Sleep Quality
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2021 ◽  
Radhika Kasat ◽  
Vaibhavi Walimbe

Abstract BACKGROUND:- COVID 19 pandemic is the global health emergency and most critical health calamity of the century4.The COVID-19 belongs to the family of virus that causes illness such as common cold to severe infection causing Middle East respiratory syndrome (MERS)-CoV and severe acute respiratory distress syndrome (SARS)CoV1. RESULTS:- 30 questions were asked combining of 5 components of which 4 were demographic questions and 1 willingness to participate. Total 196 subjects were chosen randomly between the age group of 18 years to 50 years from all over the Maharashtra. The subjects were both male and female. CONCLUSION :- In Our study the total sample size was 196. Population was significantly affected in all the components. Out of 196, 49% population was affected in sleep quality, and 57 % population was affected in anxiety.

2021 ◽  
Charles M Morin ◽  
Lydi-Anne Vézina-Im ◽  
Hans Ivers ◽  
Jean-Arthur Micoulaud-Franchi ◽  
Pierre Philip ◽  

Abstract Study Objectives High rates of sleep and mental health problems have been reported during the COVID-19 pandemic, but most of the evidence is retrospective without pre-pandemic data. This study documented rates of prevalent, incident, and persistent insomnia and psychological symptoms during the COVID-19 pandemic (2020) compared to pre-pandemic data (2018). Methods Data were derived from a longitudinal, population-based study of insomnia in Canada. When the first lockdown started in the province of Quebec, a subsample of participants who had completed the latest 2018 follow-up were surveyed (April-May 2020) about their sleep, insomnia, and psychological symptoms since the beginning of the pandemic. Prevalence, incidence, and persistence rates of insomnia, and severity of stress, anxiety, and depressive symptoms were estimated, as well as their associations with confinement, loneliness, social support, use of electronics, and other lifestyle changes occurring during the pandemic. A sleep/health survey and validated questionnaires of insomnia, sleep quality, stress, fatigue, anxiety, and depression were administered at both assessments. Results The sample consisted of 594 adults (mean age: 48.3 ± 13.1 years; 64.0% women). Prevalence of insomnia increased from 25.4% to 32.2% (symptoms) and from 16.8% to 19% (syndrome) from 2018 to 2020, for an overall 26.7% increase in insomnia rates. Of those classified as good sleepers in 2018 (n = 343), 32.6% (n = 112) had developed new insomnia during the COVID-19 pandemic. Among participants who had insomnia in 2018, the persistence rate was 76.5% two years later. There was a significant worsening of sleep quality, fatigue, anxiety and depression (all ps < 0.005) during the COVID-19 pandemic compared to 2018. Significant associations were found between sleep and psychological symptoms and with living alone and being in confinement, lower social support, increased time using electronic devices, reduced physical exercise, and higher financial stress. Conclusions The COVID-19 pandemic is associated with significant increases in insomnia and psychological symptoms compared to the pre-pandemic period. Large scale public sleep and mental health intervention programs should be prioritized during and after a pandemic such as the the COVID-19.

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Paolo Bonanni ◽  
Antonio Gambardella ◽  
Paolo Tinuper ◽  
Benedetto Acone ◽  
Emilio Perucca ◽  

