Healthcare

Research

11 pages, 603 KiB

Open AccessArticle

Association between Sleep Duration and Symptoms of Depression Aged between 18 and 49: The Korea National Health and Nutrition Examination Survey (KNHANES Ⅶ) from 2016 to 2018

by Sung-Yong Choi, Ji-Eun Han, Jiae Choi, Minjung Park, Soo-Hyun Sung and Angela Dong-Min Sung

Healthcare 2022, 10(11), 2324; https://doi.org/10.3390/healthcare10112324 - 20 Nov 2022

Cited by 5 | Viewed by 1498

Abstract

This study aimed to determine the association between symptoms of depression and sleep duration in a representative sample of the Korean population. Using national cross-sectional data from the seventh Korea National Health and Nutrition Examination Surveys (KNHANES-VII), 5461 adults aged 18–49 years were [...] Read more.

This study aimed to determine the association between symptoms of depression and sleep duration in a representative sample of the Korean population. Using national cross-sectional data from the seventh Korea National Health and Nutrition Examination Surveys (KNHANES-VII), 5461 adults aged 18–49 years were analyzed using logistic regression models. The proportions of participants with total daily sleep durations (24 h) of <6 h, 6–8 h, and ≥9 h were 26.2%, 60.6%, and 13.3%, respectively. The proportions of individuals with symptoms of depression in the <6 h, 6–8 h, and ≥9 h sleep duration groups were 37.4%, 46.3%, and 16.3%, respectively. The odds ratios (ORs) were significantly higher in the <6 h and ≥9 h sleep groups than in the 6–8 h sleep group. There was a significant association between short (<6 h/day) and long (≥9 h/day) sleep duration and symptoms of depression among the general Korean population. In particular, our findings suggest that short sleep (<6 h/day) is more associated with symptoms of depression than long sleep (≥9 h/day). Full article

(This article belongs to the Special Issue Sleep Disorders Effect on Human Health)

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12 pages, 529 KiB

Open AccessArticle

Evaluating Patterns and Factors Related to Sleep Disturbances in Prostate Cancer Patients

by Shalini Mondal, Steve Edwards, Erik Wibowo, Hashim Ahmed, Richard J. Wassersug, Jason Ellis, Maximus Isaac, Dagmara Dimitriou and Stephen Mangar

Healthcare 2022, 10(5), 832; https://doi.org/10.3390/healthcare10050832 - 30 Apr 2022

Cited by 5 | Viewed by 1820

Abstract

Prostate cancer patients may experience disturbed sleep as a result of their diagnosis or treatment. This study sought to evaluate disturbed sleep and excessive daytime sleepiness in newly diagnosed patients and those receiving androgen deprivation therapy (ADT). This study was conducted with 74 [...] Read more.

Prostate cancer patients may experience disturbed sleep as a result of their diagnosis or treatment. This study sought to evaluate disturbed sleep and excessive daytime sleepiness in newly diagnosed patients and those receiving androgen deprivation therapy (ADT). This study was conducted with 74 patients. Subjective data using the Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS) and actigraphy data on ADT/ADT-naïve patients were collected. The prevalence of poor sleep quality, determined from PSQI and ESS scores, was 50% and 16.7% respectively. Those on ADT (n = 20) had poorer sleep quality as determined by significantly higher PSQI scores (70 vs. 40% scoring > 5) and were more likely to have poor sleep quality, sleep latency, and sleep efficiency than ADT-naïve patients (n = 40). Actigraphy data showed that ADT patients slept significantly longer (7.7 vs. 6.8 h), experienced a higher Fragmentation Index (48.3 vs. 37.4%), and had longer daytime nap duration (64.1 vs. 45.2 min) than ADT-naïve patients. The use of objective measures such as actigraphy in the clinical arena is recommended and may be used as a valuable tool for research into sleep assessment in prostate cancer patients. Full article

(This article belongs to the Special Issue Sleep Disorders Effect on Human Health)

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14 pages, 471 KiB

Open AccessArticle

Alterations in Cortisol Profiles among Mothers of Children with ASD Related to Poor Child Sleep Quality

by Wasmiah Bin Eid, Mengyu Lim, Giulio Gabrieli, Melanie Kölbel, Elizabeth Halstead, Gianluca Esposito and Dagmara Dimitriou

Healthcare 2022, 10(4), 666; https://doi.org/10.3390/healthcare10040666 - 01 Apr 2022

Cited by 5 | Viewed by 3049

Abstract

Caregivers of children with autism spectrum disorder (ASD) experience poorer sleep, but studies have not yet used objective measures to investigate how child and caregiver sleep affect each other. In this study, 29 mothers and their child with ASD aged between 6 and [...] Read more.

