scholarly journals Sleep-Wake Patterns during the Acute Phase after First-Ever Stroke

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Linda N. Bakken ◽  
Kathryn A. Lee ◽  
Hesook Suzie Kim ◽  
Arnstein Finset ◽  
Anners Lerdal

This study describes the pattern of day and night sleep and explores relationships between these patterns and sociodemographic and clinical factors as well as sleep environmental context and the patient's subjective sleep quality. Data from 110 patients with first-ever stroke was collected by structured interview surveys, medical record, and objective estimated sleep data from wrist actigraphy. The variability in estimated sleep is large. Half the patients slept either <6 hours or >8 hours per night, and 78% had more than nine awakenings per night. Men slept less than women, and patients sleeping at home had fewer awakenings than those who slept in hospital. It was estimated sleep during daytime in all, except 4, patients. Longer stay in hospital was related to more daytime sleep, and the subjective sleep quality correlated with estimated sleep time, wake time, and wake percentage.

2019 ◽  
Author(s):  
Lu Long ◽  
Jia Liu ◽  
Jin Yan ◽  
Jian fei Xie ◽  
Huan Liu ◽  
...  

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.


Author(s):  
Siwalee Choilek ◽  
Akihiro Karashima ◽  
Ikuko Motoike ◽  
Norihiro Katayama ◽  
Kengo Kinoshita ◽  
...  

AbstractGenerally applicable qualifications of sleep and principles for achieving better sleep are difficult to design, because sleep quality can depend on individual demographic characteristics and lifestyles. In this study, the static and dynamic features of sleep–wake patterns were analyzed in association with quantitative sleep-related parameters and self-rated sleep quality to serve as a practical selection of sleep–wake patterns fitted to individual conditions. Data obtained over a 2-week period by actigraphy from university students and information technology workers were measured to obtain a daily subjective rating of sleep quality using the Oguri–Shirakawa–Azumi (OSA) sleep inventory. Qualitative sleep quality in terms of OSA score and quantitative sleep-related and chronobiological features were analyzed with regard to their dependency on the demographic characteristics, habitual sleep–wake patterns (HSWP), and distinction of weekdays/weekends. Multi-factor ANOVA was used to further investigate their dependencies regarding multiple ways of interactions between the demographic characteristics, HSWP, and distinction of weekdays/weekends. Subjective sleep quality and quantitative sleep-related parameters depended on the demographic characteristics, and so did their associations. The classification of day-to-day variations in HSWP showed four clusters that were effective factors for understanding their dependencies. Multi-factor analysis revealed demographic characteristics, HSWP, distinction of weekdays/weekends, and their multi-way interactions up to 3rd order as significant effectors of qualitative and quantitative quality of sleep. This study clarified how quantitative sleep-related parameters, subjective sleep quality, and their associations depended on demographic characteristics. Furthermore, their dependency was understood as a combination of multi-way interactions between the demographic characteristics, HSWP, and the distinction of weekdays/weekends. Our findings could provide a basis for the design of individually matched sleep–wake patterns.


2021 ◽  
pp. 1-19
Author(s):  
Claire A. Jenkins ◽  
Katherine N. Thompson ◽  
Christian L. Nicholas ◽  
Andrew M. Chanen

Sleep disturbance is commonly reported in young people with features of borderline personality disorder (BPD). Examining sleep quality and sleep-wake patterns in young people with features of BPD is essential to inform the development of sleep-improvement interventions. A scoping review was conducted according to the Joanna Briggs Institute methodology. The objectives were to map the literature regarding sleep in young people with features of BPD, highlight areas for further investigation, and provide methodological recommendations for future research. Seven data sets were included in the review. Young people with features of BPD had poorer objective and subjective sleep quality, disturbed sleep architecture (particularly rapid-eye-movement sleep), an increased vulnerability to delayed sleep phase syndrome, and more nightmares and dream anxiety, compared with healthy individuals. Future research should use both objective and subjective sleep measures, include clinical comparison groups, and focus specifically on young people with BPD.


