scholarly journals ASSOCIATIONS OF GENERAL MENTAL HEALTH SYMPTOMS WITH SUBJECTIVE SLEEP QUALITY AND INDIVIDUAL DAYTIME SLEEPINESS

2019 ◽  
Vol 6 (4) ◽  
pp. 192-199
Author(s):  
R.S. Schierholz ◽  
I. Zavgorodniy ◽  
S. Darius ◽  
I. Böckelmann
Keyword(s):  
Mental Health ◽  
Sleep Quality ◽  
Daytime Sleepiness ◽  
General Health Questionnaire ◽  
Poor Sleep ◽  
Mental Health Symptoms ◽  
Subjective Sleep Quality ◽  
Health Symptoms ◽  
General Mental Health ◽  
Subjective Sleep

ASSOCIATIONS OF GENERAL MENTAL HEALTH SYMPTOMS WITH SUBJECTIVE SLEEP QUALITY AND INDIVIDUAL DAYTIME SLEEPINESS Schierholz RS, Zavgorodniy I., Darius S., Böckelmann I. Purpose: Sufficient sleep quality plays a significant role for long-term physical and mental health. The aim of this study was to examine the associations of general mental health symptoms with sleep quality and daytime sleepiness. Materials and Methods: A cross-sectional survey with 84 included participants (female: n = 42, male: n = 42) was conducted. General mental health symptoms were assessed using the 12-item General Health Questionnaire (GHQ-12), sleep quality was measured with the Pittsburgh Sleep Quality Index (PSQI), and daytime sleepiness was evaluated with the Epworth Sleepiness Scale (ESS). Statistical differences were calculated using two-sample t-test and Mann-Whitney U test. For correlation analyses Spearman’s rank correlation was used. Results: Subjects with poor sleep quality reached higher scores in the GHQ-12 and in the ESS than subjects with good sleep quality, but the difference regarding the ESS was not significant. Higher GHQ-12 scores were associated with higher PSQI scores but not with higher ESS scores. Conclusions: Major findings show strong evidence of an association between general mental health symptoms and sleep quality with poor sleepers having a more disturbed mental health than good sleepers. Further evidence of the interrelationship between subjective sleep quality and general mental health symptoms was found. Keywords: Mental health, Work ability, Stress, Sleep, Insomnia   Абстракт ЗВ’ЯЗОК ЗАГАЛЬНИХ СИМПТОМІВ ПСИХІЧНОГО ЗДОРОВ'Я З СУБ'ЄКТИВНОЮ ЯКІСТЮ СНУ ТАІНДИВІДУАЛЬНОЮ ДЕННОЮ СОНЛИВІСТЮ Робін Себастьян Шірхольц*, Ігор Завгородній, Сабіна Даріус, Ірина Беккельман Мета: Достатня якість сну відіграє важливу роль для тривалого фізичного та психічного здоров’я. Метою цьогодослідження було вивчення залежності загальних симптомів психічного здоров’я від якісті сну та денноїсонливості. Матеріали та методи: Було проведено перехресне опитування за участю 84 учасників (жінки: n = 42, чоловіки: n= 42). Загальні симптоми психічного здоров’я оцінювали за допомогою Анкети загального здоров’я (GHQ-12), яка містить 12 пунктів; якість сну оцінювали за допомогою Пітсбургського опитувальника якості сну (PSQI), а денну сонливість оцінювали за Шкалою сонливості Епворта (ESS). Статистичні відмінності розраховувались за допомогою двопробного t-тесту та U-тесту Манна-Вітні. Для кореляційного аналізу було використано рангову кореляцію Спірмена. Результати: Суб'єкти з низькою якістю сну показали більш високі показники у GHQ-12 та ESS, ніж суб'єкти із хорошою якістю сну, але різниця щодо ESS була несуттєвою. Більш високі показники GHQ-12 були пов'язані з більш високими показниками PSQI, але не з більш високими показниками ESS. Висновки: Основні результати виявляють вагомі докази зв'язку між загальними симптомами психічного здоров’я та якістю сну людей, які погано сплять, та людей з міцним сном. У людей з поганим сном більш виражені порушення психічного здоров’я. Були знайдені додаткові докази взаємозв'язку між суб'єктивною якістю сну та загальними симптомами психічного здоров'я. Ключові слова: Психічне здоров'я, працездатність, стрес, сон, безсоння    Абстракт СВЯЗЬ ОБЩИХ СИМПТОМОВ ПСИХИЧЕСКОГО ЗДОРОВЬЯ С СУБЪЕКТИВНЫМ КАЧЕСТВОМ СНА И ИНДИВИДУАЛЬНОЙ ДНЕВНОЙ СОНЛИВОСТЬЮ Робин Себастьян Ширхольц, Игорь Завгородний, Сабина Дариус, Ирина Беккельманн Цель: Достаточное качество сна играет важную роль для долгосрочного физического и психического здоровья. Целью данного исследования было изучение связи общих симптомов психического здоровья с качеством сна и дневной сонливостью. Материалы и методы. Было проведено перекрестное исследование с 84 участниками (женщины: n = 42, мужчины: n = 42). Общие симптомы психического здоровья оценивали с использованием Общего опросника здоровья (GHQ-12), содержащего 12 пунктов; качество сна оценивали с помощью Питтсбургского опросника качества сна (PSQI), а дневную сонливость оценивали по Шкале сонливости Эпворта (ESS). Статистические различия рассчитывали с использованием двухпробного t-теста и U-теста Манна-Уитни. Для корреляционного анализа была использована ранговая корреляция Спирмена. Результаты: Субъекты с плохим качеством сна показали более высокие баллы в GHQ-12 и в ESS, чем субъекты с хорошим качеством сна, но разница в отношении ESS не была значительной. Более высокие показатели GHQ-12 были связаны с более высокими показателями PSQI, но не с более высокими показателями ESS. Выводы: Основные результаты обнаруживают убедительные доказательства связи между общими симптомами психического здоровья и качеством сна людей, которые плохо спят, и людей с крепким сном. У людей с плохим сном более выражены нарушения психического здоровья. Были найдены дополнительные доказательства взаимосвязи между субъективным качеством сна и общими симптомами психического здоровья. Ключевые слова: психическое здоровье, трудоспособность, стресс, сон, бессонница