Abstract Background When use of a single antiseizure medication (ASM) fails to induce seizure remission, add-on therapy is justified. Perampanel (PER) is approved in Europe as adjunctive therapy for focal, focal to bilateral tonic-clonic seizures and generalized tonic-clonic seizures. Aim of the study was to establish whether PER is suitable for first add-on use. Methods A Delphi methodology was adopted to assess consensus on a list of 39 statements produced by an Expert Board of 5 epileptologists. Using an iterative process, statements were finalized by a Delphi Panel of 84 Italian pediatric and adult neurologists. Each statement was rated anonymously to determine level of agreement on a 9-point Likert scale. Consensus was established as agreement by at least 80% of the panelists. The relevance of each statement was also assessed on a 3-point scale. Results Consensus was achieved for 37 statements. Characteristics of PER considered to justify its use as first add-on include evidence of a positive impact on quality of life based on long term retention data, efficacy, tolerability, and ease of use; no worsening of cognitive functions and sleep quality; a low potential for drug interactions; a unique mechanism of action. Potential unfavorable factors are the need for a relatively slow dose titration; the potential occurrence of behavioral adverse effects; lack of information on safety when used in pregnancy; limited access to plasma PER levels. Conclusion Perampanel has many features which justify its use as a first add-on. Choice of an ASM as first add-on should be tailored to individual characteristics.

Viviane Akemi Kakazu ◽  
Rafael Zambelli Pinto ◽  
Vinicius Dokkedal-Silva ◽  
Guilherme Luiz Fernandes ◽  
Cynthia Gobbi ◽  

2021 ◽  
Vol 75 ◽  
pp. 85-98
Agnieszka Oleszko ◽  
Jadwiga Jośko-Ochojska ◽  
Jerzy Smoleń ◽  
Rafał Śpiewak

WstępPrzewlekły stres wpływa na jakość snu oraz wywołuje symptomy depresji u osób aktywnych zawodowo. Posługa kapłańska, ze względu na swą specyfikę, może generować przewlekły stres, wpływać na jakość snu i wywoływać depresję. Celem pracy jest analiza obciążeń zawodowych księży katolickich, ocena jakości snu i rozpowszechnienia zaburzeń depresyjnych w tej grupie oraz wyodrębnienie czynników mających wpływ na ich występowanie u duchownych.Materiał i metodyZbadano 223 księży diecezjalnych i zakonnych Archidiecezji Katowickiej. W badaniu zastosowano autorski, poddany walidacji kwestionariusz, skalę depresji Becka (Beck Depression Inventory – BDI-II) oraz Skalę Jakości Snu (SJS).WynikiCzynnikami wywołującymi najsilniejszy stres u badanych księży były relacje z przełożonymi (68,2%) oraz zmiana parafii (66,8%). Najczęstszym z subiektywnie odczuwanych przez respondentów negatywnych stanów podczas całej dotychczasowej służby kapłańskiej było przemęczenie (92,4%). W badanej grupie u 20,2% księży występowała pogorszona jakość snu, a zaburzenia depresyjne o różnym stopniu nasilenia wykazano u 27,4% badanych. Wykazano zależność jakości snu oraz depresji od nasilenia stresu związanego ze zmianą parafii, relacjami z przełożonymi, celibatem oraz życiem w pojedynkę.WnioskiKsięża niechętnie poddają się badaniu kwestionariuszowemu dotyczącemu stanu zdrowia psychicznego, jednocześnie stanowią grupę wysokiego ryzyka występowania zaburzeń snu i zaburzeń depresyjnych. Im niższa była jakość snu, tym wyższe wskaźniki zaburzeń depresyjnych. Perfekcjonizm, nadmierne zaangażowanie, poczucie niezrozumienia, potrzeba uznania i wysoka wrażliwość interpersonalna sprzyjały nasileniu symptomów depresji w badanej grupie.

