Sleep disorders and sleep quality among patients with anxiety or depressive disorders in relation to their quality of life

2014 ◽  
Vol 35 (1) ◽  
pp. 56
Author(s):  
AshrafM.A. El-Tantawy ◽  
Abdulhameed Al-Yahya ◽  
YasserM Raya ◽  
SaberA Mohamed
Author(s):  
Nato Darchia ◽  
Nikoloz Oniani ◽  
Irine Sakhelashvili ◽  
Mariam Supatashvili ◽  
Tamar Basishvili ◽  
...  

The extent to which sleep disorders are associated with impairment of health-related quality of life (HRQoL) is poorly described in the developing world. We investigated the prevalence and severity of various sleep disorders and their associations with HRQoL in an urban Georgian population. 395 volunteers (20–60 years) completed Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, STOP-Bang questionnaire, Insomnia Severity Index, Beck Depression Inventory-Short Form, and Short Form Health Survey (SF-12). Socio-demographic data and body mass index (BMI) were obtained. The prevalence of sleep disorders and their association with HRQoL was considerable. All SF-12 components and physical and mental component summaries (PCS, MCS) were significantly lower in poor sleepers, subjects with daytime sleepiness, apnea risk, or insomnia. Insomnia and apnea severity were also associated with lower scores on most SF-12 dimensions. The effect of insomnia severity was more pronounced on MCS, while apnea severity—on PCS. Hierarchical analyses showed that after controlling for potential confounding factors (demographics, depression, BMI), sleep quality significantly increased model’s predictive power with an R2 change (ΔR2) by 3.5% for PCS (adjusted R2 = 0.27) and by 2.9% for MCS (adjusted R2 = 0.48); for the other SF-12 components ΔR2 ranged between 1.4% and 4.6%. ESS, STOP-Bang, ISI scores, all exerted clear effects on PCS and MCS in an individual regression models. Our results confirm and extend the findings of studies from Western societies and strongly support the importance of sleep for HRQoL. Elaboration of intervention programs designed to strengthen sleep-related health care and thereof HRQoL is especially important in the developing world.


2019 ◽  
Vol 13 (8) ◽  
pp. 996-1002 ◽  
Author(s):  
C Chavarría ◽  
M J Casanova ◽  
M Chaparro ◽  
M Barreiro-de Acosta ◽  
E Ezquiaga ◽  
...  

Abstract Background and Aims The aims of this study were to determine the prevalence of fatigue in patients with inflammatory bowel disease [IBD], to identify the factors associated with fatigue and its severity, to assess the impact of fatigue on quality of life [QoL], and to evaluate the relationship between fatigue and sleep disorders. Methods This was a prospective multicentre study conducted at 22 Spanish centres. Consecutive patients followed at IBD Units were included. Fatigue was evaluated with the Fatigue Severity Scale [FSS] and the Fatigue Impact Scale [FIS]. Quality of life and sleep quality were assessed using the IBD Questionnaire-Short Form [IBDQ-9] and the Pittsburgh Sleep Quality Index [PSQI], respectively. Results A total of 544 consecutive adult IBD patients were included [50% women, mean age 44 years, 61% Crohn’s disease]. The prevalence of fatigue was 41% (95% confidence interval [CI] = 37–45%). The variables associated with an increased risk of fatigue were: anxiety [OR = 2.5, 95% CI = 1.6–3.7], depression [OR = 2.4, 95% CI = 1.4–3.8], presence of extraintestinal manifestations [EIMs] [OR = 1.7, 95% CI = 1.1–2.6], and treatment with systemic steroids [OR = 2.8, 95% CI = 1.4–5.7]. The presence of EIMs [regression coefficient, RC = 8.2, 95% CI = 2.3–14.2], anxiety [RC = 25.8, 95% CI = 20.0–31.5], depression [RC = 30.6, 95% CI = 24.3–37.0], and sleep disturbances [RC = 15.0, 95% CI = 9.3–20.8] were associated with severity of fatigue. Patients with fatigue had a significantly decreased IBDQ-9 score [p < 0.001]. Conclusions The prevalence of fatigue in IBD patients is remarkably high and has a negative impact on QoL. Therapy with systemic steroids is associated with an increased risk of fatigue. The severity of fatigue is associated with anxiety, depression, sleep disorders, and the presence of EIMs. Fatigue was not associated with anaemia, disease activity or anti-TNF therapy.