scholarly journals Disentangling the Sleep-Pain Relationship in Pediatric Chronic Pain: The Mediating Role of Internalizing Mental Health Symptoms

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Maria Pavlova ◽  
Jennifer Ference ◽  
Megan Hancock ◽  
Melanie Noel
Keyword(s):  
Mental Health ◽  
Chronic Pain ◽  
Depressive Symptoms ◽  
Sleep Quality ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Pediatric Chronic Pain ◽  
Pain Outcomes

Background. Pediatric chronic pain often emerges in adolescence and cooccurs with internalizing mental health issues and sleep impairments. Emerging evidence suggests that sleep problems may precede the onset of chronic pain as well as anxiety and depression. Studies conducted in pediatric populations with pain-related chronic illnesses suggest that internalizing mental health symptoms may mediate the sleep-pain relationship; however, this has not been examined in youth with primary pain disorders.Objective. To examine whether anxiety and depressive symptoms mediated relationships between sleep quality and pain outcomes among youth with chronic pain.Methods. Participants included 147 youth (66.7% female) aged 8–18 years who were referred to a tertiary-level chronic pain program. At intake, the youth completed psychometrically sound measures of sleep quality, pain intensity, pain interference, and anxiety and depressive symptoms.Results. As hypothesized, poor sleep quality was associated with increased pain intensity and pain interference, and anxiety and depressive symptoms mediated these sleep-pain relationships.Discussion. For youth with chronic pain, poor sleep quality may worsen pain through alterations in mood and anxiety; however, prospective research using objective measures is needed. Future research should examine whether targeting sleep and internalizing mental health symptoms in treatments improve pain outcomes in these youth.

scholarly journals Acute COVID-19 severity and 16-month mental morbidity trajectories in patient populations of six nations

2021 ◽  
Author(s):  
Ingibjorg Magnusdottir ◽  
Aniko Lovik ◽  
Anna Bara Unnarsdottir ◽  
Daniel L. McCartney ◽  
Helga Ask ◽  
...  
Keyword(s):  
Mental Health ◽  
Sleep Quality ◽  
Repeated Measures ◽  
Acute Infection ◽  
Prevalence Ratio ◽  
Poor Sleep ◽  
Depression And Anxiety ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Prevalence Of Depression

