

Abstract Introduction Hypnosis-based interventions have been shown to have a positive impact on several dimensions of sleep health. However, current evidence is limited as only a paucity of studies included populations with sleep complaints. Here we present a pilot data set to demonstrate the feasibility of developing a hypnosis-based adjunctive treatment for subjective sleep complaints. Methods Eleven adults (42% female; mean age 45±16.87 years) who sought treatment at the Stanford Sleep Medicine Center or Center for Integrative Medicine for subjective sleep complaints received hypnosis as adjunctive treatment. Self-report questionnaires were used to assess the weekly frequency of subjective sleep disturbances experienced before and after treatment, as well as 5-point Likert scale ratings of perceived qualitative improvement in symptom severity and overall sleep quality. Results Five participants (45%) reported a reduction in symptom frequency and severity after hypnosis treatment. All five participants attributed at least some of the improvement to hypnosis treatment. Most participants (63%) observed post-treatment improvements in their overall sleep quality. No participants reported adverse effects of hypnosis. Conclusion Results suggest hypnosis-based adjunctive treatment may be effective for alleviating subjective sleep disturbances. The findings serve as preliminary support for further randomly controlled trials in larger samples. Support (if any):

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The Functional Impact of Sleep Disorders in Children With ADHD

Journal of Attention Disorders ◽

10.1177/1087054716685840 ◽

2017 ◽

Vol 24 (4) ◽

pp. 499-508 ◽

Cited By ~ 8

Author(s):

Stephanie G. Craig ◽

Margaret D. Weiss ◽

Kristen L. Hudec ◽

Christopher Gibbins

Keyword(s):

Sleep Disorders ◽

Functional Impairment ◽

Rating Scale ◽

Sleep Problems ◽

Parent Report ◽

Adhd Symptoms ◽

Children With Adhd ◽

Sleep Complaints ◽

Sleep Schedule

Objective: Children with ADHD display higher rates of sleep problems, and both sleep disorders and ADHD have been shown to affect functioning in childhood. The current study examines the frequency and relationship between sleep problems and ADHD, and their impact on quality of life (QoL) and functional impairment. Method: Parents of 192 children with ADHD ( M = 10.23 years) completed measures regarding their child’s ADHD symptoms (Swanson, Nolan and Pelham [SNAP]), sleep disorders (Pediatric Sleep Questionnaire [PSQ]), QoL (Child Health Illness Profile [CHIP-PE]), and functioning (Weiss Functional Impairment Rating Scale–Parent Report [WFIRS-P]). Results: Common sleep complaints in participants were insomnia, excessive daytime sleepiness (EDS), and variability in sleep schedule. Regression analysis indicated that sleep problems and ADHD symptoms independently predicted lower levels of QoL (Δ R2 = .12, p < .001) and social functioning (Δ R2 = .12, p < .001). Conclusion: The results suggest that ADHD may coexist with somnolence and that both conditions have a significant impact on a child’s functioning and QoL.

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Perceived Partner Responsiveness Predicts Better Sleep Quality Through Lower Anxiety

Social Psychological and Personality Science ◽

10.1177/1948550616662128 ◽

2016 ◽

Vol 8 (1) ◽

pp. 83-92 ◽

Cited By ~ 26

Author(s):

Emre Selcuk ◽

Sarah C. E. Stanton ◽

Richard B. Slatcher ◽

Anthony D. Ong

Keyword(s):

Sleep Quality ◽

Sleep Problems ◽

Sleep Efficiency ◽

Anxiety And Depression ◽

Depression Symptoms ◽

Sleep Study ◽

Sleep Behavior ◽

Subjective Sleep ◽

Perceived Partner Responsiveness ◽

Partner Responsiveness

The present study investigated whether perceived partner responsiveness—the extent to which individuals feel cared for, understood, and validated by their partner—predicted subjective sleep problems and objective (actigraph-based) sleep efficiency through lower anxiety and depression symptoms. A life span sample of 698 married or cohabiting adults (35–86 years old) completed measures of perceived partner responsiveness and subjective sleep problems. A subset of the sample ( N = 219) completed a weeklong sleep study where actigraph-based measures of sleep efficiency were obtained. Perceived partner responsiveness predicted lower self-reported global sleep problems through lower anxiety and depression and greater actigraph-assessed sleep efficiency through lower anxiety. All indirect associations held after controlling for emotional support provision to the partner, agreeableness, and demographic and health covariates known to affect sleep quality. These findings are among the first to demonstrate how perceived partner responsiveness, a core aspect of romantic relationships, is linked to sleep behavior.

