Depression and Sleep Quality in Outpatients attending Penjaringan Primary Health Care, North Jakarta: A Cross-sectional Study

Introduction: Depression is the most common mental disorder. Depression of outpatients in primary health care is frequently unrecognized. It might affect sleep quality, which is associated with worse quality of life, poor medication adherence, higher morbidity, and mortality. The study aimed to determine the association between depression and sleep quality of outpatients in Penjaringan Primary Health Care, Jakarta. Method: This research was observational analytic using a cross-sectional approach involving 434 outpatients in Penjaringan Primary Health Care, Jakarta. The study was conducted from August until September 2019. Instruments used in this research were the demographic questionnaire, the Zung Self-Rating Depression (SDS) questionnaire, and the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Data analytics were bivariate. Results: There were 19.1% of respondents had depression, including 12.2% mild depression, 5.8% moderate depression, and 1.2% severe depression. There were 53.5% of respondents had poor sleep quality. There was a significant relationship (p<0.001, OR=7.814) between depression and sleep quality in outpatients. The results also showed that depression scores were moderately correlated with sleep disturbances (r=0.434). Conclusion: This study showed a high prevalence of depression and poor sleep quality among outpatients. Depression was associated with a 7.8 times higher risk of having poor sleep quality and also correlated with the components of sleep quality especially sleep disturbance.

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Sleep patterns and physical function in older adults attending primary health care

Family Practice ◽

10.1093/fampra/cmaa085 ◽

2020 ◽

Author(s):

Lucía Arias-Fernández ◽

Andrea M Smith-Plaza ◽

María Barrera-Castillo ◽

Jessica Prado-Suárez ◽

Esther Lopez-Garcia ◽

...

Keyword(s):

Older Adults ◽

Health Care ◽

Sleep Quality ◽

Physical Function ◽

Muscle Weakness ◽

Sleep Disturbances ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Physical Frailty ◽

Primary Health

Abstract Background Sleep disturbances may contribute to physical function impairment among older adults. Objective To examine the associations between sleep quality and duration and impaired physical function among older adults. Methods Cross-sectional study involving 392 non-institutionalized adults aged ≥65 years, who were recruited from primary health care centres in Spain. Sleep quality and duration were assessed with the Pittsburgh Sleep Quality Index (PSQI). The FRAIL scale was used to identify physical frailty, the short physical performance battery to assess lower extremity functional impairment (LEFI) and grip strength was measured using a hand-held dynamometer to assess muscle weakness. Statistical analyses were performed with logistic regression models adjusted for potential confounders. Results Participants with poor sleep quality (PSQI global score ≥10) were more likely to have functional limitations; the odds ratio (95% confidence interval) was 2.90 (1.10–7.64) for physical frailty, 2.73 (1.34–5.58) for LEFI and 2.32 (1.14–4.75) for muscle weakness. Sleep quality components associated with frailty were sleep disturbances, use of sleeping medication and daytime dysfunction. The only quality component associated with LEFI was poor sleep efficiency, while subjective poor sleep quality and daytime dysfunction were linked to muscle weakness. No associations were observed between night-time sleep duration and physical function indicators. Conclusions Poor self-reported sleep quality, but not sleep duration, was associated with an increased frequency of physical frailty, LEFI and muscle weakness. Interventions to improve sleep quality could contribute to healthy ageing.

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The use of gadgets and their relationship to poor sleep quality and social interaction on mid-adolescents: a cross-sectional study

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2019-0101 ◽

2020 ◽

Vol 0 (0) ◽

Author(s):

Ilya Krisnana ◽

Venni Hariani ◽

Iqlima Dwi Kurnia ◽

Yuni Sufyanti Arief

Keyword(s):