BACKGROUND The aim of this multinational study was to assess the development of adverse mental health symptoms among individuals diagnosed with COVID-19 in the general population by acute infection severity up to 16 months after diagnosis. METHODS Participants consisted of 247 249 individuals from seven cohorts across six countries (Denmark, Estonia, Iceland, Norway, Scotland, and Sweden) recruited from April 2020 through August 2021. We used multivariable Poisson regression to contrast symptom-prevalence of depression, anxiety, COVID-19 related distress, and poor sleep quality among individuals with and without a diagnosis of COVID-19 at entry to respective cohorts by time (0-16 months) from diagnosis. We also applied generalised estimating equations (GEE) analysis to test differences in repeated measures of mental health symptoms before and after COVID-19 diagnosis among individuals ever diagnosed with COVID-19 over time. FINDINGS A total of 9979 individuals (4%) were diagnosed with COVID-19 during the study period and presented overall with a higher symptom burden of depression (prevalence ratio [PR] 1.18, 95% confidence interval [95% CI] 1.03-1.36) and poorer sleep quality (1.13, 1.03-1.24) but not with higher levels of symptoms of anxiety or COVID-19 related distress compared with individuals without a COVID-19 diagnosis. While the prevalence of depression and COVID-19 related distress attenuated with time, the trajectories varied significantly by COVID-19 acute infection severity. Individuals diagnosed with COVID-19 but never bedridden due to their illness were consistently at lower risks of depression and anxiety (PR 0.83, 95% CI 0.75-0.91 and 0.77, 0.63-0.94, respectively), while patients bedridden for more than 7 days were persistently at higher risks of symptoms of depression and anxiety (PR 1.61, 95% CI 1.27-2.05 and 1.43, 1.26-1.63, respectively) throughout the 16-month study period. CONCLUSION Acute infection severity is a key determinant of long-term mental morbidity among COVID-19 patients.

scholarly journals The influence of subjective sleep quality on the association between eveningness and depressive symptoms.

2018 ◽  
Author(s):  
Charlotte Mary Horne ◽  
Ray Norbury
Keyword(s):  
Depressive Symptoms ◽  
Sleep Quality ◽  
Mediation Analysis ◽  
Depression Scale ◽  
Well Being ◽  
Poor Sleep ◽  
Subjective Sleep Quality ◽  
Subjective Sleep ◽  
Increased Risk ◽  
Healthy Participants

Increasing evidence suggests that eveningness is associated with increased risk for depression. Eveningness, however, is also associated with poor sleep quality and the unique role of eveningness in depressive symptomatology remains to be elucidated. The goal of the current study, therefore, was to examine the inter-relationships between eveningness, subjective sleep quality and depressive symptoms in healthy participants free of current or previous depression and sleep disorder. Here, 167 healthy participants (mean age 24.16, 129/38 females/males) completed the reduced Morningness-Eveningness Questionnaire (rMEQ), the Pittsburgh Sleep Quality Index (PSQI) and the Centre for Epidemiological Studies Depression Scale (CES-D). Bootstrap mediation analysis for a simple mediation model including rMEQ, PSQI and CES-D was applied. Eveningness was associated with increased depressive symptoms and mediation analysis showed that this relationship was partly mediated by sleep quality. Our results suggest that indicators of depression observed in evening-type individuals cannot be attributed exclusively to disturbed sleep. We suggest that interventions that target both sleep quality and dysfunctionl cognitive styles would be optimal to promote well-being in evening-type individuals.

scholarly journals Cognitive therapy as an early treatment for children with PTSD: the outcomes for parents’ own PTSD, depression, anxiety and general mental health.

2021 ◽  
Author(s):  
Laura Hammond ◽  
Richard Meiser-Stedman ◽  
Anna McKinnon ◽  
Tim Dalgleish ◽  
Patrick Smith ◽  
...  
Keyword(s):  
Mental Health ◽  
Cognitive Therapy ◽  
Traumatic Stress ◽  
Self Report ◽  
Health Questionnaire ◽  
Post Traumatic Stress ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
General Mental Health ◽  
Post Traumatic

Post-traumatic stress disorder (PTSD) experienced by children can have a large impact on the wider family. The National Institute for Health and Care Excellence (NICE, 2018) recommend that parents are involved in their child’s PTSD treatment. Studies have found that parents themselves also report high levels of PTSD and other mental health symptoms but few have explored whether these symptoms reduce following their child receiving trauma-focused CBT. In this study, parents (N=29) whose children (ages 8-17 years) were randomly assigned to either 10 sessions of Cognitive Therapy for PTSD (CT-PTSD) or a wait-list control condition (WL) completed the Post Traumatic Stress Diagnostic Scale (PDS), the Patient Health Questionnaire (PHQ-9; to measure depression), the Generalised Anxiety Disorder Questionnaire (GAD-7), and the General Health Questionnaire (GHQ-28; to measure general mental health) for pre-post comparison. Parents whose children were allocated to CT-PTSD reported greater improvements on self-report PTSD, depression, anxiety and general mental health, relative to the WL condition. This trial provides preliminary support for the efficacy of CT-PTSD delivered to children for reducing parent PTSD, depression, anxiety and general mental health symptoms. Replication is needed as well as further exploration of parent factors and frequency of parental involvement required to predict improvements.

