Restlessness and psychomotor agitation after kidney transplantation: Their impact on perceived health status

Noohi, Sima; Tavallaii, Seyed Abbas; Bazzaz, Avid; Khoddami-Vishte, H.-R.; Saadat, Seyed Hassan

doi:10.1080/13548500701405517

Cited by 3 publications

(4 citation statements)

References 40 publications

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“…43 The positive relationship between mood and total wake time suggests that pre-KTX participants experienced greater insomnia symptoms concurrent with worse mood and is consistent with previous research. 13,14,23 This relationship may be the result of worse sleep resulting in greater mood disturbance, worse mood impairing sleep or a third factor impacting both mood and sleep. While the relationship between these two factors was clearly present, further research is needed to determine the causal relationship.…”

Section: -6mentioning

confidence: 99%

“…7,10,11 Comorbidity rates between poor sleep, ESRD and psychological distress, particularly anxiety and depression (~60% of dialysis patients), are also high. 12,13 ESRD patients who have elevated depressive symptoms report increased difficulty falling asleep, staying asleep, waking too early in the morning, and increased fatigue in the morning. 14 Quality of life is often compromised among individuals suffering from chronic health conditions such as insomnia and ESRD.…”

Section: Scientific Investigationsmentioning

confidence: 99%

“…While the relationship between these two factors was clearly present, further research is needed to determine the causal relationship. [12][13][14] Interestingly, the factors explored in this study had relatively little relationship with total sleep time and it remains uncertain which factors are related to time spent sleeping. Other areas for exploration may be more biologically/ medically based factors such as dialysis frequency, creatinine levels, and hormones such as cortisol, all of which may impact the timing of the circadian rhythm system.…”

Section: -6mentioning

confidence: 99%

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A Novel Application of a Biopsychosocial Theory in the Understanding of Disturbed Sleep before and after Kidney Transplantation

Williams

McCrae

Rodrigue

et al. 2016

Journal of Clinical Sleep Medicine

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Study Objectives: Sleep and fatigue difficulties appear to be highly prevalent among individuals with end-stage renal disease and individuals who have received a kidney transplant. While there is some evidence of biopsychosocial factors predicting sleep disturbance in these populations, previous studies have relied on single time point retrospective measurements. Methods: The study utilized a 2-week prospective measurement approach, including one night of polysomnographic measurement, nightly sleep diaries, and self-report measures of health, sleep, and mood. Results: The current study demonstrates that a number of psychological and behavioral factors, including negative mood, quality of life, napping, and caffeine consumption, are related to sleep disturbance among pre-and post-kidney transplant patients. This study also found that many of these factors have different relationships with sleep disturbance when comparing pre-and post-kidney transplant patients. Conclusions: These results suggest that such factors may be worthwhile areas for intervention in treating the symptoms of insomnia among pre-and posttransplant recipients. A nuanced approach to understanding sleep problems is likely warranted when conceptualizing insomnia and developing a treatment plan. I NTRO DUCTI O NSleep complaints are common among individuals with endstage renal disease (ESRD) and patients who have received kidney transplantation (KTX).1-6 While on dialysis, patients report that sleep disturbance is one of their most prominent symptom complaints.1 Compared to dialysis, kidney transplantation is considered the treatment of choice for ESRD due to longer patient survival, fewer morbidities, and better quality of life. Unfortunately, little is known about the relationship between ESRD and sleep or the impact of KTX on that relationship. The research that does exist suggests that the rates of common sleep disorders including insomnia (50% to 75% v 9%), restless legs syndrome (30% to 80% v 5% to 15%), and sleep apnea (~24%), are higher in ESRD than in the general population, and ESRD patients are also at risk for more severe sleep apnea.2-7 The rates of these disorders tend to decrease following KTX (expect apnea), but nonetheless remain elevated compared to normative estimates.8 While considerable research has focused on predictors of sleep apnea and restless legs syndrome (RLS), relatively little research has focused on insomnia in these populations. Additionally, due to a reliance on cross-sectional designs and retrospective assessment of insomnia, previous research has been unable to provide greater insights into sleep's relationships with ESRD. Previous research has been largely atheoretical and has examined insomnia in relative isolation without consideration of important biopsychosocial relationships that may be relevant in the context of ESRD and KTX. Biopsychosocial Correlates of Sleep and End-Stage Renal DiseaseThere are several biopsychosocial factors which have been found to be associated with ESRD including age, sex, medical ...

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Section: -6mentioning

confidence: 99%

Section: Scientific Investigationsmentioning

confidence: 99%

Section: -6mentioning

confidence: 99%

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A Novel Application of a Biopsychosocial Theory in the Understanding of Disturbed Sleep before and after Kidney Transplantation

Williams

McCrae

Rodrigue

et al. 2016

Journal of Clinical Sleep Medicine

View full text Add to dashboard Cite

show abstract

“…A review of the literature demonstrated the scarce number of studies conducted at hospital psychiatric wards and the difficulty in the assessment of the quality of the programs, services, and results of medical care [ 17 ], with differences found in the use of guides among centers and where even acute stress, such as a transplant, could be a trigger [ 34 ]. Future research should focus on the use of programs and homogenous guides such as the WHO Quality Rights Toolkit [ 35 ] between countries to reduce mechanical restraint [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Triggers of Agitation in Psychiatric Hospitalization Ward According to Professional Experience Questionnaire

Ortiz-Sandoval

Martínez-Quiles

Lopez-Perez

et al. 2022

IJERPH

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Aim: To create and analyze an instrument to assess the possible agitation triggers of hospitalized psychiatric patients. Background: No tools exist for identifying according to a professional’s experience. Methods: Descriptive and cross-sectional study. The questionnaire of possible triggers of agitation behaviors of patients hospitalized in psychiatric wards according to professional experience (TAPE) was designed and analyzed. Results: The questionnaire was provided to 156 mental health workers (76.9% women, average work experience: 10.15 ± 8 years, 46.8% were nurses specialized in mental health, and 21.2% psychiatrists). A good internal consistency was obtained, with a Cronbach α value of 0.791 in the initial test, and 0.892 in the retest. The factorial analysis found four factors: factor 1 “personnel”, factor 2 “routines”, factor 3 “norms–infrastructure”, and factor 4 “clinic”. Factor 1 obtained the highest value, with a mean of 4.16 ± 0.63, highlighting the item “lack of specialized personnel” (mean 4.38 ± 0.81). The specialized professionals provided higher scores to the items from the factors associated with the training of the personnel and routines (p = 0.017; p = 0.042). Conclusions: The TAPE questionnaire is useful for identifying the possible triggers that could lead to situations of agitation of hospitalized patients.

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Anxiety, Depression and Emotional Profile in Renal Transplant Recipients and Healthy Subjects: A Comparative Study

Pascazio¹,

Nardone²,

Clarici³

et al. 2010

Transplantation Proceedings

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Restlessness and psychomotor agitation after kidney transplantation: Their impact on perceived health status

Cited by 3 publications

References 40 publications

A Novel Application of a Biopsychosocial Theory in the Understanding of Disturbed Sleep before and after Kidney Transplantation

A Novel Application of a Biopsychosocial Theory in the Understanding of Disturbed Sleep before and after Kidney Transplantation

Triggers of Agitation in Psychiatric Hospitalization Ward According to Professional Experience Questionnaire

Anxiety, Depression and Emotional Profile in Renal Transplant Recipients and Healthy Subjects: A Comparative Study

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