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Sleep disturbance is a complex health problem in ageing global populations decreasing quality of life among many older people. Geographic, cultural, and ethnic differences in sleep patterns have been documented within and between Western and Asian populations. The aim of this study was to explore sleep problems among Hong Kong seniors by examining...
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... addition, study participants who had received <7 years of educa- tion and/or perceived their health as poor or very poor were more likely to be poor and short-duration sleepers than their counterparts. The demographic characteristics and prevalence of poor sleep quality are shown in Table 1. ...
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Citations
... To calculate the sample size and estimate the difference between the quality of life and the sleep disorders, we used a method mentioned in a similar, previously published study. 12 At the limit of 20 points, with the assumption of α ¼ 5% and power of 80%, the minimum sample size of 100 people in each comparison group. According to the study of Morning-type individuals presented better quality of life and better quality of sleep (p < 0.001; r ¼ 0.175). ...
Objective An individual's chronotype affects circadian characteristics associated with bedtime, waking, and other daily activities. It is known that academic achievement is strongly dependent on personality traits. The present study aimed to investigate the relationship regarding chronotype, quality of life, and academic performance of university students by comparing three educational fields: medicine, technology, and art.
Materials and Methods The present cross-sectional study was conducted with 400 medicine, technology, and art students enrolled at universities in Tehran between2018 and 2019, with convenience sampling from January 2020 to January 2021. The students filled out online questionnaires, including a demographics questionnaire, a quality of life assessment questionnaire (the World Health Organization Quality of Life: Brief Version, WHOQOL-BREF), the Morningness-Eveningness Questionnaire (MEQ), the Pittsburgh Sleep Quality Index (PSQI), and the Depression, Anxiety, and Stress Scale-21 items (DASS-21). The statistical analysis was performed using the IBM SPSS Statistics for Windows software, version 22.0 ( p < 0.05).
Results A total of 400 students were enrolled in the present study, including 115 medicine, 153 technology, and 132 art students (67.3% of female and 33.7% of male subjects, with a mean age of 21.06 ± 2.063 years). In spite of the absence of significant differences among the chronotypes of the three groups, there was a significant correlation regarding the chronotypes in all groups and quality of life ( p = 0.005). Morning-type individuals presented better quality of life and better quality of sleep ( p < 0.001; r = 0.175). No significant associations were found involving the students' academic performance and their chronotypes ( p > 0.05; r = 0.026).
Conclusion Considering the chronotype's effect of improving the quality of life of students and, therefore, their academic performance, more studies are essential to effectively improve the academic performance of individuals with different chronotypes.
... Our findings suggest a higher likelihood of sleep disorders among females compared to males. This observation aligns with established research in the general population, where being female has been independently associated with a higher prevalence of insomnia [34,35]. However, it is important to note that the relationship between female sex and selfreported insomnia specifically among stroke patients has not been previously documented in the literature [36,37]. ...
The aim of this study was to identify the factors associated with sleep disturbances in individuals after a stroke. To systematically identify relevant studies, an extensive search strategy was devised. We conducted comprehensive searches in major electronic databases including PubMed, Embase, PsycINFO, and Cochrane Library. The search was limited to articles published in English between January 1, 2011, and February 10, 2024. Pooled effect estimates, such as odds ratio (OR) or mean difference (MD) along with their confidence interval (CIs), were calculated using random-effects models for categorical variables and continuous variables, respectively. A total of nine studies were included in this meta-analysis. The pooled prevalence of insomnia across the included studies was determined to be 40% (95% CI = 30%-49%), with individual study prevalence ranging from 22% to 72%. A pooled analysis showed that gender demonstrated a statistically significant association with sleep disturbance, with females exhibiting a higher likelihood (OR = 1.49, 95% CI = 1.16-1.91, p = 0.002) compared to males. The National Institutes of Health Stroke Scale (NIHSS) score, a measure of stroke severity, was associated with sleep disturbance (MD = 0.86, 95% CI = 0.56-1.17, p = 0.001), indicating that patients with severe strokes may be more prone to sleep disturbances. These findings underscore the importance of comprehensive evaluation and targeted interventions to address sleep-related issues in stroke patients, particularly those with severe neurological impairment.
... Amidst the senior citizens, the causes of various sleep problems are frequently multi-causal. It is plausible that alterations in senior adults' medical, social, physical, and psychological health have an effect on their sleep [9]. The sleep-wake cycle, or circadian rhythm, of adults fluctuates frequently [10]. ...