Social Interaction ◽

Sleep Quality ◽

Rank Correlation ◽

Simple Random Sampling ◽

Poor Sleep ◽

Quality Of Sleep ◽

Poor Sleep Quality ◽

Cross Sectional ◽

The Social

AbstractBackgroundMid-adolescents dominate the number of gadget users in Indonesia. The use of gadgets to a high intensity can cause various problems such as poor sleep quality and decreased social interaction. The purpose of this study was to analyze the relationship between the intensity of the use of gadgets and the quality of sleep and social interaction in adolescents.MethodThe research design used was a correlational research study with a cross-sectional approach. Through the calculation of the sample, the respondents were 250 adolescents who met the inclusion criteria, namely (1) adolescents aged 15–18 years and (2) teens who owned and used gadgets. The sampling method used simple random sampling by conducting a lottery system in each class. The independent variable was the intensity of using the gadget, while the dependent variable was the quality of sleep and social interaction. Data collection focused on the intensity of gadget use using questionnaires and it was analyzed using the Pittsburgh Sleep Quality Index (PSQI) and the Social Interaction Anxiety Scale (SIAS). The data was analyzed using Spearman’s rank correlation with α = 0.05.ResultsThe results showed that the intensity of gadget use was positively related to poor sleep quality in adolescents (p = <0.001; r = 0.555). The intensity of the use of gadgets was also related to social interaction with a negative direction. The higher the intensity of the use of gadgets, the lower the social interaction in adolescents (p = 0.001; r = –293).ConclusionThe use of gadgets in the mid-adolescent years is related to sleep disorders as regards the latency and duration of sleep. Adolescents are more likely to engage in social interaction and communication through gadgets than face to face.

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Factors Associated with Sleep Disorders among Methadone-Maintained Drug Users in Vietnam

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16224315 ◽

2019 ◽

Vol 16 (22) ◽

pp. 4315 ◽

Cited By ~ 1

Author(s):

Tuan Anh Le ◽

Anh Duc Dang ◽

An Ha Thi Tran ◽

Long Hoang Nguyen ◽

Trang Huyen Thi Nguyen ◽

...

Keyword(s):

Social Support ◽

Sleep Quality ◽

Associated Factors ◽

Drug Users ◽

Methadone Maintenance ◽

Poor Sleep ◽

Linear Regression Models ◽

Poor Sleep Quality ◽

Cross Sectional

Sleep quality among heroin-dependent patients receiving methadone maintenance treatment (MMT) is not fully investigated in Vietnam. This study explored the prevalence of poor sleep quality in methadone-maintained patients and associated factors. This cross-sectional included 395 MMT patients at three clinics in Nam Dinh province, Vietnam. The Pittsburgh Sleep Quality Index (PSQI) was employed to measure patients’ sleep quality. Sociodemographic, clinical, behavioral, psychological, and social support characteristics were collected. Multivariate Logistic and Generalized Linear Regression models were applied to identify associated factors. Among 395 patients, 26.6% had poor sleep quality according to the PSQI scale. People having jobs were less likely to have poor sleep quality and lower PSQI scores compared to unemployed patients. Those having spouses had lower PSQI scores than single patients. High depression, anxiety, and stress scores were associated with poor sleep quality and high PSQI scores. A longer duration of MMT increased the likelihood of experiencing poor sleep quality. Patients smoking tobacco daily or concurrently using drugs had lower PSQI scores than those that did not. This study highlights a moderate prevalence of poor sleep quality among Vietnamese MMT patients. Regular evaluation, appropriate psychological management, and social support, as well as the provision of employment opportunities, potentially improve the sleep quality of methadone-maintained patients.

