Spiritual Well-Being, Sleep Disturbance, and Mental and Physical Health Status in Hiv-Infected Individuals

Phillips, Kenneth D.; Mock, Kathryn S.; Bopp, Christopher M.; Dudgeon, Wesley A; Hand, Gregory A.

doi:10.1080/01612840500436917

Cited by 47 publications

(37 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Therefore the results of this research are consistent with those of earlier studies 2,8 , where most women in the study group were inactive. This Notably, the study group presented an average of 10.1 in the global scores on the PSQI, similar to data of another study 9 . The study group of patients with AIDS showed greater compromise in efficiency, sleep disorders and use of prescribed hypnotics then did the control group.…”

Section: Discussionsupporting

confidence: 77%

Women living with HIV/AIDS: sleep impairment, anxiety and depression symptoms

Junqueira

Bellucci

Rossini

et al. 2008

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

-Objective: To evaluate sleep impairment, symptoms of anxiety and depression, and associations with sleep characteristics of sleep in female HIV/AIDS patients. Method: 30 female patients with HIV/AIDS were evaluated along with 30 female controls with a mean age of 35.4 years in the study group and 33.1 years in the control group, with: a) the Pittsburgh Sleep Quality Index; b) the Beck Anxiety Inventory; c) the Beck Depression Inventory. Results: Sleep quality was more impaired in AIDS patients than in those with HIV+ or in controls. The AIDS patients showed more symptoms of anxiety. There were associations of sleep impairment with anxiety in HIV+ patients; whereas in AIDS patients associations were found between sleep impairment and depression. Conclusion: There was sleep quality in the presence of symptoms of anxiety and depression. In HIV+ patients, sleep impairment was associated with anxiety, while in AIDS patients sleep impairment was associated with depression.

show abstract

Section: Discussionsupporting

confidence: 77%

Women living with HIV/AIDS: sleep impairment, anxiety and depression symptoms

Junqueira

Bellucci

Rossini

et al. 2008

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

show abstract

“…Using the PSQI self-report measure, other researchers also report a range of 2 to 12 hours, with a mean of 5 to 6 hours sleep and sleep efficiency better than 85% in their samples of HIVinfected adults. 9,32 to complain about their sleep, and since their sleep efficiency was similar to the group of good sleepers, interventions may be better focused on strategies to relieve anxiety and restrict time spent in bed in order to shorten sleep onset latency. 35,36 Rather than relying solely on medication to improve sleep, cognitive behavioral therapy should also be considered, particularly in populations already burdened with medications used to manage their chronic illness.…”

Section: Discussionmentioning

confidence: 99%

“…34 Consistent with the findings of this study, Phillips and colleagues reported that their sample spent about 8 hours in bed and obtained about 6 hours sleep by self-report. 32 Another limitation of this study was that the amount of sleep was objectively assessed with movement counts using wrist actigraphy, and this measure may have overestimated the amount of sleep actually obtained. If this is the case, then the poor sleep efficiency and low total sleep time would be even worse.…”

Section: Discussionmentioning

confidence: 99%

Types of Sleep Problems in Adults Living with HIV/AIDS

Lee

Gay

Portillo

et al. 2012

Journal of Clinical Sleep Medicine

View full text Add to dashboard Cite

Objective: To characterize specifi c types of sleep problems experienced by adults with HIV. Method: The design was cross-sectional involving sleep questionnaires, diaries, and wrist actigraphy. The convenience sample included 290 adults living with HIV, 22-77 years of age. Measures included self-report for sleep onset latency, and wrist actigraphy estimates of total sleep time at night, wake after sleep onset, and daytime sleep. Results: Nearly half (45%) of the sample slept < 6 h per night. Diffi culty falling asleep was reported by 34%, and 56% had fragmented sleep according to actigraphy; 20% had both problems, and 30% were good sleepers. Participants reporting diffi culty falling asleep had actigraphy and clinical measures similar to the good sleepers, but subjectively they experienced greater sleep disturbance and symptom burden (particularly anxiety and morning fatigue) and reported more use of sleep medication. Participants with fragmented sleep reported low levels of sleep disturbance and symptom burden similar to the good sleepers, despite actigraphy measures indicating they obtained less sleep both at night and during the day. Sleep fragmentation was also associated with sociodemographic factors and slightly lower CD4+ T-cell counts. Participants reporting both sleep problems had actigraphy and clinical profi les similar to those who had only fragmented sleep, but their symptom experience was similar to participants with only sleep initiation diffi culties. Types of Sleep Problems in Adults Living with HIV/AIDS S C I E N T I F I C I N V E S T I G A T I O N SS leep problems affect about 30% of the population in the United States and are associated with higher healthcare utilization and use of sleep medication, as well as poor work performance and mood disorders.1 Adults living with a chronic illness are at higher risk for sleep problems, and depending on the definition, sleep problems are experienced by 30% to 100% of HIVpositive adults. [2][3][4][5][6][7][8][9] It is unclear what type of sleep problem adults with HIV experience, or whether their sleep disturbance is related to the infection itself or to the medical treatment and side effects of medications. Sleep disturbance is not only prevalent, but also one of the more intense and distressful symptoms experienced in this population. [8][9][10] In HIV infection, poor sleep has been associated with disease progression, medication therapy, employment status, and lack of knowledge about behaviors that promote good sleep. [11][12][13][14] The specifi c type of sleep disturbance experienced by this population needs to be better understood in order to provide the most effective intervention to improve symptoms, daytime functioning, and quality of life. 8,[15][16][17][18] Fragmented sleep occurs in chronic health conditions and may not even be perceived by the patient. 19,20 With this type of sleep loss, it is rare to fi nd complaints of initiation insomnia, but complaints of daytime sleepiness or fatigue are common and can lead to diffi culty concentrat...

show abstract

“…They have been reported at all stages of HIV infection from the beginning of the infection to its progression to AIDS [2]. Sleep disturbances have also been identified as common and debilitating illnesses for people living with HIV/AIDS both in the pre-combined antiretroviral therapy (cART) and post-cART era with a reported prevalence ranging from 30% to 100% [3][4][5][6], as compared to 10-35% [7][8][9] in the general population.…”

Section: Introductionmentioning

confidence: 96%

Self-reported sleep disturbances in HIV-infected people: a meta-analysis of prevalence and moderators

et al. 2015

Sleep Medicine

105

View full text Add to dashboard Cite

Spiritual Well-Being, Sleep Disturbance, and Mental and Physical Health Status in Hiv-Infected Individuals

Cited by 47 publications

References 33 publications

Women living with HIV/AIDS: sleep impairment, anxiety and depression symptoms

Women living with HIV/AIDS: sleep impairment, anxiety and depression symptoms

Types of Sleep Problems in Adults Living with HIV/AIDS

Self-reported sleep disturbances in HIV-infected people: a meta-analysis of prevalence and moderators

Contact Info

Product

Resources

About