Insomnia is a prevalent sleep-related complaint among older persons, regardless of whether it is reported as subjective symptoms or diagnosed as a sleep disorder by accepted diagnostic methods. The purpose of this study was to determine the prevalence of insomnia in the elderly, and the contributing factors to insomnia and their influence on the elderly people. A descriptive, cross-sectional research design was adopted, with a sample of 207 elderly people drawn from the Nepalgunj Sub-metropolitan City. Binary multiple logistic regression model was used to assess the factors contributing to insomnia in old aged people. The prevalence of insomnia found in the elderly was 52.3%. Among the different factors, females (OR: 3.21, 95% CI: 1.51 to 6.83), currently not working (OR: 4.25, 95% CI: 1.94 to 9.21), staying with spouse (OR: 3.26, 95% CI: 1.56 to 6.82), using sleeping pills (OR: 2.58, 95% CI:1.08 to 6.18), having chronic disease (OR: 2.67, 95% CI: 1.15 to 6.19), and physically inactive (OR: 7.93, 95% CI: 1.85 to 33.95) had significant association with insomnia. It can be inferred that more than half of the elderly people were suffering from insomnia. Females were 3.21 times more vulnerable to have insomnia as compared to males.
... Approximately one-fourth of older adults (≥65 years) do not meet the recommended sleep duration of 7 to 8 h per night, with symptoms of insomnia such as difficulty with sleep onset, sleep maintenance, and early morning awakening being particularly common [6]. Poor sleep quality and inadequate sleep duration in older adults are associated with adverse physical and mental health outcomes, including impaired cognitive function [7][8][9][10][11][12][13], reduced functional capacity [14][15][16], disability [17,18], reduced quality of life [19], and increased risk of all-cause mortality [10,[20][21][22]. The causes of poor sleep health in older adults are multifactorial and can largely be attributed to age-related factors, including a higher prevalence of medical and psychiatric conditions, the use of multiple medications, and psychosocial or behavioural factors such as loneliness and depression [23]. ...
Poor sleep health is common in older adults and is associated with negative health outcomes. However, the relationship between caffeine consumption and sleep health at an older age is poorly understood. This study investigated the association between caffeine consumption and sleep health in community-dwelling older males and females in The Netherlands. Cross-sectional analyses were performed using data from 1256 participants aged 61–101 years from the Longitudinal Ageing Study Amsterdam. Self-reported questions assessed sleep disturbances (including sleep latency, continuity, and early awakening), sleep duration, and perceived sleep quality. Caffeine consumption was determined with questions about frequency, quantity, and type of coffee and tea consumption. Logistic and linear regression models were used, controlling for potential confounders, and interaction by sex and age was tested. Caffeine consumption showed significant interactions with sex (p < 0.005) in association with sleep health outcomes. Older females who abstained from caffeine consumption reported more sleep disturbances (β = 0.64 [95%CI 0.13; 1.15]) and had greater odds of short sleep duration (<7 h/day) (OR = 2.26 [95% CI 1.22; 4.20]) compared to those who consumed caffeine. No associations were observed for long sleep duration (>8 h/day) and perceived sleep quality. No associations were observed in older males. Caffeine abstinence was associated with more sleep disturbances and short sleep duration in older females, but not in males. The observed association in older females may reflect reverse causation, suggesting that females may have different motivations for discontinuing caffeine consumption than males.
... According to a study 15 , depressive symptoms partially influence the relationship between insomnia and CP, while another study 16 described the modulation of anxiety on insomnia symptoms and pain incidence. CP, when associated with sleep alterations, cause limitation in daily activities, functional incapacity, worsening of quality of life 17,18 and an increase in general morbidity [19][20][21][22][23] . In addition, it is observed that the simultaneous occurrence of these two entities determines a reduction in productivity and an increase in healthcare expenses 20 . ...
BACKGROUND AND OBJECTIVES
Chronic pain and its relationship with sleep disturbance are common conditions with great influence on the individual’s quality of life. The simultaneous occurrence of these two entities results in greater suffering, reduced functionality and well-being. The objective of this research was to evaluate the influence of chronic pain on sleep and its impact on quality of life.
METHODS
This is an observational, cross-sectional, individual, uncontrolled study carried out at the Multidisciplinary Pain Center of the Clinical Hospital of the Federal University of Minas Gerais (Hospital das Clínicas da Universidade Federal de Minas Gerais - HC-UFMG). The patients answered a semi-structured, face-to-face interview via the pain center’s own computer system (avaliaDor®), using internet-connected mobile devices. Socioeconomic and pain data was collected, and then instruments were applied to assess pain intensity (Visual Numerical Scale - VNS), quality of life (Medical Outcomes Study 36 - Short Form Health Survey - SF-36), presence of psychiatric disturbances (Hospital Depression Anxiety Scale - HAD) and sleep (Mini Sleep Questionnaire - MSQ).