2020 ◽  
Author(s):  
Haiying Tang ◽  
Bao Guo ◽  
Yanzhi Lang

Abstract Background To investigate and to explore the relationship between sleep quality and interpersonal sensitivity of Chinese college students.Method During the period from April 2019 to May 2019, the university students from five universities in Shanxi Province of China were selected by occasional sampling method. The research has received permission from Research Ethics Committee of ShanXi Medical University(2016010). A cross-sectional survey was conducted with the Chinese version of Pittsburgh Sleep Quality Index (PSQI), Symptom Checklist 90 (SCL-90) and the self-designed questionnaire. SPSS 25.0 was used for statistical analysis. Results A total of 901 college students were investigated. The average score of interpersonal sensitivity was 17.72±6.46, and 9.0% of college students were in the state of interpersonal sensitivity. Grade and specialty are the influencing factors of interpersonal sensitivity (p<0.05). The total PSQI score was 4.43±2.56. 28.0% of college students had poor sleep quality. Major was the influencing factor of sleep quality (p<0.001). In the multiple linear regression models, we found that daytime dysfunction, sleep disorder, subjective sleep quality, sleep latency and sleep time were the main factors affecting interpersonal sensitivity.Conclusions The higher the PSQI score, the higher the interpersonal sensitivity score. Among the dimensions of sleep quality, daytime dysfunction, sleep disorder, subjective sleep quality, sleep latency and sleep time can affect interpersonal sensitivity.


Author(s):  
Matias M. Pulopulos ◽  
Vanesa Hidalgo ◽  
Sara Puig-Perez ◽  
Teresa Montoliu ◽  
Alicia Salvador

The aim of this study was to investigate whether the nighttime cortisol release was associated with subjective and objective sleep quality and the discrepancy between them. Forty-five healthy older adults (age range from 56 to 75 years) collected salivary samples immediately before sleep and immediately after awakening on two consecutive nights. Actigraphy was used to assess objective sleep quality and quantity. A sleep diary was used to assess subjective sleep quality. Linear mixed models were performed using subjective and objective sleep quality data from 76 nights to investigate between-subject associations. We observed that larger changes in cortisol levels between sleep onset and awakening, reflecting a healthier circadian rhythm of the Hypothalamic-Pituitary-Adrenal (HPA) axis, were associated with better subjective sleep quality, but not with objective sleep quality. Moreover, smaller changes in nighttime cortisol were associated with lower subjective sleep quality relative to objective sleep quality. All these results were observed even after controlling for important confounders such as sleep quantity, age, sex, subjective socioeconomic status, stress perception, depression, physical activity, and adherence to the salivary sampling protocol. This study demonstrates that subjective sleep quality in older people may be explained, to some extent, by the activity of the HPA axis.


2019 ◽  
Vol 34 (6) ◽  
pp. 970-970
Author(s):  
L Campbell ◽  
M Kohli ◽  
A Heaton ◽  
M Higgins ◽  
E Lee ◽  
...  

Abstract Objective Poorer sleep quality is related to worse cognitive functioning in the general population and people living with HIV; however, many studies use self-report sleep questionnaires that rely on retrospective recall. This study aimed to examine the relationship between objective (wrist actigraphy) and subjective sleep quality with neurocognitive functioning. Method Eighty-five adults aged 50-74 years with and without HIV (HIV+ n = 53, HIV- n = 32) were recruited from the community and ongoing studies at UC San Diego. Participants completed comprehensive neuropsychological testing assessing global and domain-specific cognition. Participants wore actigraphy watches for 14 nights after neuropsychological testing to objectively assess sleep quality (i.e., total sleep time (TST), efficiency, wake after sleep onset, and sleep fragmentation). The Pittsburgh Sleep Quality Index assessed subjective sleep quality. Results After adjusting for demographic variables and use of sleep medications, there were no differences in any sleep quality measures by HIV status (p’s>0.05). In separate adjusted linear regression models, lower sleep efficiency (p = 0.02; 95% CI: -9.5, -1.1) and greater sleep fragmentation (p = 0.02; 95% CI: -0.82, -0.09) were associated with worse learning. Less TST was associated with worse working memory (p = 0.02; 95% CI: -9.2, -0.8). In contrast, worse subjective sleep quality was associated with worse executive function (p < 0.01; 95% CI: -1.18, -0.23) and working memory (p = 0.03; 95% CI: -1.22, -0.07). Conclusion Both objective and subjective sleep quality were associated with cognition in both persons with and without HIV; however, subjective and objective sleep quality were associated with different cognitive domains. Therefore, both objective and subjective sleep quality are important health behaviors to assess.


