Psychological Aspects of Cardiac Care and Rehabilitation: Time to Wake Up to Sleep?

Gallagher, Jonathan; Parenti, Giulia; Doyle, Frank

doi:10.1007/s11886-015-0667-8

Cited by 21 publications

(16 citation statements)

References 172 publications

(130 reference statements)

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“…While it is accepted that stress can influence QOL through effects on mood, sleep, fatigue and pain in general (7,8), specific influences in GI disorders are not consistently or well described and therefore are not often clinically addressed. In addition, basic research supports an association between stress and GI dysfunction such as altered gut motility, visceral perception, GI secretions, intestinal permeability, mucosal blood flow and repair, and bowel flora (2,9).…”

Section: Introductionmentioning

confidence: 99%

Perceived Stress in Patients with Common Gastrointestinal Disorders: Associations with Quality of Life, Symptoms and Disease Management

Edman

Greeson

Roberts

et al. 2017

EXPLORE

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Objective and Methods: Given associations between stress, and gastrointestinal (GI) symptoms and disorders, this pilot study assesses relationships between perceived stress, quality of life (QOL) and self-reported pain ratings as an indicator of symptom management in patients who self-reported gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD). Results: In a sample of GI patients (n=402), perceived stress positively correlated with depression (r=0.76, p<0.0001), fatigue (r=0.38, p< 0.0001), sleep disturbance (r=0.40, p<0.0001), average pain (r=0.26, p<0.0001) and worst pain (r=0.25, p< 0.0001). Higher perceived stress also correlated with lower mental health-related QOL. Assessed in subgroups, similar correlations were found for the participants with GERD (n=188), IBS (n=132) and IBD (n=82). Finally, there were significant correlations within both the GERD and IBD cohorts between perceived stress, and average pain (r=0.34, p<0.0001; r=0.32, p<0.0001respectively) and worst pain (r=0.29, p<0.0001; r=0.35, p<0.01respectively). Conclusions: Perceived stress broadly correlated with QOL characteristics in patients with GERD, IBS, and IBD, and their overall QOL was significantly lower than that of the general population. Perceived stress also appeared to be an indicator of symptom management (self-reported pain ratings) in GERD and IBD, but not IBS. Future research is needed using objective measures of stress and symptom/disease management to confirm these associations, and to prospectively evaluate the ability of stress reduction interventions to improve perceived stress, QOL and disease management in these GI disorders; integrative medicine treatment programs that simultaneously target such multiple symptoms may be particularly beneficial to study.

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Section: Introductionmentioning

confidence: 99%

Perceived Stress in Patients with Common Gastrointestinal Disorders: Associations with Quality of Life, Symptoms and Disease Management

Edman

Greeson

Roberts

et al. 2017

EXPLORE

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“…Considering the bidirectional relationship between distress and unhealthy sleep, our questionnaire could be used to investigate this psychological construct also in other clinical populations. It has been shown that sleep duration and sleep quality are correlated to chronic disease, cerebrovascular disease, diabetes and mental health [16][17][18][19][20]. We think that our questionnaire could be used for an early detection of the impact of distress related to sleep disturbance.…”

Section: Resultsmentioning

confidence: 97%

“…Evidence indicates that emotional distress is associated with changes in sleep architecture, total sleep time, sleep quality, sleep efficiency, rapid eye movement sleep, sleep onset latency, and slow wave sleep [9,15]. Moreover, short ( 6 hours) and long sleep duration (!9 hours) have been shown to have a relationship with chronic disease, cerebrovascular disease, diabetes and mental health [16][17][18][19][20]. In the sleep disease literature, there is wide agreement that impaired sleep may directly contribute to the development of severe psychological discomfort or psychiatric disorders [13,21,22] both in the young and adult population.…”

Section: Introductionmentioning

confidence: 99%

“…Based on the evidence highlighting the relationship between emotional distress, unhealthy sleep, sleep disorders and the disease impact [7,9,13,17,29,28], we focused our attention on psychometric instruments used to investigate psychological discomfort in patients suffering from a specific sleep disorder. However, to the best of our knowledge, no psychometric tools measuring the impact of sleep impairment on emotional distress are available in the literature, particularly in patients with sleep disorders.…”

