Predicting insomnia in medical wards: the effect of anxiety, depression and admission diagnosis

Kokras, Nikolaos; Kouzoupis, Anastasios V.; Paparrigopoulos, Thomas; Ferentinos, Panagiotis; Karamanakos, Petros N; Kontoyannis, Dimitrios A.; Papadimitriou, George N.

doi:10.1016/j.genhosppsych.2010.12.003

Cited by 18 publications

(14 citation statements)

References 11 publications

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“…previous findings by using a large national sample to replicate other research (e.g., Kokras et al, 2011;Morphy, Dunn, Lewis, Boardman, & Croft, 2007) that suggests that concurrent insomnia symptoms are related to increased psychological distress.…”

Section: Discussionmentioning

confidence: 57%

Insomnia symptoms and well-being: Longitudinal follow-up.

Karlson¹,

Gallagher²,

Olson³

et al. 2013

Health Psychology

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Objective: Most Americans have occasional problems with symptoms of insomnia. Insomnia symptoms have been linked to psychological distress, but few studies have examined the relationship between insomnia symptoms and well-being. The purpose of the present study was to assess the relationship between insomnia symptoms reported in a 10-year longitudinal study and the dimensions of subjective well-being and eudaimonic well-being, adjusting for the potential confounds of age, gender, and comorbid physical illness. Method: The data for the present study came from the National Survey of Midlife Development in the United States. Participants were 4,014 community dwelling adults (M age ϭ 56.27 years, SD ϭ 12.4; 55.4% female; 91.6% White). Results: After adjusting for demographic characteristics and a wide range of chronic physical health conditions, we found that insomnia symptoms had a significant relationship with both subjective and eudaimonic well-being. Furthermore, the report of insomnia symptoms at 2 time points 10 years apart was found to have an additional impact on subjective and eudaimonic well-being. Conclusions: Results of this study suggest that insomnia symptoms have a strong relationship to individuals enjoying life and perceiving that one has a meaningful life. In addition, these data suggest that the experience of recurrent insomnia symptoms at 2 time points is particularly detrimental to one's well-being.

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Section: Discussionmentioning

confidence: 57%

Insomnia symptoms and well-being: Longitudinal follow-up.

Karlson¹,

Gallagher²,

Olson³

et al. 2013

Health Psychology

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“…), falls/accidents, and decreased quality of life [2]. Hospitalization can further disrupt sleep due to active medical problems, medications, loss of the normal sleep-wake cycle, decreased daytime activity, and noise [3,4,5]. Due to their medical complexity, general internal medicine (GIM) patients are high risk for both insomnia and complications of insomnia, such as delirium and falls [2,6].…”

Section: Introductionmentioning

confidence: 99%

“…Insomnia is prevalent in the medical inpatient population [4]. We are aware of only one Canadian study where family medicine and general medicine patients were grouped together [7].…”

Section: Introductionmentioning

confidence: 99%

Sleep Quality and Factors Influencing Self-Reported Sleep Duration and Quality in the General Internal Medicine Inpatient Population

et al. 2016

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BackgroundSleep quality in hospitalized Canadian General Internal Medicine patients is not well characterized. Our goals were to characterize hospital sleep quality in this population and identify potentially modifiable barriers to good sleep.MethodsGIM inpatients at a quaternary centre in Edmonton, Canada completed a survey, including the Verran-Snyder Halpern (VSH) questionnaire, to characterize the previous night’s sleep within 48 hours prior to discharge. A chart review was also completed to assess comorbidities, discharge diagnoses, and pharmaceutical sleep aid use.ResultsPatients reported significantly worse nighttime sleep duration in hospital compared with home (mean 5.5 versus 7.0 hours per night, p < 0.0001). Sleep quality was poor, as measured by the VSH disturbance (mean 371), effectiveness (190), and supplementation (115) subscales. Variables independently associated with poorer sleep duration in multivariable regression include prior diagnosis of sleep disorder and multi-patient occupancy rooms. Age, sex, admitting diagnosis, length of stay, frequency of vital checks, and use of sleep pharmaceuticals during the index hospitalization were not associated with sleep duration. The most frequently reported reasons for poor sleep included noise (59%), nursing interruptions (30%), uncomfortable beds (18%), bright lights (16%), unfamiliar surroundings (14%), and pain (9%).ConclusionsSleep quality for GIM inpatients is significantly worse in hospital than at home. There is a need to test non-pharmacologic interventions to address the most frequently identified factors causing poor sleep hygiene for GIM inpatients.

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“…All patients were further asked to complete the Hospital Anxiety and Depression Scale (HADS) (Zigmond & Snaith, ), which has been extensively used in similar medical settings (Kokras et al, ; Mystakidou et al, ), given that it produces results unbiased of somatic symptoms. The HADS consists of 14 items, seven for the HADS‐Anxiety (HADS‐A) scale and seven for the HADS‐Depression (HADS‐D) scale.…”

Section: Methodsmentioning

confidence: 99%

Dysfunctional remembered parenting in oncology outpatients affects psychological distress symptoms in a gender‐specific manner

et al. 2012

Self Cite

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Evidence suggests that gender differences appear in a variety of biological and psychological responses to stress and perhaps in coping with acute and chronic illness as well. Dysfunctional parenting is also thought to be involved in the process of coping with stress and illness; hence, the present study aimed to verify whether dysfunctional remembered parenting would influence psychological distress in a gender-specific manner in patients suffering from cancer. Patients attending an outpatient oncology clinic completed the Remembered Relationships with Parents (RRP), Hospital Anxiety and Depression and Spielberger's State-Trait Anxiety Inventory scales and the National Cancer Center Network Distress Thermometer. Although no baseline gender differences were detected, a multivariate analysis confirmed that anxiety and depression symptoms of men and women suffering from cancer are differentially affected by the RRP Control and Alienation scores. Women with remembered parental alienation and overprotection showed significantly more anxiety symptoms than men, whereas men were more vulnerable to remembered alienation than overprotection with regard to the Distress Thermometer scores. These results suggest that remembered dysfunctional parenting is crucially, and in a gender-specific manner, involved in the coping strategy adopted by male and female cancer patients.

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Predicting insomnia in medical wards: the effect of anxiety, depression and admission diagnosis

Cited by 18 publications

References 11 publications

Insomnia symptoms and well-being: Longitudinal follow-up.

Insomnia symptoms and well-being: Longitudinal follow-up.

Sleep Quality and Factors Influencing Self-Reported Sleep Duration and Quality in the General Internal Medicine Inpatient Population

Dysfunctional remembered parenting in oncology outpatients affects psychological distress symptoms in a gender‐specific manner

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