Evaluation of Anxiety Levels and Sleep Quality of Family Members Providing Home Care Services: A Case-Control Study

Abstract Background Fibromyalgia is a chronic pain disorder characterized by widespread musculoskeletal symptoms, primarily attributed to sensitization of somatosensory system carrying pain. Few reports have investigated the impact of fibromyalgia symptoms on cognition, corticomotor excitability, sleepiness, and the sleep quality — all of which can deteriorate the quality of life in fibromyalgia. However, the existing reports are underpowered and have conflicting directions of findings, limiting their generalizability. Therefore, the present study was designed to compare measures of cognition, corticomotor excitability, sleepiness, and sleep quality using standardized instruments in the recruited patients of fibromyalgia with pain-free controls. Methods Diagnosed cases of fibromyalgia were recruited from the Rheumatology department for the cross-sectional, case-control study. Cognition (Mini-Mental State Examination, Stroop color-word task), corticomotor excitability (Resting motor threshold, Motor evoked potential amplitude), daytime sleepiness (Epworth sleepiness scale), and sleep quality (Pittsburgh sleep quality index) were studied according to the standard procedure. Results Thirty-four patients of fibromyalgia and 30 pain-free controls were recruited for the study. Patients of fibromyalgia showed decreased cognitive scores (p = 0.05), lowered accuracy in Stroop color-word task (for color: 0.02, for word: 0.01), and prolonged reaction time (< 0.01, < 0.01). Excessive daytime sleepiness in patients were found (< 0.01) and worsened sleep quality (< 0.01) were found. Parameters of corticomotor excitability were comparable between patients of fibromyalgia and pain-free controls. Conclusions Patients of fibromyalgia made more errors, had significantly increased reaction time for cognitive tasks, marked daytime sleepiness, and impaired quality of sleep. Future treatment strategies may include cognitive deficits and sleep disturbances as an integral part of fibromyalgia management.

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Subjective sleep disorders and daytime sleepiness in patients with restrictive type anorexia nervosa and effects on quality of life: a case-control study.

10.21203/rs.3.rs-167173/v1 ◽

2021 ◽

Author(s):

Andrea Romigi ◽

Nicola B. Mercuri ◽

Marco Caccamo ◽

Federica Testa ◽

Giuseppe Vitrani ◽

...

Keyword(s):

Quality Of Life ◽

Anorexia Nervosa ◽

Sleep Quality ◽

Sleep Disorders ◽

Daytime Sleepiness ◽

Case Control Study ◽

Case Control ◽

Physical Role ◽

Control Study

Abstract Purpose To evaluate sleep disorders and daytime drowsiness in a cohort of patients affected by anorexia nervosa (AN) and their impact on health-related quality of life (HRQoL). Method We evaluated AN patients and healthy controls (C) by the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale, Beck Depression Index. We also utilized the Short-Form Health Survey (SF-36) questionnaire to assess HRQoL in both AN and C. Results: Twenty-eight out of 34 AN patients (82.3%) had a pathological PSQI score while 10/34 (29.4%) healthy subjects (p<0.0001). The overall PSQI score was significantly higher in AN than in the controls (p=0.0004). The components sleep quality (p=0.008), sleep duration (p=0.03), sleep efficiency (p=0.004), sleep disturbances (p=0.01) and daytime dysfunction (p=0.002) were higher than C. SF36 showed significantly reduced scores of standardized physical components (p=0.01) and standardized mental components (p<0.0001) in AN, while physical function (p=0.0001), physical role (p=0.0005) and general health (p<0.0001), vitality (p=0.001), social functioning (p=0.0006) emotional role (p=0.002) and mental health (p<0.0001) were significantly decreased in AN. We found a significant correlation between the PSQI score and the physical role (r=-0.35, p=0.03) and education (r=0.38, p=0.02).Conclusion We demonstrated low sleep quality lacking subjective daytime sleepiness in AN. Sleep quality correlated significantly with HRQoL (physical role) and level of education. Level of evidence: level III case-control study

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High Degree of Satisfaction With the Support Given by Multidisciplinary Palliative Home Care Teams in the County of Stockholm

Journal of Palliative Care ◽

10.1177/0825859718759880 ◽

2018 ◽

Vol 33 (2) ◽

pp. 109-114 ◽

Cited By ~ 2

Author(s):

Marie Nordström ◽

Peter Strang

Keyword(s):

Home Care ◽

Care Service ◽

Symptom Control ◽

Family Members ◽

Home Care Services ◽

County Council ◽

Shared Responsibility ◽

Palliative Home Care ◽

Care Services

Objective: At the initiative of Stockholm County Council, a survey was performed by an independent investigator to evaluate satisfaction among patients and their families with the advanced palliative home care teams in the county of Stockholm. The survey was performed in 2010 and compiled in 2011. The aim was to evaluate the impressions of patients and their families of the support given by the palliative home care teams in the Stockholm area and to evaluate the management of symptom control, availability, continuity, confidence, and quality of communication. Methods: A questionnaire was sent to 1424 patients and 329 family members to evaluate the views of the users of the home care service. Results: The response rate was 78% among both patients and their families or other caregivers. The proportion of positive and very positive responses among those who needed the specific help of the team was as follows: information about the service 86%, availability around the clock 96%, influence and feeling of shared responsibility 88%, and possibility of family members to have supportive discussions 95%. Eighty-three percent of patients experienced total pain relief and 99% total or partial relief. The corresponding figures for anxiety were 77% and 97% and for other symptom reliefs 79% and 98%, respectively. These figures were comparable to a smaller survey in 2014 and were high compared to the results from other medical services using similar questionnaires. Significance of the Results: A high quality of care is possible to achieve within palliative home care services.

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