Caregivers of children with autism spectrum disorder (ASD) experience poorer sleep, but studies have not yet used objective measures to investigate how child and caregiver sleep affect each other. In this study, 29 mothers and their child with ASD aged between 6 and 16 years were recruited. Questionnaires measuring child autism, maternal depression, and maternal and child sleep quality were administered. Cortisol salivary samples were also obtained from the mothers over the course of a day. Results revealed that maternal depression is significantly correlated with their subjective sleep quality, sleep latency and daytime dysfunction. Child sleep quality was also found to be significantly correlated with ASD severity. In terms of maternal cortisol profiles, a significant number of mothers showed a flattened diurnal cortisol expression, and children of mothers with a flattened cortisol profile had significantly more sleep problems. Overall, results suggest that maternal and child sleep are affected by the child’s disability but also are mutually related. Future studies may consider employing measures such as actigraphy or somnography to quantify sleep quality and establish causal pathways between sleep, cortisol expression and caregiver and child outcomes. The present study has clinical implications in examining family sleep when considering treatment for ASD. Full article

(This article belongs to the Special Issue Sleep Disorders Effect on Human Health)

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11 pages, 269 KiB

Open AccessArticle

Do Daytime Activity, Mood and Unit Tumult Predict Nighttime Sleep Quality of Long-Term Care Residents?

by Murad H. Taani and Christine R. Kovach

Healthcare 2022, 10(1), 22; https://doi.org/10.3390/healthcare10010022 - 23 Dec 2021

Cited by 1 | Viewed by 1916

Abstract

Based on the premise that stressors can have a cumulative effect on people with dementia throughout the day that contributes to negative consequences later in the day, we examined if daytime activity, unit tumult, and mood were associated with sleep quality. A convenience [...] Read more.

Based on the premise that stressors can have a cumulative effect on people with dementia throughout the day that contributes to negative consequences later in the day, we examined if daytime activity, unit tumult, and mood were associated with sleep quality. A convenience sample of 53 long-term care (LTC) residents participated in this correlational study. Objective sleep quality was measured using actigraphy, and comorbid illness and level of dementia were control variables. Half of the sample had a sleep efficiency that was less than 80% and was awake for more than 90 min at night. Comorbid illness, negative mood at bedtime, and daytime activity level accounted for 26.1% of the variance in total sleep minutes. Census changes and the use of temporary agency staff were associated with poor sleep. Findings suggest daytime activity, mood at bedtime, and unit tumult should be considered when designing and testing interventions to improve sleep quality. Full article

(This article belongs to the Special Issue Sleep Disorders Effect on Human Health)

12 pages, 1306 KiB

Open AccessArticle

The Impact of Sleep Quality and Education Level on the Relationship between Depression and Suicidal Ideation in Parents of Adolescents

by Ji Yeon Shim, Sook Lee, Il Hyun Lee and Yoo Mi Jeong

Healthcare 2021, 9(9), 1171; https://doi.org/10.3390/healthcare9091171 - 06 Sep 2021

Cited by 5 | Viewed by 2173

Abstract

This study aimed to analyze the moderating effect of sleep quality and the moderated moderation effect of education level on the relationship between depression and suicidal ideations among middle-aged parents of adolescent children. This is a secondary analysis of a survey collected from [...] Read more.

This study aimed to analyze the moderating effect of sleep quality and the moderated moderation effect of education level on the relationship between depression and suicidal ideations among middle-aged parents of adolescent children. This is a secondary analysis of a survey collected from a cross-sectional study. The inclusion criteria were middle-aged parents of adolescent children in D city, South Korea, who answered the survey questionnaires. A total of 178 completed questionnaires were used for the analysis. The moderating effect of sleep quality (B = −0.03, p = 0.736) and education level (B = −1.80, p = 0.029) on the relationship between depression and suicidal ideations was shown. It was confirmed that the moderating effect of sleep quality on the effect of depression on suicidal ideations differed according to the subject’s education level. The findings have implications for mental healthcare providers who can be educated on sleep hygiene based on the subject’s education level. Full article

(This article belongs to the Special Issue Sleep Disorders Effect on Human Health)

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15 pages, 629 KiB

Open AccessArticle

Sleep Quality among Breast and Prostate Cancer Patients: A Comparison between Subjective and Objective Measurements

by Diana Barsasella, Shabbir Syed-Abdul, Shwetambara Malwade, Terry B. J. Kuo, Ming-Jen Chien, Francisco J. Núñez-Benjumea, Gi-Ming Lai, Ruey-Ho Kao, Hung-Jen Shih, Yu-Ching Wen, Yu-Chuan (Jack) Li, Iván Palomares Carrascosa, Kuan-Jen Bai, Youri C. B. Broekhuizen and Monique W. M. Jaspers

Healthcare 2021, 9(7), 785; https://doi.org/10.3390/healthcare9070785 - 22 Jun 2021

Cited by 7 | Viewed by 3512

Abstract

Breast and prostate cancer patients may experience physical and psychological distress, and a possible decrease in sleep quality. Subjective and objective methods measure different aspects of sleep quality. Our study attempted to determine differences between objective and subjective measurements of sleep quality using [...] Read more.

