Insomnia and health-related quality of life in stroke

Tang, Wai Kwong; Lau, Chieh Grace; Mok, Vincent; Ungvári, Gábor S.; Wong, Ka Sing

doi:10.1179/1074935714z.0000000026

Cited by 59 publications

(58 citation statements)

References 41 publications

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“…In a study of 366 patients assessed 3 months after stroke, insomnia (as assessed by a seven-item questionnaire) was found in 44% of them; an association with female gender, depression and lower stroke-related quality of life was observed [132]. In a study of 215 first-time stroke patients, insomnia (as defined as presence of at least one of the four following complaints: difficulty initiating sleep, difficulty maintaining sleep, early morning awakening and non-restorative sleep) 1 month after onset was found in 59.5%.…”

Section: Recommendations For Future Researchmentioning

confidence: 99%

“…In addition, the presence of insomnia in stroke patients has been shown to be linked with cognitive impairment, anxiety, depression (and suicidality) and to have a bad impact on functional recovery and return to work [30,[132][133][134]. Unfortunately, few studies addressed systematically the frequency of insomnia in stroke patients.…”

Section: Recommendations For Future Researchmentioning

confidence: 99%

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EAN/ERS/ESO/ESRS statement on the impact of sleep disorders on risk and outcome of stroke

et al. 2020

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@ERSpublicationsEvidence suggests a bidirectional relationship between sleep and stroke. However, the pathophysiological base of the associations and the possibilities of improving prevention and outcome through sleep-related interventions require further evaluation.ABSTRACT Sleep disorders are highly prevalent in the general population and may be linked in a bidirectional fashion to stroke, which is one of the leading causes of morbidity and mortality.Four major scientific societies established a task force of experts in neurology, stroke, respiratory medicine, sleep medicine and methodology, to critically evaluate the evidence regarding potential links and the impact of therapy. 13 research questions were evaluated in a systematic literature search using a stepwise hierarchical approach: first, systematic reviews and meta-analyses; second, primary studies postdating the systematic reviews/meta-analyses. A total of 445 studies were evaluated and 88 included. Statements were generated regarding current evidence and clinical practice.Severe obstructive sleep apnoea (OSA) doubles the risk for incident stroke, especially in young to middle-aged patients. Continuous positive airway pressure (CPAP) may reduce stroke risk, especially in treatment-compliant patients. The prevalence of OSA is high in stroke patients and can be assessed by polygraphy. Severe OSA is a risk factor for recurrence of stroke and may be associated with stroke mortality, while CPAP may improve stroke outcome. It is not clear if insomnia increases stroke risk, while pharmacotherapy of insomnia may increase it. Periodic limb movements in sleep (PLMS), but not restless limb syndrome (RLS), may be associated with an increased risk of stroke. Preliminary data suggest a high frequency of post-stroke insomnia and RLS and their association with a less favourable stroke outcome, while treatment data are scarce.Overall, the evidence base is best for OSA relationship with stroke and supports active diagnosis and therapy. Research gaps remain especially regarding insomnia and RLS/PLMS relationships with stroke. This article has an editorial commentary: https://doi.

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Section: Recommendations For Future Researchmentioning

confidence: 99%

Section: Recommendations For Future Researchmentioning

confidence: 99%

EAN/ERS/ESO/ESRS statement on the impact of sleep disorders on risk and outcome of stroke

et al. 2020

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“…By a year after stroke onset, quality of life (QoL) decreases 40% compared with before a stroke 4 ) . As pain is known to affect recreational activities, vocational status, and quality of sleep, it can have a major role on QoL, mood, and rehabilitation outcome 5 , 6 , 7 ) . For many of patients with CSPS, the pain is severe and accompanied by reduced physical functioning, eventually lowering the QoL 8 , 9 ) .…”

Section: Introductionmentioning

confidence: 99%

The effects of central post-stroke pain on quality of life and depression in patients with stroke

Şahin-Onat¹,

Ünsal-Delialioğlu²,

Kulaklı³

et al. 2016

J Phys Ther Sci

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[Purpose] The aim of this study was to assess the effects of central poststroke pain on quality of life, functionality, and depression in stroke. [Subjects and Methods] Twenty-four patients with stroke having central poststroke pain (a mean age of 60.6±8.5 years; 14 males, 10 females; Group I) and 24 similar age-and gender-matched patients with stroke without central poststroke pain (Group II) were enrolled. Characteristics of pain were recorded in patients with stroke having central poststroke pain. The Visual Analogue Scale and Leeds Assessment of Neuropathic Symptoms and Signs pain scale were used to evaluate pain. The Functional Independence Measure was used to assess functionality, the 36-Item Short-Form Health Survey was used to assess quality of life (QoL), and the Beck Depression Inventory was used to assess depression. [Results] There were no significant differences in Functional Independence Measure and Beck Depression Inventory. Some of the 36-Item Short-Form Health Survey domains (physical role limitations, pain, and physical scores) in Group II were significantly higher than those in Group I. Additionally, we found that a unit increase in Leeds Assessment of Neuropathic Symptoms and Signs score led to 0.679 decrease in physical score and 0.387 decrease in mental score. [Conclusion] The physical component of the 36-Item Short-Form Health Survey is negatively affected in patient with central poststroke pain, but the mood and mental components of the scale unaffected.

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“…Each component is measured on a scale of 0~3; and a score of 5 or above indicates bad sleep quality. The reliability was Cronbach's α=.83 and the test-retest reliability was .85 (Tang, Grace Laru, Mok, Ungvari & Wong, 2015;Zhang et al, 2014). The Occupational Questionnaire (OQ) was used to assess the subjects' pattern of activity performance as an assessment tool developed to check the subject's lifestyle through a timetable format designed to assess the daily pattern of activity performance (Smith, Kielhofner, & Watts, 1986).…”

Section: Methodsmentioning

confidence: 99%

Effects of the sleep quality of chronic stroke outpatients on patterns of activity performance and quality of life

Park¹

2019

Sleep Hypn

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This study examined the effects of the sleep quality of chronic stroke outpatients on their patterns of activity performance and quality of life. This study was conducted on 49 patients with chronic stroke who received outpatient care in hospitals in South Korea.The Pittsburgh Sleep Quality Index (PSQI) was used to examine sleep quality, the Occupational Questionnaire (OQ) was used to assess frequency of occupational participation; while the World Health Organization Quality of Life-BREF (WHOQOL-BREF)was used to measure quality of life. As the results of the analysis, it was shown that the patient group with higher quality of sleep in the surveyed chronic stroke outpatients were indicated to have the higher activity frequency in the work and daily living work in terms of their activity execution phase, whereas the patient group with higher quality of sleep the higher activity frequency in the field of the rest (p <0.05). In addition, the higher quality of sleep group showed statistically significant higher quality of life (p <0.05). The findings of this study showed that the sleep quality of outpatients with chronic stroke is related with their pattern of activity performance and quality of life, and that bad sleep quality may negatively affect their pattern of activity performance and quality of life.

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Insomnia and health-related quality of life in stroke

Cited by 59 publications

References 41 publications

EAN/ERS/ESO/ESRS statement on the impact of sleep disorders on risk and outcome of stroke

EAN/ERS/ESO/ESRS statement on the impact of sleep disorders on risk and outcome of stroke

The effects of central post-stroke pain on quality of life and depression in patients with stroke

Effects of the sleep quality of chronic stroke outpatients on patterns of activity performance and quality of life

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