Author(s):  
Keivan Kakabaraee ◽  
Habibolah Khazaie ◽  
Azita Chehri ◽  
Maryam Seidy

Background: Subjective sleep quality plays a pivotal role in health, quality of life, and efficient performance. Objectives: The present study aimed to investigate the epidemiology of subjective sleep quality in the citizens of Kermanshah, Iran. Methods: This cross-sectional, descriptive study was conducted on all the citizens of Kermanshah in 2017. In total, 450 subjects were selected via multistage random sampling. Based on the inclusion criteria, 416 were evaluated using a self-report questionnaire of demographic characteristics and Petersburg sleep quality index (PSQI; Baisi et al., 1989). Results: In 79% of the participants, the mean score of PSQI was above the cutoff point (m = 6.64). The analysis of the questionnaires indicated the highest frequency of sleep disorders to be in the components of subjective sleep quality from the perspective of the respondents, delayed sleep, sleep disorders, and daily functional disorders. In addition, 10.6% of the subjects used very high doses of sedatives, while 10.3% used relatively high doses of these pills. Minimal sleep disorders were reported as well. Poor sleep quality was less common in women, and significant correlations were observed between age and sleep latency, sleep duration, sleep medication use, and daytime dysfunction due to sleepiness. Conclusions: According to the results, subjective sleep quality was favorable in the citizens of Kermanshah. Considering the significant effects of sleep quality on performance and quality of life, attention must be paid to this aspect of health by healthcare planners and managers.


2020 ◽  
Vol 73 (7) ◽  
pp. 1365-1369
Author(s):  
Aleksey A. Oparin ◽  
Iryna O. Balaklytska ◽  
Olga G. Morozova ◽  
Anatolii G. Oparin ◽  
Ludmila O. Khomenko

The aim: The work is aimed to study the formation mechanisms of sleep disturbances with GERD based on the determination of melatonin and serotonin indicators in the blood, psychosomatic status and quality of sleep, motor-secretory function of the esophagus and stomach in young people. Materials and methods: All 63 patients were with non-erosive GERD and insomnia. Among them, 32 with inhibitory personality type and 31 with excitable personality type. The control group is 25 people. Questionnaires were used to determine the quality of sleep, quality of life, state of the nervous system, ultrasound, stomach acidity, level of melatonin and serotonin. Results: In patients with inhibitory personality type, depressive disorders, lower sleep quality and quality of life were more pronounced, and in patients with excitable type, increased levels of reactive and personal anxiety and pronounced motor-secretory disorders. Conclusions: Psychosomatic disorders in GERD have a significant impact not only on the quality of sleep, quality of life, the level of melatonin and serotonin, the regulation of the secretory and motor functions of the stomach, but they are one of the links in the pathogenetic mechanism of the formation of both GERD and insomnia with it.


2021 ◽  
Author(s):  
Andrea Romigi ◽  
Nicola B. Mercuri ◽  
Marco Caccamo ◽  
Federica Testa ◽  
Giuseppe Vitrani ◽  
...  

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


2020 ◽  
Vol 78 (11) ◽  
pp. 708-712
Author(s):  
Meral Seferoğlu ◽  
Ali Özhan Sivaci ◽  
Abdulkadir Tunç

ABSTRACT Background: Restless legs syndrome (RLS) is one of the most common and burdensome sleep disorders in the course of multiple sclerosis (MS). Objective: To evaluate common MS-related symptoms and consequences between groups with and without RLS and further assess the association of quality of life determinants with RLS symptom severity. Methods: According to their RLS status, 46 relapsing-remitting MS patients were divided into MS-RLS+ (n=19) and MS-RLS- groups (n=27). Specific questionnaires were administered to assess the patients’ health-related quality of life (HRQoL), fatigue levels, sleep quality, daily sleepiness, anxiety, and depression symptoms. Functional capacity was examined using the Expanded Disability Status Scale (EDSS). Results: The prevalence of RLS was 41.3%. Compared to the MS-RLS- group, those with RLS had higher EDSS scores, more cranial and spinal lesions, longer disease duration, and were older. In the MS-RLS+ group, symptom severity scores were positively correlated with higher anxiety and poorer sleep quality. The symptom severity score was negatively correlated with mental HRQoL and pain scores. Conclusion: In conclusion, the findings of the current study indicate the negative impact of RLS on functional capacity, anxiety, sleep quality, and mental HRQoL of MS patients. Further studies using more accurate diagnostic strategies for identifying RLS and other sleep disorders are necessary to clarify the association of MS with RLS and explore relevant clinical implications.