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Factors associated with poor sleep quality in women with cancer

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.1478.2858 ◽

2017 ◽

Vol 25 (0) ◽

Cited By ~ 4

Author(s):

Thalyta Cristina Mansano-Schlosser ◽

Maria Filomena Ceolim

Keyword(s):

Sleep Quality ◽

Quality Index ◽

Sleep Disturbances ◽

Pittsburgh Sleep Quality Index ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Factors Associated ◽

Scale Data

ABSTRACT Objectives: to analyze the factors associated with poor sleep quality, its characteristics and components in women with breast cancer prior to surgery for removing the tumor and throughout the follow-up. Method: longitudinal study in a teaching hospital, with a sample of 102 women. The following were used: a questionnaire for sociodemographic and clinical characterization, the Pittsburgh Sleep Quality Index; the Beck Depression Inventory; and the Herth Hope Scale. Data collection covered from prior to the surgery for removal of the tumor (T0) to T1, on average 3.2 months; T2, on average 6.1 months; and T3, on average 12.4 months. Descriptive statistics and the Generalized Estimating Equations model were used. Results: depression and pain contributed to the increase in the score of the Pittsburgh Sleep Quality Index, and hope, to the reduction of the score - independently - throughout follow-up. Sleep disturbances were the component with the highest score throughout follow-up. Conclusion: the presence of depression and pain, prior to the surgery, contributed to the increase in the global score of the Pittsburgh Sleep Quality Index, which indicates worse quality of sleep throughout follow-up; greater hope, in its turn, influenced the reduction of the score of the Pittsburgh Sleep Quality Index.

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The quality and characteristics of sleep of hypertensive patients

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420150000400009 ◽

2015 ◽

Vol 49 (4) ◽

pp. 0596-0602 ◽

Cited By ~ 7

Author(s):

Juliét Silveira Hanus ◽

Graziela Amboni ◽

Maria Inês da Rosa ◽

Luciane Bisognin Ceretta ◽

Lisiane Tuon

Keyword(s):

Sleep Quality ◽

Pittsburgh Sleep Quality Index ◽

Cross Sectional Study ◽

Poor Sleep ◽

Quality Of Sleep ◽

Poor Sleep Quality ◽

Cross Sectional ◽

Registration System ◽

Hypertensive Patients

OBJECTIVEAnalyzing the quality of sleep of hypertensive patients registered in the national registration system and monitoring of hypertensive patients.METHODSA cross-sectional study of quantitative and descriptive analyses with 280 hypertensive patients registered in the National Program of Hypertension and Diabetes of the Federal Government in the months from August to October 2011. Questionnaires were used which allowed for tracking sociodemographic data on hypertension and Pittsburgh Sleep Quality Index (PSQI).RESULTSThe prevalence of poor sleep quality among respondents (156 hypertensive patients) and high rates of using medication for sleeping (106 hypertensive patients) was observed. Other relevant data refers to the quality of sleep among hypertensive patients using sleep medication compared to those who do not use it (p≤0.01).CONCLUSIONIndividuals with high blood pressure have a negative association with sleep quality.

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Hubungan capaian program gizi dengan tingkat akreditasi puskesmas di Aceh

AcTion Aceh Nutrition Journal ◽

10.30867/action.v5i2.200 ◽

2020 ◽

Vol 5 (2) ◽

pp. 105

Author(s):

Junaidar Junaidar ◽

Melania Hidayat ◽

Hafnidar A Rani ◽

Milza Oka Yussar

Keyword(s):

Health Care ◽

Primary Health Care ◽

Statistical Tests ◽

P Value ◽

Cross Sectional ◽

Under Five ◽

Nutrition Programs ◽

Primary Health ◽

Low Performance

The quality of health services is measured by 3 components, namely input (HR, Infrastructure,) process (reliability), and output (product results). If the program's achievements do not reach the target, the quality of primary health care services can be doubted. The research objective is to determine the achievements of the program with the level of accreditation of health centers. The study uses a descriptive-analytic method with a cross-sectional design, using secondary data essential nutrition programs. The population and sample are all primary health care in Aceh Province that are accredited or not accredited, data collection is carried out in the program and data section of the Aceh Health Office and the statistical tests used are chi-square and odds ratio using STATA 13 software. The results of the study indicate, that malnutrition that receives care with low performance, children under five are weighed with low performance and low LBW cases have a relationship with the level of accreditation (p-value <0,05). In conclusion, several nutrition programs related to primary health care accreditation are malnourished children receiving treatment, LBW, and weighing under five. While the achievements of other nutrition programs do not show a relationship with the accreditation of primary health care. Suggestions, to create excellently and quality service, the health center must be able to improve program achievements according to the Government's target either in accordance with one of the indicators namely the strategic plan and health indicators.

