Evaluation of Sleep Disorders in Wartime Chemically Injured Veterans with Sleep-Related Complaints: Self-Report vs. Polysomnographic Measures

2016 ◽  
Vol 9 (1) ◽  
pp. 312
Author(s):  
Ramin Amouchie ◽  
Mohsen Kianpoor ◽  
Abbas Tavallaii ◽  
Ensieh Vahedi ◽  
Yasser Hatamnejad ◽  
...  

<p><strong>BACKGROUND:</strong> Sleep disorders are among the most common problems experienced by chemically injured veterans, affecting their quality of life and their general health. Therefore, we aimed to compare Polysomnography indices with data derived from the PSQI in chemically injured veterans in Iran in order to study the relationship between or independence of subjective complaints (self-reports) and objective data.</p><p><strong>METHODS:</strong> In this study, 70 veterans were selected among chemically injured veterans who had referred to our clinic during 2012-2013 using the convenience sampling method. Objective and subjective sleep qualities were measured using the in-laboratory diagnostic Polysomnography method and the Pittsburg Sleep Quality Index (PSQI), respectively. The two measured were then compared.</p><p><strong>RESULTS:</strong> All the 70 assessed veterans in this study were male with a mean±SD age of 50.2±9.97. The mean±SD total score for the PSQI was 12.38±4.34. We found no significant relationship between the total PSQI score and age (r=-0.045, P=0.80), marital status (r=0.14, P=0.437), and occupational status (r=0.242, P=0.175). However, a negative significant relationship was found between the total PSQI score and educational status (r=-0.464, P=0.007). Moreover, we found a significant relationship between sleep quality according to Polysomnography and age (r=0.254, P=0.039). However, no such relationship was found with respect to marital status (r=0.2, P=0.1), occupational status (r=0.02, P=0.863), and educational status (r=0.047, P=0.71). We found no significant relationship between any of the parameters measured by Polysomnography with the scores obtained in the 7 subscales of the PSQI or its total score.</p><p><strong>CONCLUSION:</strong> An individual’s dissatisfaction with sleep quality does not necessarily indicate an objective sleep disorder. Objective evaluations alongside reports provided by friends and relatives play a key role in the correct diagnosis of sleep disorders in chemically injured veterans.</p>

2019 ◽  
Author(s):  
Leili Yekefallah ◽  
Farzaneh Talebi ◽  
Ali Razaghpoor ◽  
Mohammmad Hossein Mafi

Abstract Introduction and Objective Fear of hypoglycemia can result in anxiety, stress, anger, depression and severe avoidance behaviors that it affects the sleep quality of diabetic patients. Therefore, the present study was conducted with the aim of investigating the relationship between fear of hypoglycemia and sleep quality among type II diabetic patients. Methods The present cross-sectional study was conducted on 400 type II diabetic patients referred to endocrinology clinic of Velayat Hospital and Boali Hospital in Qazvin, in 2018. Data were collected using a checklist for demographic variables, the Fear of Hypoglycemia Survey (FHS-W), and the Pittsburgh sleep quality index (PSQI). Descriptive statistics and Spearman correlation test were performed for data analysis using SPSS v24. Results In this study, the mean age of diabetic patients was 55.75±10.31. The majority of the participants were female (n=299, 74.8%) and were treated with oral anti-diabetic drugs (n=174, 43.5%). The mean score of sleep quality in patients was 8.98±3.64 and the fear of hypoglycemia was 21.27±11.92. The results of this study showed that there was a significant relationship between the fear of hypoglycemia and the poor sleep quality among patients (p<0.001, r=0.305). Conclusion The fear of hypoglycemia has a direct and significant relationship with poor sleep quality in diabetic patients; so that this fear reduces the quality of sleep in diabetic patients. Therefore, in order to provide adequate sleep to prevent inappropriate sleep complications, great attention should be paid to the issue of fear of hypoglycemia, and consider some actions to reduce this fear.


2017 ◽  
Vol 9 (01) ◽  
Author(s):  
Adewale Adewale ◽  
A. Adekiya

Numerous literatures have shown that individuals who exhibit higher feelings of job insecurity are more likely to experience various health related challenges which might be detrimental to the organization and the society in general. By following the transaction stress model Lazarus and Folkman (1984) which highlights inter individual differences in understanding job insecurity perception, the effect of demographic variables in this regard is investigated. We use the cross sectional research design to elicit responses, through close ended questionnaire from one hundred and fifty three (153) randomly selected employees in the Nigerian Banking Industry. We use the independent t-test of difference and analysis of variance (ANOVA) statistics to examine the relationship between each of the five demographic variables considered and the tendency for perception of job insecurity. Gender, marital status, age and educational qualification do not exercise any significant effect on perceived job insecurity while the occupational status of respondents exercises an influence in this relationship. Specifically, we found that those employees in managerial job position have higher tendency to exhibit job insecurity perception than other employees in junior, senior and middle level respectively. Perceived job insecurity may be controlled by engaging personality, institutional and organizational based interventions regardless of employee's gender, age group, marital status and educational status. More focus should be given to employees in managerial and junior occupational cadre while making use of these interventions as these particular groups of employees are more likely experience higher level of this workplace syndrome.


