The role of insomnia in the treatment of chronic fatigue

Kallestad, Håvard; Jacobsen, Henrik Børsting; Landrø, Nils Inge; Borchgrevink, Petter C.; Stiles, Tore C.

doi:10.1016/j.jpsychores.2014.11.022

Cited by 32 publications

(39 citation statements)

References 38 publications

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“…The latter is frequent in those with CFS [32,33] and while the precise cause of the sleep disturbance in CFS is unclear, it is not thought to be particularly correlated with previous levels of activity and exertion [34]. Nonetheless, treating insomnia and sleep disturbance has been shown to be beneficial for the fatigue in CFS [35]. As such attention to uncovering and treating sleep disturbance is recommended in patients with PAD with a view to improving their fatigue and overall QoL.…”

Section: Discussionmentioning

confidence: 99%

The presence of overlapping quality of life symptoms in primary antibody deficiency (PAD) and chronic fatigue syndrome (CFS)

Bansal¹,

Tadros

Bansal

2020

Allergy Asthma Clin Immunol

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Background: Fatigue, sleep disturbance and altered mood are frequently reported in patients with primary antibody deficiency syndrome (PADS) on adequate immunoglobulin replacement therapy. This study aimed to determine the frequency of symptoms compatible with chronic fatigue syndrome (CFS) in patients with PADS. Methods: The study involved the distribution of 682 self-completed postal questionnaires to ascertain the presence and frequency of symptoms compatible with CFS in patients with PADS. The reporting of symptoms for each patient were scored against the CFS diagnostic criteria used within our own South London Chronic Fatigue service. Results: The frequency of symptoms compatible with CFS were evident in 26 of the 188 patients (16.25%) returning adequately completed questionnaires. We considered a bias in the return of questionnaires amongst PADS patients with fatigue to be likely. As such we estimated the minimum frequency of CFS in patients with PADS to be 4% based on the 682 PAD patients to whom the questionnaire was distributed. This was significantly higher than the 0.5% estimate of the prevalence of CFS in the community in western populations. While the presence of significant fatigue correlated with the presence of anxiety and depression, there was no association with self-reported lung damage. Sleep disturbance affected 60% of the PAD patients returning satisfactory questionnaires and as expected the CFS score was higher in those with greater physical limitation. Conclusions: We conclude that patients with PADS have a high frequency of fatigue, low mood and anxiety. We suggest routine questioning for the symptoms of fatigue, disturbed sleep and altered mood in patients with PADS. The use of several treatment strategies in CFS may prove beneficial in improving the quality of life of patients with PAD.

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Section: Discussionmentioning

confidence: 99%

The presence of overlapping quality of life symptoms in primary antibody deficiency (PAD) and chronic fatigue syndrome (CFS)

Bansal¹,

Tadros

Bansal

2020

Allergy Asthma Clin Immunol

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“…Different studies showed that insomnia is correlated with anxiety [58], depression [2,58], fatigue [2,49,51,58] and number of errors committed by nurses [11]. Therefore, appropriate treatment of insomnia will result in better outcomes.…”

Section: Insomnia Induced By Night Shift Work… 145mentioning

confidence: 99%

Insomnia induced by night shift work is associated with anxiety, depression, and fatigue, among critical care nurses

AbuRuz¹,

Hayeah²

2017

asb

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Objectives: The general purpose of this study was to investigate the effect of night shift work (NSW) on insomnia, anxiety, depression, and fatigue, among nurses working in critical care units. Methodology: Five hundred and twelve critical care nurses were recruited from the Intensive Care Units (ICU), Emergency Rooms (ER) and Operation Rooms (OR) from six major hospitals in Amman, Jordan. Participants singed an informed consent and answered, sociodemographic questionnaire, in addition to Hospital Anxiety and Depression Scale, Fatigue Severity Scale, and Insomnia Severity Index. Results: Critical care nurses who were working on night shift have higher levels of insomnia, depression, anxiety, and fatigue than nurses working on day shift or temporary night. Furthermore, female and ICU nurses experienced more fatigue than male nurses and nurses from OR and ER respectively. There was a dose-response relationship between the number of night that nurses work in the previous year with their (insomnia, depression, and fatigue levels) Conclusion: Night shift work induced insomnia for nurses working in critical care units which increased their anxiety, depression and fatigue levels. This has negative consequences in their health 138 Mohannad Eid AbuRuz and Haneen M. Abu Hayeah and the care provided to the patients. Health care employers should use alternative methods to help nurses overcome this issue.

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“…On the other hand, fatigue is known to be associated with subjective insomnia in many studies [36][37][38][39] . A cross-sectional study investigating the association between poor sleep quality, fatigue, and self-reported safety outcomes among emergency medical service workers revealed that sleep quality score was higher among workers with fatigue than those without fatigue 37 .…”

Section: Discussionmentioning

confidence: 99%

“…A cross-sectional study investigating the association between poor sleep quality, fatigue, and self-reported safety outcomes among emergency medical service workers revealed that sleep quality score was higher among workers with fatigue than those without fatigue 37 . Another study examining the effect of treatment for insomnia among patients with chronic fatigue demonstrated that improvement in insomnia severity had a significant impact on fatigue 39 . Thus, fatigue and subjective insomnia may affect each other bidirectionally.…”

Section: Discussionmentioning

confidence: 99%

Subjective insomnia is associated with low sleep efficiency and fatigue in middle-aged women

et al. 2016

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The role of insomnia in the treatment of chronic fatigue

Abstract: Improvement in insomnia severity had a significant impact on both improvement in fatigue and the ability to recover from a stressful situation. Insomnia severity may be a maintaining factor in chronic fatigue and specifically targeting this in treatment could increase treatment response.

Cited by 32 publications

References 38 publications

The presence of overlapping quality of life symptoms in primary antibody deficiency (PAD) and chronic fatigue syndrome (CFS)

The presence of overlapping quality of life symptoms in primary antibody deficiency (PAD) and chronic fatigue syndrome (CFS)

Insomnia induced by night shift work is associated with anxiety, depression, and fatigue, among critical care nurses

Subjective insomnia is associated with low sleep efficiency and fatigue in middle-aged women

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