Breast and prostate cancer patients may experience physical and psychological distress, and a possible decrease in sleep quality. Subjective and objective methods measure different aspects of sleep quality. Our study attempted to determine differences between objective and subjective measurements of sleep quality using bivariate and Pearson’s correlation data analysis. Forty breast (n = 20) and prostate (n = 20) cancer patients were recruited in this observational study. Participants were given an actigraphy device (ACT) and asked to continuously wear it for seven consecutive days, for objective data collection. Following this period, they filled out the Pittsburgh Sleep Quality Index Questionnaire (PSQI) to collect subjective data on sleep quality. The correlation results showed that, for breast cancer patients, PSQI sleep duration was moderately correlated with ACT total sleeping time (TST) (r = −0.534, p < 0.05), and PSQI daytime dysfunction was related to ACT efficiency (r = 0.521, p < 0.05). For prostate cancer patients, PSQI sleep disturbances were related to ACT TST (r = 0.626, p < 0.05). Both objective and subjective measurements are important in validating and determining details of sleep quality, with combined results being more insightful, and can also help in personalized care to further improve quality of life among cancer patients. Full article

(This article belongs to the Special Issue Sleep Disorders Effect on Human Health)

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Review

Jump to: Research, Other

13 pages, 1169 KiB

Open AccessReview

Somatic Symptoms and Sleep Disorders: A Literature Review of Their Relationship, Comorbidities and Treatment

by Claudiu Gabriel Ionescu, Ovidiu Popa-Velea, Alexandra Ioana Mihăilescu, Ana Anca Talaşman and Ioana Anca Bădărău

Healthcare 2021, 9(9), 1128; https://doi.org/10.3390/healthcare9091128 - 30 Aug 2021

Cited by 14 | Viewed by 3848

Abstract

This study aimed to investigate the relationship between somatic symptom disorder (SSD) and sleep disorders, following three research questions: (1) How are these disorders correlated? (2) What are the comorbidities reported in these patients? and (3) What are the most effective pharmacological and [...] Read more.

This study aimed to investigate the relationship between somatic symptom disorder (SSD) and sleep disorders, following three research questions: (1) How are these disorders correlated? (2) What are the comorbidities reported in these patients? and (3) What are the most effective pharmacological and non-pharmacological treatments for both conditions? PubMed, Scopus, OVID, Medline, and ProQuest databases were searched for relevant articles published between 1957–2020. Search terms included “somatic symptoms disorder”, “sleep disorders”, “insomnia”, “somatoform”, “somatization”, “therapeutic”, “psychotherapy”, and alternative, formerly used terms for SSD. Forty papers were finally included in the study. Prevalence of insomnia in SSD patients ranged between 20.4–48%, with this being strongly correlated to somatic symptoms and psychosocial disability. The most relevant comorbidities were generalized anxiety disorder, depression, fatigue, negative mood, substance use, orthorexia, alexithymia, anorexia, weight loss, poor eating habits, and acute stress disorder. Patients receiving antidepressant therapy reported significant improvements in insomnia and somatic symptoms. In terms of non-pharmacological interventions, cognitive-behavioral therapy (CBT) showed improvements in sleep outcomes, while the Specialized Treatment for Severe Bodily Distress Syndromes (STreSS) may represent an additional promising option. Future research could include other medical and psychosocial variables to complete the picture of the relationship between sleep disorders and somatic symptoms. Full article

(This article belongs to the Special Issue Sleep Disorders Effect on Human Health)

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Other

Jump to: Research, Review

2 pages, 187 KiB

Open AccessErratum

Erratum: Barsasella et al. Sleep Quality among Breast and Prostate Cancer Patients: A Comparison between Subjective and Objective Measurements. Healthcare 2021, 9, 785

by Diana Barsasella, Shabbir Syed-Abdul, Shwetambara Malwade, Terry B. J. Kuo, Ming-Jen Chien, Francisco J. Núñez-Benjumea, Gi-Ming Lai, Ruey-Ho Kao, Hung-Jen Shih, Yu-Ching Wen, Yu-Chuan (Jack) Li, Iván Palomares Carrascosa, Kuan-Jen Bai, Youri C. B. Broekhuizen and Monique W. M. Jaspers

Healthcare 2021, 9(11), 1581; https://doi.org/10.3390/healthcare9111581 - 19 Nov 2021

Cited by 1 | Viewed by 1243

Abstract

The authors wish to make the following erratum to this paper [...] Full article

(This article belongs to the Special Issue Sleep Disorders Effect on Human Health)

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