RESULTS
One hundred and three patients participated in the study. Seventy two percent were women, the median age was 55 years, and the patients were predominantly married, white and with a low level of schooling. Of the entire study population 74.76% presented “severe difficulty” in sleeping, while 22.33% had “good quality” sleep. Regarding pain intensity, patients in the moderate and severe pain groups had a higher percentage of “severe difficulty” in sleeping, when compared to patients with mild pain. About the presence of anxiety and depression, it was observed lower scores on: “restless sleep”, “tiredness for no apparent reason”, “wakes up with a headache”, “wakes up and goes back to sleep”, “wakes up tired in the morning”, and finally “wakes up and does not go back to sleep”. The general data from the SF-36 points to a low quality of life for the patients in the present study and, based on the multivariate analysis, the items “SF-36-Pain and SF-36-Vitalidade” were shown to be protective factors for the presence of sleep disturbances.
CONCLUSION
Sleep disorders in patients with chronic pain are common and show a worsening in quality of life. The frequency of this disturbance was higher in patients with anxiety and depression compared to patients without these psychiatric disorders. The early identification of sleep disturbances in individuals with chronic pain is necessary to improve well-being.
Keywords:
Chronic pain; Quality of life; Sleep
... Poor PSQI sleep quality has been associated with various negative outcomes and conditions. For example, some studies have reported that PSQ poor sleepers have: worse working memory and attention (Nebes et al., 2009); negative cognitive bias and lower sustained attention (Gobin et al., 2015); higher levels of distress (Rezaei et al., 2018); higher emotional loneliness (McHugh & Lawlor, 2013); lower quality of life (Driscoll et al., 2008;Lo & Lee, 2012); higher job stress (Deng et al., 2020); higher substance misuse and lower academic achievement (Liu et al., 2021); and lower scores (Driscoll et al., 2008;Lo & Lee, 2012) ...
... Poor PSQI sleep quality has been associated with various negative outcomes and conditions. For example, some studies have reported that PSQ poor sleepers have: worse working memory and attention (Nebes et al., 2009); negative cognitive bias and lower sustained attention (Gobin et al., 2015); higher levels of distress (Rezaei et al., 2018); higher emotional loneliness (McHugh & Lawlor, 2013); lower quality of life (Driscoll et al., 2008;Lo & Lee, 2012); higher job stress (Deng et al., 2020); higher substance misuse and lower academic achievement (Liu et al., 2021); and lower scores (Driscoll et al., 2008;Lo & Lee, 2012) ...
We examined cognition-specific effects of sleep quality and timing in 145 cognitively-normal subjects (M=55.3 years), using self-report (Pittsburgh Sleep Quality Index, PSQI) and actigraphy, testing whether NREM-rich sleep supports long-term consolidation of declarative memory, while REM-rich sleep supports facial processing. Good sleep is thought to improve declarative memory consolidation, but its potential role in longer-timescale forgetting (e.g., 2 weeks after the learning event) is largely unexplored. We modified a standard test of verbal episodic memory (VEM) to test 2-week retention relative to 30-minute delay performance. Subjects also completed other cognitive tasks and psychological questionnaires. We analysed predictors of VEM Long-Term Forgetting and Facial processing. Good quality sleep (PSQI), good psychological health (questionnaires) and being an early sleeper (actigraphy), i.e. likely obtaining more NREM-rich sleep, predicted better/lower VEM Long-Term Forgetting. Conversely, being a late sleeper (actigraphy), i.e. likely obtaining more REM-rich sleep, predicted better Facial processing. To our knowledge, this is the first indication that sleep quality influences long-timescale (2-week) consolidation of a single learning episode, and that later-sleeping community-living subjects have superior facial processing. These novel findings are consistent with research showing associations between good sleep quality and higher NREM sleep, and between early-stage NREM sleep and long-term memory consolidation. Since the benefits of good sleep for long-term forgetting applied to older as well as younger participants, these findings also re-emphasise the importance of sleep health in older adults.
... 14 Another study in China showed that emotional status, physical functioning, and bodily pain were associated with sleep quality in older adults. 15 Vietnam is a lower-middle-income country with a rapidly aging population in Southeast Asia. 16 The number of individuals aged ≥60 years was approximately 12 million in 2019 and is projected to increase to nearly 30 million in 2050. ...
... This will help provide early management strategies for those with poor sleep quality and improve their mental health and quality of life. 15,41 In this study, we found that poor sleep quality was significantly associated with age, low educational attainment, frailty, bodily pain, and osteoarthritis. Age is strongly associated with poor sleep quality in older adults as proven in the literature and many previous studies. ...
... It is worth noting that insomnia has a prevalence rate of 10-15% among adults, with a higher occurrence in women (Madrid-Valero et al., 2017). Sleep problems, such as insomnia, experienced during adulthood can significantly impact daily activities and both physical and psychological well-being (Lo & Lee, 2012). The majority of the participants in this study were college students (91.49%), with the remaining participants being employed (8.51%). ...