2021 ◽  
pp. 1-2
Henning Hamm

Sleep problems are frequently reported in infants treated with propranolol for infantile hemangiomas, possibly serving as a marker for a negative impact on central nervous system function. In this cohort study, we objectively investigate the sleep behavior of infants with infantile hemangiomas on propranolol compared to a healthy, untreated control group. Sleep of propranolol-treated infants and controls was investigated using ankle actigraphy and a 24-h diary for 7–10 days at ages 3 and 6 months. The main outcome measures were the Number of Nighttime Awakenings and Sleep Efficiency. The main secondary outcome measures included 24-hour Total Sleep, daytime sleep behavior, and parent-rated infant sleep quality and behavioral development based on the Brief Infant Sleep Questionnaire (BISQ) and the age-appropriate Ages-and-Stages Questionnaire (ASQ), respectively. Fifty-four term-born infants were included in each cohort. No group difference in any investigated parameter was seen at age 3 months. At age 6 months, the propranolol group exhibited a decrease in Sleep Efficiency and a trend towards an increased Number of Nighttime Awakenings compared to the control group. Treated infants at 6 months also had shorter daytime waking periods. 24-hour Total Sleep was unaffected by propranolol. No negative impact of propranolol on subjective sleep quality and behavioral development was noted. <b>Conclusion:</b> Propranolol exerts a measurable yet mild impact on objectively assessed infants’ sleep measures. Behavioral developmental scores were unaffected. Our results support propranolol as first-line therapy for complicated infantile hemangiomas. <b>What is Known:</b> •Sleep disorders are frequently reported in infants with infantile hemangiomas treated with propranolol and often lead to treatment discontinuation. • Investigations of the sleep pattern in this patient group using objective measures are lacking. <b>What is New:</b> • The sleep pattern of propranolol-treated infants is assessed using actigraphy and a 24-h sleep diary and compared to healthy, untreated controls. • Propranolol leads to a decreased sleep efficiency at night and an increased demand of daytime sleep, yet effects are mild overall.

2021 ◽  
Vol 29 ◽  
pp. 1-20
Solange Campos Vicentini ◽  
Eliane Dantas Rocha ◽  
Andrea Dos Santos Garcia ◽  
André Luis Do Nascimento Ferreira ◽  
Hugo Macedo Ramos ◽  

Objective. To identify the factors associated with the sleep quality of medical students through the subjective indices of Pittsburg and Epworth. Method. It is an observational and analytical study, a sample consisting of 131 students who completed the form, the Pittsburgh Sleep Quality Index questionnaire (PSQI), and the Epworth Sleepiness Scale (ESS). Chi-square test to analyze possible associations between sleep quality and qualitative variables. Results. It found that 60.31% (ESS) of the participants presented daytime sleepiness disorders and 73.28% (PSQI) poor quality disorders. Conclusions. The results demonstrated the need to carry out an educational program among students to improve sleep quality and prevent health issues.

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Hong He ◽  
Xiaoxuan Yu ◽  
Tingjia Chen ◽  
Fei Yang ◽  
Min Zhang ◽  

Background. The association between sleep disturbance and the menstruation in the young women population has been scarcely studied. The aim of this study is to assess the association between sleep status and phase of the menstrual cycle in healthy, young, ovulating women. Methods. This cross-sectional study used the data collected from healthy young, ovulating Chinese females from September to December 2018. The association was analyzed by using linear regression and binary logistic analyses. Results. 2260 women aged 17 to 30 were included in the analysis. The average sleep duration of the respondents was 7.24 hours ( SD = 0.92 ). 61.7% of them admitted that they were accompanied by at least one of sleep symptoms including difficulty initiating sleep, difficulty maintaining sleep, dreaminess, early morning awakening, and somnolence. Sleep quality was significantly associated with dysmenorrhea (OR 95 % CI = 1.74 [1.40-2.17], P < 0.001 ) and self-awareness menstrual regularity (OR 95 % CI = 1.29 [1.06-1.56], P = 0.011 ). Conclusion. This study found that poor sleep quality is significantly associated with dysmenorrhea and self-awareness menstrual irregularity among healthy, young, ovulating, Chinese females.

2021 ◽  
Ketevan Inasaridze

Breathing exercises have been used successfully to reduce the negative symptoms characterised anxiety and depression. One of the most effective methods of psychological counseling with students and other persons included in education sphere is breathing relaxation exercises, which can improve concentration, reduce anxiety, reduce heart rate, reduce muscle tension and improve sleep quality. The article presents the anatomical side of breathing exercises, physiological mechanisms and specific instructions for the practical use of the method.

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