scholarly journals Differences in Sleep Disorders between HIV-Infected Persons and Matched Controls with Sleep Problems: A Matched-Cohort Study Based on Laboratory and Survey Data

2021 ◽  
Vol 10 (21) ◽  
pp. 5206
Author(s):  
Yen-Chin Chen ◽  
Chang-Chun Chen ◽  
Patrick J. Strollo ◽  
Chung-Yi Li ◽  
Wen-Chien Ko ◽  
...  

Objectives: Sleep disturbances are prevalent problems among human immunodeficiency virus (HIV)-infected persons. The recognition of comorbid sleep disorders in patients with HIV is currently hampered by limited knowledge of sleep-related symptoms, sleep architecture, and types of sleep disorders in this population. We aimed to compare the differences in sleep-related symptoms and polysomnography-based sleep disorders between HIV-infected persons and controls. Methods: The study evaluated 170 men with a Pittsburgh sleep quality index scores greater than 5, including 44 HIV-infected men and 126 male controls who were frequency-matched by sex, age (±3.0 years) and BMI (±3.0 kg/m2). For all participants, an overnight sleep study using a Somte V1 monitor was conducted. Differences in sleep-related symptoms and sleep disorders between HIV-infected patients and controls were examined using t-tests or chi-square tests. Results: HIV-infected persons with sleep disturbances more often had psychological disturbances (72.7% vs. 40.5%, p < 0.001) and suspected rapid eye movement behavior disorder (25.0% vs. 4.8%, p < 0.01) than controls. Sleep-disordered breathing was less common in HIV-infected persons than in controls (56.8% vs. 87.3%, p < 0.001). The mean percentage of rapid eye movement sleep was higher among HIV-infected patients than among controls (20.6% vs. 16.6%, p < 0.001). Nocturia was more common in HIV-infected persons than in controls (40.9% vs. 22.2%, p = 0.02). Conclusions: Psychological disturbances and sleep-disordered breathing can be possible explanations of sleep disturbances in HIV-infected persons in whom sleep-disordered breathing is notable. Further studies are warranted to examine the underlying factors of rapid eye movement behavior disorder among HIV-infected persons with sleep disturbances.

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A390-A390
Author(s):  
Y Chen ◽  
C Chen ◽  
P J Strollo ◽  
C Li ◽  
W Ko ◽  
...  

Abstract Introduction Sleep disturbance is a prevalent problem among HIV-infected persons. The recognition of comorbid sleep disorders in patients with HIV is currently hampered by limited knowledge of sleep-related symptoms, sleep architecture, and types of sleep disorders. We aimed to compare the differences in sleep-related symptoms and polysomnography-based sleep disorders between HIV-infected persons and controls. Methods The study included 170 men with a Pittsburgh sleep quality index (PSQI) greater than 5, composed of 44 HIV-infected men and 126 male controls who were frequency-matched by sex, age (-/+ 3.0 years) and BMI (-/+ 3.0 kg/m2). For all participants an overnight sleep study using a Somte V1 monitor was conducted. Differences in sleep-related symptoms and sleep disorders between HIV-infected patients and controls were examined using t-tests or Chi-square tests. Results HIV-infected persons with sleep disturbances more often had psychological disturbances (72.7% vs. 40.5%, p&lt;0.001) and suspected rapid eye movement (REM) behavior disorder (RBD) (25.0% vs. 4.8%, p&lt;0.01) than that of controls. The sleep-disordered breathing (SDB) in HIV-infected persons was less common than that in controls (56.8% vs. 87.3%, p&lt;0.001). The mean percentage of REM sleep among HIV-infected patients was higher than that among the controls (20.6% vs. 16.6%, p&lt;0.001). Enuresis was more common in HIV-infected persons than controls (40.9% vs. 22.2%, p=0.02). Conclusion Psychological disturbances and SDB can be the possible explanations of sleep disturbances in HIV-infected persons, in which suspected RBD is notable. Further studies are warranted to examine underlying factors of suspected RBD among HIV-infected persons with sleep disturbances. Support This work was supported by the Ministry of Science and Technology, Executive Yuan of Taiwan [MOST 105-3011-E-006-002], and National Cheng Kung University Hospital [NCKUH-10702022]


2019 ◽  
Vol 59 ◽  
pp. 254-258 ◽  
Author(s):  
Hui Liu ◽  
Ruwei Ou ◽  
Qianqian Wei ◽  
Yanbing Hou ◽  
Bei Cao ◽  
...  

2018 ◽  
Vol 47 (1) ◽  
pp. 282-296 ◽  
Author(s):  
Giulio Ruffini ◽  
David Ibañez ◽  
Eleni Kroupi ◽  
Jean-François Gagnon ◽  
Jacques Montplaisir ◽  
...  

2021 ◽  
pp. 571-586
Author(s):  
Jaclyn L. Lewis-Croswell ◽  
José Colón

Ever since there have been written historical narratives, sleep anomalies have been noted, from medieval paintings of demons terrorizing an individual in their sleep, to biblical revelations in dreams and nightmares, to tales of somnambulism from Shakespeare to Disney. Mysterious parasomnias have been recognized well before they could be classified into the International Classification of Sleep Disorders. With the invention in the 1950s of the electroencephalogram, generations of sleep researchers have been able to classify once mysterious sleep anomalies as either rapid eye movement (REM) or NREM parasomnias. Some parasomnias may be benign and self-limited, such as sleepwalking in a child. Others may lead to injury or can be a sign of other neurological disorders, such as REM sleep behavior disorder. Some can terrify patients and are commonly underreported, such as sleep paralysis, which has been confused by some as modern-day alien abductions. The treatment of parasomnias depends on proper identification based on well-established criteria. Subsequently, integrative approaches to the treatment of these disorders may be applied.


2009 ◽  
Vol 45 (7) ◽  
pp. 330-334 ◽  
Author(s):  
Francisco Campos-Rodríguez ◽  
Ana Fernández-Palacín ◽  
Nuria Reyes-Núñez ◽  
Ángela Reina-González

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