Author(s):  
Spagnoli ◽  
Balducci ◽  
Fabbri ◽  
Molinaro ◽  
Barbato

Recent contributions have reported sleep disorders as one of the health impairment outcomes of workaholism. A possible factor affecting the sleep-wake cycle might be the intensive use of smartphones. The current study aimed to explore the role of intensive smartphone use in the relationship between workaholism and the sleep-wake cycle. Two serial multiple mediation models were tested on a sample of 418 employees, who filled self-report questionnaires measuring workaholism, use of smartphones, sleep quality and daytime sleepiness, using conditional process analysis for testing direct and indirect effects. Results supported our hypotheses regarding two serial multiple mediation models—that intensive smartphone use and poor sleep quality mediated the relationship between workaholism and daytime sleepiness, and that smartphone use and daytime sleepiness mediated the relationship between workaholism and poor quality of sleep. Although the use of a cross-sectional design and the snowball technique for collecting data can be considered as possible limitations, the current study is one of the first to document the potential detrimental role of the intensive smartphone use on the workaholism-sleep disorders relationship.


2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Majid Najafi Kalyani ◽  
Nahid Jamshidi ◽  
Javad Salami ◽  
Elahe Pourjam

Objectives. Students of medical sciences are exposed to many emotional and mental problems. In light of the importance of sleep quality in learning and liveliness, this study was conducted to examine the relationship between psychological variables (stress, anxiety, and depression) and sleep quality of students. Design. This research is a cross-sectional analytical study, where all students studying at Fasa University of Medical Sciences in 2012-2013 year were selected. To examine the students’ stress, anxiety, and depression values, the standardized 21-item DASS-21 was used, and to examine their sleep quality, Pittsburgh Sleep Quality Index (PSQI) was used. Results. The results of the study demonstrated that 73% of the students have moderate and severe stress, and 46.4% of them have PSQ scores ≥ 5. The students’ mean sleep quality score was 4.65±2.37, and their stress score was 8.09±5.14. A statistically significant relationship was found between the students’ stress levels and sleep quality (P<0.001). Conclusion. The high stress levels decrease students’ sleep quality. High stress levels and also the significant relationship between stress value and decrease in students’ sleep quality call for more attention to and care for students’ emotional and mental issues and timely proper interference on the part of authorities.


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.


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.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A272-A272
Author(s):  
Alessandra Castelnuovo ◽  
Samantha Mombelli ◽  
Daniela Bottoni ◽  
Antonella Somma ◽  
Andrea Fossati ◽  
...  

Abstract Introduction COVID-19 epidemic led to great psychological and social stress, related to anxiety, depression, sleep disorders, suicidal risk and behavior, and changes in daily routine. The aim of this study was to assess the psychological impact of COVID-19 lockdown in Italian students. We focused on perceived sleep quality, anxiety and depression symptoms, and mostly on risk of suicide. Methods A total of 307 students (mean age 22.84±2.68) completed Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Beck Anxiety Inventory (BAI), and Beck Depression Inventory-II (BDI-II). In our study, we focused on item 9 of BDI-II, that is related to suicide. We divided our sample on presence or absence of suicidal ideation based on this item. Results We found that 30.1% showed depressive, while 38.2% anxious symptoms. Concerning item 9 of BDI-II (suicidal thoughts or wishes), 84.7% answered that they do not have any thoughts of killing themselves, while 15.3% answered that they have some suicidal ideation. Concerning sleep variables, we found that 58% of our sample showed a PSQI total score higher than 5 (poor quality of sleep), and a global worsening in sleep quality and increase of insomnia both in student with and without suicidal ideation. Conclusion Our results on risk of suicide are in line with literature. Recent reviews focused on suicidal ideation in medical students found that depressive symptoms and suicidal ideation are common among medical students, finding a prevalence of suicidal ideation of 11%. Several studies suggest that sleep disorders are a risk factor for suicidal thoughts and behaviours. Our findings show that sleep cannot considered a predictive factor of risk of suicide during health emergency, because the risk is polyfactorial. Support (if any) None


Global Heart ◽  
2014 ◽  
Vol 9 (1) ◽  
pp. e29
Author(s):  
An-Yun Yeh ◽  
Susan J. Pressler ◽  
Seongkum Heo ◽  
Debra K. Moser ◽  
Sandra B. Dunbar ◽  
...  

2015 ◽  
Vol 28 (2) ◽  
pp. 319-326 ◽  
Author(s):  
Vanessa Patrícia Soares de Sousa ◽  
Silvia Oliveira Ribeiro ◽  
Carla Monique Ribeiro de Aquino ◽  
Elizabel de Souza Ramalho Viana

Introduction Pregnancy is characterized by several changes in her body. These changes contribute to the emergence of low back pain, which may influence the quality of sleep during pregnancy. Objective To compare the quality of sleep among pregnant women with and without low back pain during pregnancy, examining the relationship between two variables. Materials methods Thirty volunteers aged between 19 and 36 years, divided into control group (CG – n = 16) and Study Group (SG – n = 14), residents in the cities of Natal, were evaluated in the second trimester of pregnancy. To sleep evaluation were used to index the Pittsburgh Sleep Quality and the Epworth Sleepiness Scale. Low back pain was evaluated using the pressure algometer, Visual Analogue Scale (VAS) and Oswestry Disability Index. Statistical analysis used the Shapiro Wilk test, Student’s T test for independent samples and Pearson correlation test. Results The mean gestational and chronological ages were 28.2 ± 3.4 years and 19.9 ± 3.7 weeks, respectively. Sleep quality was lower in SG (8.21 ± 4.8) when compared to CG (5.94 ± 1.7) and was statistically significant (P = 0.021). Analyzing the relationship between sleep quality and pain intensity, it was observed that the variables have a positive correlation between them (r = 0.372, P = 0.043). Conclusion Our findings indicate that sleep quality is decreased in women with low back pain compared to those without pain.


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