2021 ◽  
Vol 64 (3) ◽  
pp. 137-144
Author(s):  
Salih Demir ◽  
Adem Kucuk ◽  
Mustafa Altas ◽  
Erkan Cure

Objectives: We aimed to investigate the prevalence of restless legs syndrome (RLS) and sleep disorders in patients with rheumatoid arthritis (RA), and the association of iron deficiency with them. Materials and methods: The study included 72 patients with RA (59 females, 13 males), and 50 healthy control subjects (57 females, 15 males). Assessments were made using the International RLS Rating Scale, Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale, Fatigue Severity Scale (FSS), Beck anxiety and depression index and the SF-36 quality of life scores. Results: We found that the frequency of RLS in RA patients was 29.1% and 13.8% in healthy control (p = 0.021). RA patients had 44.4% iron deficiency and 5.5% anemia of chronic disease. We found that 52.3% of patients with iron deficiency had RLS. There was an independent relationship between present of RLS and FSS (Beta [β] = 0.317, p = 0.005) and total iron binding capacity (TIBC) (β = 0.244, p = 0.031). There was an independent relationship between RLS severity score and PSQI (β = 0.264, p = 0.025) and social functionality (β = 0.302, p = 0.009). Conclusion: The prevalence of iron deficiency is high in RA in the developing countries. Analysis obtained in patients with RA is suggestive of an association between iron deficiency and increased frequency of RLS. The presence of RLS in patients with RA negatively affects sleep quality, psychiatric status, and quality of life of patients with RA. TIBC value may be a predictive marker for early detection of RLS in patients with RA.


2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Dahmane Rihem ◽  
Chaker Hanen ◽  
Toumi Salma ◽  
Zini Olfa ◽  
Mseddi Fatma ◽  
...  

Abstract Background and Aims Sleep disturbances are more common in patients with chronic renal failure and on dialysis than in the general population. They affect their mental health and quality of life. The objective of this study was to evaluate the sleep disorders of patients on peritoneal dialysis (PD). Method We report the results of a descriptive cross-sectional study in 27 patients on PD in order to assess the quality of sleep in these patients and its relation with mental health and quality of life. Sleep quality was performed using the Pittsburgh Sleep Quality Index (PSQI) to assess origin and extent of sleep disorders. Anxiety-depressive disorders were assessed using the HAD (Hospital anxiety and depression) scale. The quality of life (QOL) measurement was performed by the SF36 and KDQoL. Results We included 15 men and 12 women with an average age of 45.74 years (21–77). Eleven patients were on automated peritoneal dialysis (APD) and 16 patients on continuous ambulatory peritoneal dialysis (CAPD). The mean duration of dialysis was 45.77 ± 25 months. Poor quality of sleep was reported in 14 patients. The mean PSQI was 7.22 ± 4.87. The most affected components were sleep duration and usual sleep efficiency. Depression was objectified in 22.22% of patients and 26% of patients had anxiety. Impaired quality of sleep was associated with decreased quality of life. The components of the physical dimension of quality of life: limitation due to physical condition, physical pain were significantly lower in dialysis patients with good quality of sleep (p=0.014, p= 0.033 respectively) The mental dimension component of QOL of SF36: relationship to others, limitation due to mental condition was also lower in patients with sleep disturbances (p=0.039, p= 0.036 respectively). Symptoms and problems, as well as the effects and the burden of kidney disease were not associated with poor quality of sleep. Impaired sleep quality was also not significantly associated with depression or anxiety in our series. Conclusion Sleep disturbances are common in PD patients and are associated with decreased quality of life. Therefore, they must be taken into account in the therapeutic measures recommended in order to improve the quality of life of these patients and reduce morbidity and mortality.