This study aims to investigate the impact of mindfulness dhikr breathing therapy on the quality of life among individuals suffering from insomnia. This study involved forty-seven participants who were randomly allocated into three groups: mindfulness dhikr breathing (MDB), progressive muscle relaxation (PMR), and a Control group that did not receive any treatment. The participants were adults aged between 20 and 35 years, with 78.72% female and 21.28% male. Among the participants, 91.49% were students, while 8.51% were employees. The treatment period spanned 28 days, with four sessions conducted every Saturday. The primary outcome measure was the assessment of the quality of life, which was evaluated using a valid and reliable World Health Organization-Quality of Life (WHOQOL) BREF questionnaire. Statistical analysis involved the utilization of various tests, including paired t-tests, Wilcoxon tests, independent t-tests, Mann-Whitney tests, and one-way ANOVA tests. Significant differences were observed in the effects of the three intervention groups on overall QoL (p=.035), general health (p=.008), physical well-being (p=.006), psychological well-being (p=.000), and environmental factors (p=.007), except for the social relationship domain (p=.269). However, no significant differences were found in the effects of MDB and PMR treatments on overall QoL (p=.922), general health (p=.756), physical well-being (p=.497), psychological well-being (p=.883), social relationships (p=.569), and environmental factors (p=.618). In conclusion, mindfulness dhikr breathing therapy has demonstrated its effectiveness in enhancing the quality of life for individuals with insomnia. It holds the potential to serve as a suitable alternative to commonly used insomnia therapies, such as progressive muscle relaxation.
... Bad dreams and nightmares are known occurrences after a prolonged ICU stay, and the published literature has mentioned that up to one-third of patients experience bad dreams even after 2 years of discharge [25]. Current study also demonstrates linear relationship between QOL and sleep quality, the same had been demonstrated in many previous studies [26,27]. Authors adopted the EUROHIS-QOL 8-item index for the assessment of quality of life. ...
Background:
Coronavirus disease 2019 (COVID-19), is known for its variable severity and high infectivity. Though fewer than 15% of infected cases develop severe disease, a major proportion had prolonged stay in the intensive care unit (ICU). Prolonged ICU stay is known to have a long-term impact on behavior and quality of life.8 Therefore, it is likely that patients discharged after severe COVID-19 have issues that persist for long term. The current study aimed to assess the long-term impact of severe COVID-19 on the Quality of life (QOL), sleep pattern, behavior, and workability.
Methods:
The current multicenter study adopted a cross-sectional design to analyze data from two tertiary care COVID-19 dedicated hospitals. All experimental procedures were approved by the ethics committee of the M.L.B Medical College. Participants were 20-60 age group who had been admitted to the ICU because of severe COVID-19 and had elapsed at least one and a half year since their discharge. After informed written consent the participants were assessed for: EUROHIS-QOL 8-item index; Workability Score; Quality of sleep; The major depression inventory (MDI) questionnaire; Generalized anxiety disorder 7 item scale (GAD-7); Current global health status score: an innovative subjective scale (1 -10) to determine the current global health status when 5 is the status before COVID-19.
Findings:
491 participants were assessed, the median follow-up time after discharge from the hospital was 561·0 days (range, 548-580 days). The mean duration of ICU stay was 8.72 ± 2.85 days. There was significant reduction in the prevalence of obesity, diabetes, and hypertension as compared with discharge time. The mean of EUROHIS-QOL score, workability score, current global health status score was 3.28 ± 0.98, 6.87 ± 0.85, 4.53 ± 1.36 respectively. The mean MDI and anxiety scores were 4.12 ± 1.45 and 18.63 ± 3.28, respectively.
Interpretation:
Severe COVID-19 survivors have new-onset psychological disorders and sleep disturbances. Long term quality of life and work ability remains poor after prolong ICU admission secondary to severe COVID-19.
... Additionally, Lo & Lee, (2012) showed that there was a strong negative correlation between poor sleep quality and quality of life among adolescents. These results confirmed that sleep health is important for improving quality of life of adolescents, and those who had poorer sleep quality had a worse quality of life. ...
The impact of psychosocial factors on quality of life remains the subjects of considerable research globally. Thus, this study investigated the influence of psychosocial factors on quality of life among in-school adolescents in Oriade Local Government Area, of Osun State, Nigeria. The study adopted descriptive research design of survey type and was conducted in three purposively selected senior secondary schools in Oriade Local Government Area of Osun State, Nigeria. The population of the study consists of 4,669 in-school adolescents. Slovin's formula was used to select 369 in-school adolescents from the population. The instrument used for data collection was a structured questionnaire consisting of 89 items. Three hypotheses were formulated and multiple regression analysis was used to analyse the data collected. Results show that sleep quality, social media addiction and family relationship jointly predicted quality of life (QoL) among in-school adolescents (F (3,363) = 156.182; p<.01). The researchers recommended that both parents and teachers should assist in-school adolescents to improve their sleep quality and family relationship in other to maintain their QoL.
