A Population-Based Investigation into the Self-Reported Reasons for Sleep Problems

Armstrong, David; Dregan, Alexandru

doi:10.1371/journal.pone.0101368

Cited by 24 publications

(16 citation statements)

References 15 publications

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“…Commonly, worsening sleep is coming with aging [14], concordant with our study. Counting the median age under 30, we are expecting to escalate the morbidity and mortality related to sleep disorders in our HIV patients, in the next few years.…”

Section: Discussionsupporting

confidence: 92%

Characteristics of sleep disorders in Romanian adults infected with human immunodeficiency virus

Arbune

Dumitru

Cretu-Stuparu

2017

ARS Medica Tomitana

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Sleep disorders commonly occur in chronic diseases and are a great impairment on the quality of life. The current study aims to characterize the sleep problems of a group of Romanian HIV positive patients. A cross sectional study assessed sleep disorders by a series of self-report questionnaires: STOP-BANG, Epworth Sleep Questionnaire and Pittsburgh Sleep Quality Index. Demographic data, antiretroviral therapy, Lymphocytes CD4 levels were collected from medical records. Exclusion criteria were illiteracy, severe neurocognitive dysfunction and depression. We included 102 patients infected with human immunodeficiency virus, age between 22 and 50, sex ratio M/F=1.17. Reported conditions related to sleep disorders were: smoking (50%), hypertension (18%), obesity (6%) and snoring (7%). The STOP-BANG scale indicated 19% intermediate risk and 2% high risk of sleep apnea. According to Epworth score, daytime sleepiness was found in 18% of patients, 2% of them were dangerously sleepy. The average global score of Pittsburg Sleep Questionnaire is indicative of poor sleep quality in 42% cases. No correlation of sleep scores with antiretroviral regimens was found. Sleep problems with negative impact on daily functioning are frequent

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Section: Discussionsupporting

confidence: 92%

Characteristics of sleep disorders in Romanian adults infected with human immunodeficiency virus

Arbune

Dumitru

Cretu-Stuparu

2017

ARS Medica Tomitana

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“…The results of our survey rely on self-reported behavior. Self-reporting questionnaires remain the most widely used tools in community surveys [ 44 , 45 ]. The self-report method reflects the interviewee’s own perspective, which may be more suitable for reporting subjective disorders.…”

Section: Discussionmentioning

confidence: 99%

Insomnia and Relationship with Anxiety in University Students: A Cross-Sectional Designed Study

et al. 2016

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PurposeSleep disorders (SDs) are now recognized as a public health concern with considerable psychiatric and societal consequences specifically on the academic life of students. The aims of this study were to assess SDs in a group of university students in Lebanon and to examine the relationship between SDs and anxiety.MethodsAn observational cross-sectional study was conducted at Saint-Joseph University, Lebanon, during the academic year 2013–2014. Four questionnaires were face-to-face administered to 462 students after obtaining their written consent: Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and Generalized Anxiety Disorder 7-item scale (GAD-7).ResultsThe prevalence of clinically significant insomnia was 10.6% (95% CI: 7.8–13.4%), more frequent in first year students. ISI mean score was 10.06 (SD = 3.76). 37.1% of the participants were poor sleepers. Excessive daytime sleepiness (EDS) and poor sleep were significantly more frequent among participants with clinical insomnia (p = 0.031 and 0.001 respectively). Clinically significant anxiety was more frequent in students suffering from clinical insomnia (p = 0.006) and in poor sleepers (p = 0.003). 50.8% of the participants with clinically significant anxiety presented EDS versus 30.9% of those with no clinically significant anxiety (p<0.0001).ConclusionsThe magnitude of SDs in this sample of Lebanese university students demonstrate the importance of examining sleep health in this population. Moreover, the link between SD and anxiety reminds us of the importance of treating anxiety as soon as detected and not simply targeting the reduction of sleep problems.

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“…This discrepancy might be explained by the differences in methodology of the various studies, for example in definitions of short sleep duration (varying between <5 and <8 h), of diet quality indices (e.g., Alternate-HEI, HEI, Diet Quality Index for Adolescents with Meal index), or a different set of confounders included in the statistical models. Another explanation might be the difference in the cause of sleep problems in our population when compared to non-pregnant study samples [ 17 , 42 ].…”

Section: Discussionmentioning

confidence: 99%

Sleep and Dietary Patterns in Pregnancy: Findings from the GUSTO Cohort

Lee

Chia

Loy

et al. 2017

IJERPH

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Evidence on the association between sleep, diet, and eating behaviors in pregnant women is lacking. We examine this in a cohort of apparently healthy pregnant women. At 26–28 weeks gestation, 497 participants completed the Pittsburgh Sleep Quality Index to assess sleep and a 24-h recall to assess dietary intake. Diet quality was assessed by the Healthy Eating Index for pregnant women in Singapore (HEI-SGP) score and previously derived dietary patterns (vegetables-fruit-rice, seafood-noodles, and pasta-cheese-meat pattern). Eating behaviors studied included the longest night-time fasting interval, frequency of consumption occasions, energy from discretionary foods, and nighttime eating. Adjusted means were estimated between poor/good quality and short/normal sleepers using linear regressions, including covariates. Good sleep quality versus poor sleep quality, was associated with better diet quality (mean HEI-SGP 54.6 vs. 52.0; p = 0.032), greater adherence to the vegetables-fruit-rice pattern (mean 0.03 vs. −0.15; p = 0.039), lesser adherence to the seafood-noodle pattern (mean −0.14 vs. 0.03; p = 0.024), and a trending lower calories from discretionary foods (mean 330.5 vs. 382.6 kcal; p = 0.073), after adjusting for covariates. After additional adjustment for anxiety, only sleep quality and the seafood-noodle pattern remained significantly associated (p = 0.018). Short sleep was not associated with any diet or eating behavior. In conclusion, good sleep quality is associated with a better diet quality and a greater adherence to the vegetable-fruit-rice pattern, but with lesser adherence to the seafood-noodle diets in pregnant women.

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A Population-Based Investigation into the Self-Reported Reasons for Sleep Problems

Cited by 24 publications

References 15 publications

Characteristics of sleep disorders in Romanian adults infected with human immunodeficiency virus

Characteristics of sleep disorders in Romanian adults infected with human immunodeficiency virus

Insomnia and Relationship with Anxiety in University Students: A Cross-Sectional Designed Study

Sleep and Dietary Patterns in Pregnancy: Findings from the GUSTO Cohort

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