Section: Introductionmentioning

confidence: 99%

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Development and validation of the Maugeri Sleep Quality and Distress Inventory (MaSQuDI–17)

Morrone¹,

Sguazzin²,

Bertolotti³

et al. 2017

Sleep and Control of Breathing

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ObjectivesThe aim of this study was to develop and validate a questionnaire designed to measure the impact of sleep impairment on emotional distress in patients with various sleep disorders. MethodsFive experts created an item data-bank pertaining to sleep-related psychological symptoms and somatic perceptions. Fifty patients in two focus groups examined each item for: a) word clarity (indicating any ambiguity of interpretation) and b) appropriateness for the target population. This process permitted to identify 36 appropriate items. Classical Test Theory and Rasch Analysis were used to further refine the questionnaire, yielding the final 17-item set. Concurrent validation of the new scale was tested with the Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, and the Anxiety and Depression questionnaires. ResultsStarting from the initial item data-bank, a 17-item questionnaire, the Maugeri Sleep Quality and Distress Inventory (MaSQuDI-17), was produced. Parallel Analysis on the MaSQuDI-17 confirmed the presence of a single dimension; exploratory factor analysis showed salient loading for each item, explaining 58.7% of total variance. Item-remainder correlation ranged Data Availability Statement: All relevant data are within the paper and its Supporting Information files. Funding:The authors received no specific funding for this work. Competing interests:The authors have declared that no competing interests exist.from 0.72 to 0.39 and Cronbach alpha was 0.896. Rasch analysis revealed satisfactory psychometric properties of the new scale: the rating structure performed according to expectations, model fit was good and no item dependencies emerged. The scale presented good convergent validity and scores significantly distinguished healthy subjects from OSAS or Insomnia or BSD (p < 0.001). ConclusionsMaSQuDI -17 shows good psychometric qualities, and can be used to assess the impact of sleep disorders such as Insomnia, OSAS, Central Hypersomnia and BSD on emotional stress.

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“…B. sozioökonomischer Status, soziale Beziehungen bzw. Isolation, Verunsicherung, Stress, Ängstlichkeit und Depressivität und auch sozialer Unterstützung für die Prognose und Lebensqualität kardiologischer Patienten mehrfach beschrieben wurde [5][6][7][8][9][10][11].…”

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Aspekte beruflicher und sozialer Wiedereingliederung aus Sicht kardiovaskulär erkrankter Rehabilitanden in besonderen beruflichen Problemlagen – Ergebnisse einer qualitativen Erhebung

et al. 2017

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This study investigated subjective biopsychosocial effects of coronary heart disease (CHD), coping strategies and social support in patients undergoing cardiac rehabilitation (CR) and having extensive work-related problems. A qualitative investigation was performed in 17 patients (48.9±7.0 y, 13 male) with extensive work-related problems (SIMBO-C>30). All patients were interviewed with structured surveys. Data analysis was performed using a software that is based on the content analysis approach of Mayring. In regard to effects of disease, patients indicated social aspects including occupational aspects (62%) more often than physical or mental factors (9 or 29%). Applied coping strategies and support services are mainly focused on physical impairments (70 or 45%). The development of appropriate coping strategies was insufficient although social effects of disease were subjectively meaningful for patients in CR.

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Psychological Aspects of Cardiac Care and Rehabilitation: Time to Wake Up to Sleep?

Cited by 21 publications

References 172 publications

Perceived Stress in Patients with Common Gastrointestinal Disorders: Associations with Quality of Life, Symptoms and Disease Management

Perceived Stress in Patients with Common Gastrointestinal Disorders: Associations with Quality of Life, Symptoms and Disease Management

Development and validation of the Maugeri Sleep Quality and Distress Inventory (MaSQuDI–17)

Aspekte beruflicher und sozialer Wiedereingliederung aus Sicht kardiovaskulär erkrankter Rehabilitanden in besonderen beruflichen Problemlagen – Ergebnisse einer qualitativen Erhebung

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