The Effect of Uncoupled Sleep and Dysfunctional Sleep Beliefs on Sleep Outcomes in Older Adults following Online Cognitive Behavioral Therapy for Insomnia: A Single-Group Non-randomized Trial (Preprint)

2021 ◽  
Author(s):  
Yvonne Kutzer ◽  
Lisa Whitehead ◽  
Eimear Quigley ◽  
Shih Ching Fu ◽  
Mandy Stanley
Keyword(s):  
Older Adults ◽  
Cognitive Behavioral Therapy ◽  
Sleep Quality ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Behavioral Therapy ◽  
Sleep Onset ◽  
Poor Sleep ◽  
Subjective Sleep Quality ◽  
Subjective Sleep

BACKGROUND The current Covid-19 pandemic has brought about a marked interest in sleep health, as well as an increased demand for telehealth services, such as online Cognitive Behavioral Therapy for insomnia (CBT-I). Older adults in particular report a high rate of sleep problems. Recent studies have suggested that dysfunctional sleep beliefs could contribute to the high rates of self-reported insomnia in this age group. In addition, older adults have an increased rate of uncoupled sleep, e.g. displaying an insomnia complaint in the absence of objectively measured poor sleep. It is essential to determine the prevalence of coupled and uncoupled sleep in older adults and to examine the efficacy of online CBT-I to improve sleep outcomes. OBJECTIVE This study aims to assess objective and subjective sleep quality and dysfunctional sleep beliefs in a sample of community-dwelling older adults aged 60-80 years with and without uncoupled sleep in Western Australia following digitally delivered CBT-I. METHODS Objective sleep was measured using wrist actigraphy, and subjective sleep quality via sleep diaries and the Pittsburgh Sleep Quality Index (PSQI). Dysfunctional sleep beliefs were assessed by the Dysfunctional Beliefs and Attitudes about Sleep scale (DBAS-16) prior to and following a four-week online CBT-I programme. Linear mixed model and generalised linear mixed model analyses were conducted to examine objective and subjective sleep onset latency, total sleep time, wake after sleep onset and number of awakenings as well as PSQI and DBAS16 scores, respectively. RESULTS 62 participants (55 females; 88.7%) completed the study. CBT-I effectively reduced dysfunctional sleep beliefs and PSQI scores across all sleep classifications, even in good sleepers without a sleep complaint. Objective and self-reported changes in sleep parameters were mainly demonstrated in complaining poor sleepers. Complaining good sleepers reported a decrease in the number of subjective sleep awakenings only. CONCLUSIONS Online CBT-I was effective in improving the sleep outcomes of individuals who had both subjective and objective poor sleep. However, as the online CBT-I reduced dysfunctional sleep beliefs in all sleep groups, further examination of dysfunctional sleep beliefs and whether they mediate the outcomes of digital CBT-I in older adults will need to be conducted. CLINICALTRIAL Australian New Zealand Clinical Trials Registry (ANZCTR), ACTRN 12619001509156; http://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=378451 INTERNATIONAL REGISTERED REPORT RR2-32705

Sleep Quality and Cognitive Function in the Elderly Population

2020 ◽  
Author(s):  
Seyed Valiollah Mousavi ◽  
Elham Montazar ◽  
Sajjad Rezaei ◽  
Shima Poorabolghasem Hosseini
Keyword(s):  
Regression Analysis ◽  
Cognitive Function ◽  
Sleep Quality ◽  
Sleep Disorders ◽  
Elderly Population ◽  
Sleep Latency ◽  
The Elderly ◽  
Poor Sleep ◽  
Subjective Sleep Quality ◽  
Subjective Sleep