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Dampak Kecanduan Smartphone Terhadap Kualitas Tidur Siswa SMP

JKEP ◽

10.32668/jkep.v6i1.463 ◽

2021 ◽

Vol 6 (1) ◽

pp. 69-85

Author(s):

Yupi Supartini ◽

Puput Dwi Martiana ◽

Titi Sulastri

Keyword(s):

Sleep Quality ◽

Sleep Disturbances ◽

Statistical Test ◽

High Rate ◽

Smartphone Addiction ◽

Poor Sleep ◽

Cross Sectional ◽

Significance Level ◽

Significant Difference

Excessive smartphone use has a higher risk of sleep disturbances and affects a person’s sleep quality. The purpose of this research is to determine the relationship between respondent’s characteristics and smartphone addiction to the sleep quality of adolescents at Budi Cendikia Islamic School Depok. This type of research is quantitative with a descriptive analytic approach and a cross sectional research design. The population is all 359 students. Sampling in this study using stratified random sampling technique with 112 respondents. The SAS-SV questionnaire was used to measure the level of smartphone addiction, while the PSQI questionnaire was used to measure sleep quality in adolescents. The statistical test used Chi Square and Mann Whitney with a significance level of α = 0.05. The results of the univariate statistical test showed that most of the respondents were male (52.7%), 13 years old (35.7%), had a high rate of smartphone addiction (61.6%), and poor sleep quality (70.5%). Meanwhile, the results of the bivariate statistical test showed that there was a significant difference between gender (p = 0.020) and smartphone addiction (p = 0.007) with sleep quality, but there was no significant difference between age and sleep quality (p = 0.938). This study concludes that there is a relationship between gender and smartphone addiction on students' sleep quality, but there is no relationship between age and sleep quality of students. Hence, it is necessary to limit the use of smartphones so that smartphone addiction can be minimized and sleep quality is good.”

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Quality of sleep and use of computers and cell-phones among university students

Revista da Associação Médica Brasileira ◽

10.1590/1806-9282.65.12.1454 ◽

2019 ◽

Vol 65 (12) ◽

pp. 1454-1458 ◽

Cited By ~ 1

Author(s):

Diogo von Gaevernitz Lima ◽

Ana Claudia Garabeli Cavalli Kluthcovsky ◽

Luiz Gustavo Rachid Fernandes ◽

Giovane Okarenski

Keyword(s):

Medical Students ◽

Sleep Quality ◽

Computer Use ◽

Cell Phones ◽

Poor Sleep ◽

Quality Of Sleep ◽

Poor Sleep Quality ◽

Cross Sectional ◽

Good Sleep

SUMMARY OBJECTIVE Evaluate the quality of sleep and its association with the use of computers and cell-phones among medicine and dentistry students. METHODS Cross-sectional and comparative study, which evaluated 425 students through a socioeconomic questionnaire, the Pittsburgh Sleep Quality Index(PSQI), and a questionnaire on their use of computers and cell phones. RESULTS Poor sleep quality was observed in 61.4% of medical students and in 60.1% of dentistry students. Medical students with poor sleep quality had a higher mean time of computer use at night when compared to those with good sleep quality (p=0.04), as well as for computer (p<0.001) and cell phone use (p<0.01) immediately before bedtime. Dentistry students with poor sleep quality had a higher average time of computer use before bedtime than those with good sleep quality (p=0.03). CONCLUSION Students should receive guidance on prevention strategies and quality of sleep care.