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Mobile App Use for Insomnia Self-Management in Urban Community-Dwelling Older Korean Adults: Retrospective Intervention Study (Preprint)

10.2196/preprints.17755 ◽

2020 ◽

Author(s):

Kyungmi Chung ◽

Seoyoung Kim ◽

Eun Lee ◽

Jin Young Park

Keyword(s):

Older Adults ◽

Sleep Quality ◽

Sleep Problems ◽

Mobile App ◽

Community Dwelling ◽

Intervention Period ◽

Post Intervention ◽

Subjective Sleep Quality ◽

Subjective Sleep ◽

Self Help

BACKGROUND As an evidence-based psychotherapy for treating insomnia, cognitive behavioral therapy for insomnia (CBT-I), which helps people with sleep problems to change their unhelpful sleep-related beliefs and habits, has been well-established in older adults. Recently, the utilization of mobile CBT-I apps has been getting attention from mental health professionals and researchers; however, whether mobile CBT-I apps are usable among older users has yet to be determined. OBJECTIVE The aims of this study were to explore the relationships between subjective sleep quality and subjective memory complaints and depressive symptoms; to explore the relationship between perceived difficulty in mobile app use and usability of the mobile phone–based self-help CBT-I app, named MIND MORE, in urban community-dwelling Korean older adults; to compare changes in subjective sleep quality from pre-intervention to post-intervention, during which they used the mobile app over a 1-week intervention period; and evaluate adherence to the app. METHODS During the 2-hour training program delivered on 1 day titled “Overcoming insomnia without medication: How to use the ‘MIND MORE’ mobile app for systematic self-management of insomnia” (pre-intervention), 41 attendants were asked to gain hands-on experience with the app facilitated by therapists and volunteer workers. They were then asked to complete questionnaires on sociodemographic characteristics, subjective evaluation of mental health status (ie, depression, memory loss and impairment, and sleep problems), and app usability. For the 1-week home-based self-help CBT-I using the app (post-intervention), 9 of the 41 program attendants, who had already signed up for the pre-intervention, were guided to complete the given questionnaires on subjective evaluation of sleep quality after the 1-week intervention, specifically 8 days after the training program ended. RESULTS Due to missing data, 40 of 41 attendants were included in the data analysis. The main findings of this study were as follows. First, poor subjective sleep quality was associated with higher ratings of depressive symptoms (40/40; ρ=.60, P<.001) and memory complaints (40/40; ρ=.46, P=.003) at baseline. Second, significant improvements in subjective sleep quality from pre-intervention to post-intervention were observed in the older adults who used the MIND MORE app only for the 1-week intervention period (9/9; t8=3.74, P=.006). Third, apart from the program attendants who did not have a smartphone (2/40) or withdrew from their MIND MORE membership (3/40), those who attended the 1-day sleep education program adhered to the app from at least 2 weeks (13/35, 37%) to 8 weeks (2/35, 6%) without any further contact. CONCLUSIONS This study provides empirical evidence that the newly developed MIND MORE app not only is usable among older users but also could improve subjective sleep quality after a 1-week self-help intervention period.

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1110 Characteristics Of Untreated Sleep Disturbance During Intensive Outpatient Treatment For Substance Use Disorders: Preliminary Results From A Longitudinal Study

SLEEP ◽

10.1093/sleep/zsaa056.1105 ◽

2020 ◽

Vol 43 (Supplement_1) ◽

pp. A422-A422

Author(s):

A K Wilkerson ◽

D J Taylor ◽

G L Sahlem ◽

R O Simmons ◽

A Russell ◽

...

Keyword(s):

Substance Use ◽

Sleep Disturbance ◽

Substance Use Disorders ◽

Sleep Problems ◽

Post Treatment ◽

Sleep Efficiency ◽

Poor Sleep ◽

Sleep Complaints ◽

Sleep Diaries ◽

Intensive Outpatient

Abstract Introduction Previous studies have shown that sleep problems are commonly reported during treatment for substance use disorders (SUDs) and sleep complaints have been linked to subsequent relapse. However, most of these findings were in well-controlled clinical trials and may not generalize to the public. Little is known about the natural progression of sleep complaints during treatment in community clinics, the most common treatment approach for SUDs. The aim of this study is to longitudinally assess prevalence of clinically significant sleep disturbance at baseline and post-treatment in a community-based intensive outpatient (IOP) SUD treatment program using a multi-method approach with well-validated measures of sleep. Methods Adults beginning IOP SUD treatment completed the Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Nightmare Disorder index (NDI), and one week of actigraphy and sleep diaries. Measures were repeated following treatment (approximately 5 weeks later). Results Preliminary analyses on 21 adults who have been enrolled thus far revealed 85.6% of participants experienced sleep disturbance (PSQI > 5) at baseline. 28.5% of participants reached cutoff for moderate-to-severe insomnia symptoms (ISI > 15) and 42.9% reported nightmares more than once per week. Sleep parameters taken from actigraphy and sleep diaries revealed mean sleep efficiency was 77.5% (TST M = 6.2 hours; TIB M = 7.9 hours). These variables did not improve from baseline to post-treatment. Further, most measures indicated a worsening of sleep, though this did not reach significance (all ps > .05). Conclusion This preliminary data show a high prevalence of self-reported sleep complaints and objectively measured poor sleep efficiency that do not improve over the course of treatment. Data collection is ongoing and expected to at least double. More robust analyses, including differences between SUD type (e.g., cannabis vs. opioid) and relationship to relapse at post-treatment, will then be completed. Support K12DA031794

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