2021 ◽  
Vol 25 (1) ◽  
pp. 165-170
Author(s):  
І. І. Shapoval

Annotation. Ankylosing spondylitis (AS) and fibromyalgia (FM) are often comorbid pathological conditions, and the presence of FM, which characterized by the complexity of diagnosis and treatment, may be one of the factors delaying the diagnosis of AS. FM can also complicate the interpretation of disease activity, assessment of pain and the choice of adequate anti-inflammatory therapy, which makes it essential to study the impact of this comorbidity on the clinical course of AS. The study aimed to evaluate the indicators of disease activity, health, and quality of life of patients with AS associated with FM. One hundred forty-three patients with AS (81.8% of men) aged 42.1±11.3 years (M ± σ) were examined. The diagnosis of AS was established according to modified New York criteria (1984), and the diagnosis of FM – by the criteria of mACR2010. FM detected in 49 (34.3%) individuals. Indicators of disease activity (ASDAS-ESR, BASDAI), functional status (BASMI, BASFI), quality of life and health (ASQoL, ASAS HI/EF, HAQ), fatigue, sleep disorders, depressive and cognitive disorders (MAF, PSQI, HAM-D, MMSE) was determined. The study was conducted in compliance with bioethical standards. Statistical processing of the results was performed using IBM Statistics SPSS 22. Patients with concomitant FM showed higher rates of disease activity by BASDAI and poorer functional ability by BASFI and BASMI (by 30.2%; 53.2% and 33.2%, p<0.01), by ASDAS-ESR (by 11,5%, p<0.05). Among patients with FM, individuals with very high disease activity (BASDAI≥6.0), significant functional disorders (BASFI≥4.0 and BASMI≥4.0) were more likely than among patients without FM (1.97; 1,69 and 1.73 times, p <0.001, respectively). Patients with AS with FM showed worse health and quality of life indicators for ASQoL, HAQ and ASAS HI (65.2%; 34.7% and 26.4%, p<0.001). Moderate and severe fatigue (MAF ≥ 20), sleep disorders (PSQI ≥ 5) and depressive disorders (HAM-D ≥ 8) were in 75.5%; 68.1% and 60.6% of patients without FM and in 98%; 100% and 98% (p<0.001) of patients with FM. There are direct correlations between the severity of polysymptomatic distress and the BASDAI, BASFI and ASAS HI indices (r = 0.52; 0.57 and 0.42, p<0.001). So, patients with AS with FM characterized by higher disease activity, more insufficient functional ability and lower quality of life.


Author(s):  
Purreza Abolghasem ◽  
Mostafa Eftekhari ◽  
Saeed Rezania ◽  
Moslem Jafarisani ◽  
Rahim Soleimani ◽  
...  

Background: In recent years, Internet use has been of interest to different groups of people especially students and its charm has caused users to spend hours of their time at the computer. Studies show that growing demand for Internet technology caused significant mental health problems and reduced quality of life and unhealthy social relationships for many people. The aim of this study was to determine the relationship between internet addictions and sleep quality as one of the components of quality of life among college students.Methods: This cross-sectional study was done among  students of Torbat Heydariyeh city in 2015. Data were collected by self-report. Data collection tools were internet addiction questionnaire, Pittsburgh Sleep Quality Index and a demographic questionnaire. Data was analyzed by SPSS 21. P <0.05 considered statically significant.Results:  The average score of sleep disorders and addiction to the Internet was 4.690 ± 0.050 and 33.98 ± 12.05, which represents the average sleep disorders and internet addiction among students. 32.50% of students were suffering from sleep disorders and 23.9% of students had high dependence on the Internet and 2% had severe dependence. Between internet addiction and sleep disorders components, sleep quality and overall score of Pittsburgh questionnaire there was a significant positive correlation (P≤0/05).Conclusion: The results showed that excessive use of the internet is associated with reduced sleep quality and increased daytime sleepiness. Due to the increasing use of the Internet in Iran, especially among students, Familiarize users with the harms of excessive use of the Internet and promote the proper Correct culture is essential In order to promote the correct pattern of Internet use helped to reduce sleep problems in students.Keywords: addiction to Internet, sleep quality, Student.


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