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Sleep quality of Brazilian nursing students: A cross-sectional study

Journal of Nursing Education and Practice ◽

10.5430/jnep.v10n1p11 ◽

2019 ◽

Vol 10 (1) ◽

pp. 11

Author(s):

Andréia Ferreira dos Santos ◽

Fernanda Carneiro Mussi ◽

Cláudia Geovana da Silva Pires ◽

Melissa Almeida Santos Paim ◽

Fernanda Michelle Santos e Silva ◽

...

Keyword(s):

Nursing Students ◽

Sleep Quality ◽

Family Income ◽

Cross Sectional Study ◽

Public Institution ◽

Poor Sleep ◽

Sectional Study ◽

Poor Sleep Quality ◽

Cross Sectional

Objective: To describe the sleep quality of nursing students according to the Pittsburgh Sleep Quality Index.Methods: This is a cross-sectional study conducted with 286 nursing students from a public institution in Salvador, Bahia. Data gathering instruments were applied in classrooms and data were assessed in absolute and relative frequencies, means and standard deviation.Results: The mean age of participants was 23.48 years (SD = 4.421). Most of students were female (90.2%), single with partner (90.9%), afro descendent (87.8%), unemployed (81.5%), total Family income below than four minimum wages (47.2%), enrolled between 6th and 10th semester (54.5%), attending academic activities in two or three shifts (80.8%). Sample showed poor sleep quality (86.4%), especially due to the sleep duration, sleep disturbances and daytime disfunction.Conclusions: Poor sleep quality was prevalent in the sample, what rises the need of further analysis of the associated factors and interventions to change this reality.

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Associations between sleep quality and its domains and insufficient physical activity in a large sample of Croatian young adults: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2018-021902 ◽

2018 ◽

Vol 8 (7) ◽

pp. e021902 ◽

Cited By ~ 10

Author(s):

Lovro Štefan ◽

Goran Sporiš ◽

Tomislav Krističević ◽

Damir Knjaz

Keyword(s):

Physical Activity ◽

Young Adults ◽

Sleep Quality ◽

Sleep Disturbances ◽

Smoking Status ◽

Poor Sleep ◽

Poor Sleep Quality ◽

Subjective Sleep Quality ◽

Cross Sectional ◽

Insufficient Physical Activity

ObjectivesThe main purpose of the present study was to explore the associations between sleep quality and insufficient physical activity.DesignCross-sectional.SettingFaculties in Croatia.Participants2100 university students (1049 men and 1051 women) aged 18–24 years were recruited.Primary outcomeTo assess the domains of sleep quality (independent variables) and ‘insufficient’ physical activity (dependent variable), we used previously validated Pittsburgh Sleep Quality Index and International Physical Activity questionnaires. Logistic regressions were used to calculate the associations between the sleep quality and ‘insufficient’ physical activity.ResultsWhen sleep quality domains were entered separately into the model, very bad subjective sleep quality (OR 3.09; 95% CI 1.50 to 6.56), >60 min of sleep latency (OR 2.17; 95% CI 1.39 to 3.39), <7 hours of sleep (OR 1.56; 95% CI 1.24 to 1.96), <65% of habitual sleep efficiency (OR 2.26; 95% CI 1.26 to 4.05), sleep disturbances >1/week (OR 1.61; 95% CI 1.03 to 2.52), use of sleep medication >1/week (OR 3.35; 95% CI 1.83 to 6.10), very big daytime dysfunction problem (OR 2.78; 95% CI 1.57 to 4.93) and poor sleep quality (1.53; 95% CI 1.23 to 1.91) were associated with ‘insufficient’ physical activity. When all sleep quality domains were entered simultaneously into the model, the same significant associations remained, except for sleep disturbances. Both models were adjusted for gender, body mass index, self-rated health, life satisfaction, socioeconomic status, presence or absence of chronic diseases, smoking status, binge drinking and psychological distress.ConclusionsOur results show that ‘poor’ sleep quality is associated with ‘insufficient’ physical activity in young adults. In order to improve, special strategies and policies that leverage ‘good sleep’ quality are warranted.

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