Background and Objective: Physiological process of sleep is considered as one of the influential factors of human’s health and mental functions, especially in the elderly. This research aimed at studying the association between sleep quality and the cognitive functions in the elderly population. Materials and Methods: A total of 200 elderly people (65 years and older) who were the members of retirees associa-tion in Mashhad, Iran, participated in this cross-sectional study. The participants were asked to answer the questionnaire of Pittsburgh Sleep Quality Index (PSQI) and Montreal Cognitive Assessment (MoCA) test. Correlation between the total scores of PSQI and MoCA was evaluated by Pearson correlation coefficient. In order to predict the cognitive func-tion based on different aspects of PSQI, multiple regression analysis by hierarchical method was used after removing confounding variables. Results: A significant association was found between PSQI and MoCA (P < 0.001, r = -0.55) suggesting that the com-ponents of use of sleeping medication (P < 0.001, r = -0.47), sleep disorders (P < 0.001, r = -0.37), sleep latency (P < 0.001, r = -0.34), subjective sleep quality (P < 0.001, r = -0.32), sleep duration (P < 0.001, r = -0.27), sleep effi-ciency (P < 0.001, r = -0.26), and daytime dysfunction (P < 0.001, r = -0.15) had significant negative correlation with cognitive function, and the four components of subjective sleep quality (P = 0.010, β = -0.15), sleep latency (P = 0.040, β = -0.13), sleep disorders (P = 0.010, β = -0.26), and use of sleeping medication (P = 0.010, β = -0.26) played a role in prediction of cognitive function in regression analysis. Conclusion: Poor sleep quality, sleep latency, insomnia, sleep breathing disorder, and use of sleeping medication play a determining role in cognitive function of the elderly. Thus, taking care of the sleep health is necessary for the elderly.

scholarly journals Psychological Distress Induces Poor Sleep Quality: A Cross-Sectional Study of Pharmacy Students in Bandung City, Indonesia

2018 ◽  
Vol 11 (1) ◽  
pp. 369-375 ◽  
Author(s):  
Sofa D. Alfian ◽  
Henry Ng ◽  
Dika P. Destiani ◽  
Rizky Abdulah
Keyword(s):  
Psychological Distress ◽  
Sleep Quality ◽  
Undergraduate Students ◽  
Cross Sectional Study ◽  
Poor Sleep ◽  
Poor Sleep Quality ◽  
Cross Sectional Survey ◽  
Subjective Sleep Quality ◽  
Cross Sectional ◽  
Subjective Sleep

Introduction: Poor subjective sleep quality in undergraduate students has not been widely studied in Bandung city, Indonesia. Poor sleep quality has been related to a number of risk factors for poor health outcomes. Objective: To analyze the association between psychological distress and subjective sleep quality. Methods: A cross sectional survey was done in one of the universities of Bandung city, Indonesia. Data were collected from 290 undergraduate students selected through consecutive sampling. Pittsburg Sleep Quality Index (PSQI) and Kessler-10 questionnaire were administered. Results: The prevalence of psychological distress was well (43.1%), mild (28.6%), moderate (20.7%), and severe (7.6%). The overall sleep quality was poor and good in 84.5% and 15.5% of the students. There was a significant association between psychological distress and poor sleep quality (p=0.006). The multivariate analysis suggested that psychological distress was a predictor of poor sleep quality (OR 1.991; 95% CI, 1.311−3.026). Conclusion: There is a need for an awareness of the college resources to help manage the stress levels of students through effective coping strategy-related study habits.

scholarly journals Association between sleep hygiene and sleep quality in medical students

2017 ◽  
Author(s):  
Cameron Brick
Keyword(s):  
Medical Students ◽  
Sleep Quality ◽  
Sleep Hygiene ◽  
Future Research ◽  
Poor Sleep ◽  
Sleep Habits ◽  
Subjective Sleep Quality ◽  
Web Based ◽  
Subjective Sleep ◽  
Future Research Directions

The aim of the current study was to determine whether subjective sleep quality was reduced in medical students, and whether demographics and sleep hygiene behaviors were associated with sleep quality. A web-based survey was completed by 314 medical students, containing questions about demographics, sleep habits, exercise habits, caffeine, tobacco and alcohol use, and subjective sleep quality (using the Pittsburgh Sleep Quality Index). Correlation and regression analyses tested for associations among demographics, sleep hygiene behaviors, and sleep quality. As hypothesized, medical students’ sleep quality was significantly worse than a healthy adult normative sample (t=5.13, p&lt;.001). Poor sleep quality in medical students was predicted by several demographic and sleep hygiene variables, and future research directions are proposed.Brick, C., Seely, D. L., &amp; Palermo, T. M. (2010). Association between sleep hygiene and sleep quality in medical students. Behavioral Sleep Medicine, 8(2), 113–121. https://www.tandfonline.com/doi/abs/10.1080/15402001003622925

scholarly journals Poor Sleep and Decision-Making Disturbance Are Associated With Suicidal Ideation in Pre-natal Depression