2021 ◽  
Vol 34 ◽  
pp. 143-150
Author(s):  
KARUNA DATTA ◽  
MANJARI TRIPATHI ◽  
MANSI VERMA ◽  
DEEPIKA MASIWAL ◽  
HRUDA NANDA MALLICK

Background Yoga nidra is practised by sages for sleep. The practice is simple to use and has been clearly laid out, but its role in the treatment of chronic insomnia has not been well studied. Methods In this randomized parallel-design study conducted during 2012–16, we enrolled 41 patients with chronic insomnia to receive conventional intervention of cognitive behavioural therapy for insomnia (n=20) or yoga nidra (n=21). Outcome measures were both subjective using a sleep diary and objective using polysomnography (PSG). Salivary cortisol levels were also measured. PSG was done before the intervention in all patients and repeated only in those who volunteered for the same. Results Both interventions showed an improvement in subjective total sleep time (TST), sleep efficiency, wake after sleep onset, reduction in total wake duration and enhancement in subjective sleep quality. Objectively, both the interventions improved TST and total wake duration and increased N1% of TST. Yoga nidra showed marked improvement in N2% and N3% in TST. Salivary cortisol reduced statistically significantly after yoga nidra (p=0.041). Conclusion Improvement of N3 sleep, total wake duration and subjective sleep quality occurred following yoga nidra practice. Yoga nidra practice can be used for treatment of chronic insomnia after supervised practice sessions.


2019 ◽  
Author(s):  
Hideaki Kondo ◽  
Shiho Umeno ◽  
Hiromi Eto ◽  
Chiho Kato ◽  
Yuki Nagaura

Abstract Frequently observed sleep/wake problems among pregnant women need comprehensive evaluation. This study was conducted to clarify the sleep/wake problems among pregnant women without gestational complications at the second and third trimester and the effects of sleep/wake problems on delivery outcomes. Methods: A total of 88 Japanese pregnant women participated in this study. At the second and third trimester, subjective sleep quality, insomnia severity, excessive daytime sleepiness (EDS), and restless legs syndrome/Willis-Ekbom disease (RLS/WED) were assessed using questionnaires; also, sleep disordered breathing (SDB) was screened using a pulse oximeter. Results: From the second to third trimester, an increasing tendency of sleep/wake problems was observed. At the third trimester, the percentage of women experiencing decreased subjective sleep quality, difficulty maintaining sleep (DMS), EDS, RLS/WED, and 3% oxygen desaturation index (ODI) values ≥ 5/h were 62.5%, 45.5%, 48.9%, 9.1%, and 29.5%, respectively. In a logistic regression analysis for EDS at the third trimester, the adjusted odds ratio (95% confidence interval) of total sleep time < 6 hours, moderate to severe DMS, and 3% ODI ≥ 5/h were 3.25 (1.16–9.10), 4.74 (1.60–14.00), and 0.90 (0.28–2.89), respectively. Decreased subjective sleep quality, insomnia severity, EDS, and SDB did not affect the delivery outcome or infant’s condition. Conclusions: Sleep/wake problems were frequent during pregnancy, especially at the third trimester. EDS among pregnant women was associated with shorter sleep time and DMS, rather than SDB. However, there were no significant effects of sleep/wake problems on the delivery outcomes or infant’s conditions.


2019 ◽  
Vol 33 (2) ◽  
pp. 133-153 ◽  
Author(s):  
Zlatan Križan ◽  
Garrett Hisler

Sleep is one key feature of people's lives that defines their daily routine and reflects overall health and well–being. To test the relevance of personality for core aspects of sleep, we examined if personality traits across the five broad personality domains predicted behaviourally recorded, week–long sleep characteristics up to five years later (alongside subjective sleep quality). Data from 382 participants (63% female, aged 34–82 years) were drawn from the longitudinal study on Midlife in the United States Study—Biomarker project. In terms of mean tendencies, both neuroticism and conscientiousness signalled more sleep continuity (fewer interruptions) alongside better subjective quality. In terms of intra–individual sleep variability, neuroticism predicted more variability in sleep duration, continuity, and subjective sleep quality, while conscientiousness predicted less variability in sleep duration and sleep continuity. Extraversion, agreeableness, and openness traits did not generally foreshadow behaviourally recoded sleep, only higher ratings of subjective quality. These links were robust to the impact of demographic factors and were not moderated by the duration of time between personality and sleep assessments. The findings distinguish which personality traits foreshadow core aspects of sleep and also implicate multiple traits as predictors of variability, not just mean tendencies, in behaviourally recorded sleep. © 2019 European Association of Personality Psychology


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