2021 ◽  
Vol 12 ◽  
Author(s):  
Ciqing Bao ◽  
Ling Xu ◽  
Weina Tang ◽  
Shiyu Sun ◽  
Wenmiao Zhang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Decision Making ◽  
Suicidal Ideation ◽  
Sleep Quality ◽  
Sleep Disturbance ◽  
Poor Sleep ◽  
Healthy Controls ◽  
Subjective Sleep Quality ◽  
Subjective Sleep ◽  
Post Natal Depression

Although many risk factors for suicidal ideation have been identified, few studies have focused on suicidal ideation and pre-natal depression. The purpose was to investigate the relationship between decision-making (DM) dysfunction and sleep disturbance on suicidal ideation in pre-natal depression. Participants included 100 women in the third trimester of pregnancy, including pregnant women with pre-natal depression who had recent suicidal ideation (n = 30), pre-natal depression without SI (n = 35) and healthy controls (n = 35). The Iowa Gambling Task (IGT) was used to evaluate the DM function and the Pittsburgh Sleep Quality Index (PSQI) was used to assess the sleep index. The Edinburgh Post-natal Depression Scale (EPDS) was used to assess suicidal ideation and the seriousness of depression. Overall, the two groups with pre-natal depression showed worse sleep quality and decreased DM function compared with healthy controls. The pre-natal depression with suicidal ideation group showed a significantly higher score in subjective sleep quality and a lower score in block 5 of IGT than the pre-natal depression without suicidal ideation group. Further correlation analysis showed that suicidal ideation positively correlated with subjective sleep quality, sleep duration, and daytime function, and negatively correlated with IGT scores. Sleep disturbance and impaired DM function may be risk factors for suicidal ideation in pre-natal depression.

scholarly journals Effect of kidney transplantation on sleep quality in patients admitted in ICU:a cross-section study in China

2019 ◽  
Author(s):  
Lu Long ◽  
Jia Liu ◽  
Jin Yan ◽  
Jian fei Xie ◽  
Huan Liu ◽  
...  
Keyword(s):  
Kidney Transplantation ◽  
Sleep Quality ◽  
Linear Regression Analysis ◽  
Sleep Onset ◽  
Sleep Time ◽  
Middle Level ◽  
Sleep Disruption ◽  
Poor Sleep ◽  
Subjective Sleep Quality ◽  
Subjective Sleep

Abstract Background Although evidences showed that sleep disorder is common in patient with end stage renal disease (ESRD), less is known about their sleep quality after early post-kidney transplantation (kTx) especially in Intensive Care Unite (ICU). Thus, the purpose of this study is to investigate sleep quality of kTx recipients in ICU and explore factors related poor sleep, second, to measure the correlation of subjective sleep quality and sleep architecture assessed by PSG in kTx recipients. Methods This study recruited participants from ESRD patients registered in transplantation waiting list at the third xiangya hospital of central south university in China. Participants required to complete the Pittsburgh sleep quality index(PSQI) and demographic questionnaire as baseline data and received one night of Polysomnography (PSG) in the ICU within 96 hours of surgery, during which time sound and light data were monitored. After that Richards Campbell sleep questionnaires (RCSQ) also need completed. Results 26 participants self-reported sleep quality and sleep efficiency based on RCSQ was at middle level (49.2 ± 25.6mm), and 14/26(53.8%) kTx recipients in ICU were poor sleepers defined by RCSQ <50. PSG showed that most kTx recipients in ICU had shallow sleep with mainly stage 2 sleep time (80.90 ±70.10 min), lower total sleep time (136.50 ±86.41 min), higher awakening frequency after sleep onset (8.87 ±5.92 times) and long awaken time (94.67 ±75.09 min) when a sleep disruption occured. multiple linear regression analysis showed that self-reported noise and pain were the significant factor affecting sleep(P < 0.05).Conclusion Subjective sleep quality based on RCSQ scored better than objective one measured by PSG in kTx recipients, sleep disruption always remained a substantial problem and affected by self-reported noise and pain.

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