• Title/Summary/Keyword: Sleep disturbances

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Factors Influencing Sleep Disturbances among Older Adults Living within a Community (재가노인의 수면 관련요인)

  • Jeon, Bo Min;Choi-Kwon, Smi
    • Korean Journal of Adult Nursing
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    • v.29 no.3
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    • pp.235-245
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    • 2017
  • Purpose: Reported insomnia and decreased sleep quality are common among older adults. The purpose of this study was to identify factors contributing to insomnia and decreased sleep quality among elderly persons living within a community. The data will be verified with Actigraph which is a non-invasive measurement of rest/activity cycles. Methods: 137 participants over 65 years old were recruited from a senior welfare center. Their mean age was $74.07{\pm}5.18years$ old and majority was women (69.3%). The quality and quantity of nighttime sleep were assessed using Varren-synder-Halper Sleep Scale and a sleep log. Depression and fatigue were assessed using Geriatric Depression Scale Short Form and Fatigue Severity Scale, respectively. Pain was assessed using 11-point Numeric rating scale. An actigraph was used to verify the self-reported sleep. Results: Ninety-two participants (67.2%) reported insomnia. Sixty-eight subjects (49.6%) reported good sleep. Of the participants, 56.2% reported depression and 33.6% reported fatigue. In logistic regression, depression was related to insomnia (OR=3.09, p=.003). Sleep quality was related to depression (OR=2.13, p=.045) and fatigue (OR=2.24, p=.044). The data from the Sleep logs correlated with data obtained from the actigraph. Conclusion: Depression significantly influenced insomnia and sleep quality whereas fatigue only influenced sleep quality. Thus, depression and fatigue should be closely monitored among elderly persons with sleep disturbances.

Association of Cold/Heat Sensation with Sleep Quality and Insomnia in Middle-aged Women (중년 여성에서 신체의 냉/열감과 수면의 질 및 불면증의 연관성 분석)

  • Sujeong Mun;Kihyun Park;Kwang-Ho Bae;Younghwa Baek;Siwoo Lee
    • The Journal of Korean Medicine
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    • v.45 no.1
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    • pp.127-138
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    • 2024
  • Objectives: Cold extremities have been suggested to correlate with sleep disturbances. This study aims to explore the relationship between thermal sensations in body, encompassing both cold and heat sensations, with sleep quality and insomnia. Methods: Self-administered questionnaires were utilized to assess thermal sensations in body, sleep quality and symptoms of insomnia in middle-aged women. A multiple logistic regression analysis was performed to ascertain the association between thermal sensations in body and both sleep quality and insomnia symptoms. Results: Among 899 participants, 255 (28.4%) were categorized in the cold sensation group, 95 (10.6%) in the heat sensation group, 70 (7.8%) in the group with both cold and heat sensations, and 479 (53.3%) in the no-sensation group. Pittsburgh Sleep Quality Index and Insomnia Severity Index were notably higher in the group experiencing both sensations when compared to the no-sensation group. After adjustments for covariates, the odds ratios for poor sleep quality, moderate/severe insomnia, and long sleep latency were significantly elevated in the group with both sensations when compared to the no-sensation group. The odds ratios for poor sleep quality in the cold sensation group and for moderate/severe insomnia and low sleep efficiency in the heat sensation group were significantly higher when compared to the no-sensation group. Conclusions: The risk for sleep disturbances varied depending on the presence of thermal sensations in body, with the greatest risk observed for low sleep quality and insomnia in individuals experiencing both cold and heat sensations.

Alternation of Sleep Structure and Circadian Rhythm in Alzheimer's Disease (알츠하이머 치매에서 수면구조 및 일주기리듬의 변화)

  • Sohn, Chang-Ho
    • Sleep Medicine and Psychophysiology
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    • v.9 no.1
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    • pp.9-13
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    • 2002
  • Alzheimer's disease (AD) is one of the most common and devastating dementing disorders of old age. Most AD patients showed significant alternation of sleep structure as well as cognitive deficit. Typical findings of sleep architecture in AD patients include lower sleep efficiency, higher stage 1 percentage, and greater frequency of arousals. The slowing of EEG activity is also noted. Abnormalities in REM sleep are of particular interest in AD because the cholinergic system is related to both REM sleep and AD. Several parameters representing REM sleep structure such as REM latency, the amount of REM sleep, and REM density are change in patients with AD. Especially, measurements of EEG slowing during tonic REM sleep can be used as an EEG marker for early detection of possible AD. In addition, a structural defect in the suprachiasmatic nucleus is suggested to cause various chronobiological alternations in AD. Most of alternations related to sleep make sleep disturbances common and disruptive symptoms of AD. In this article, the author reviewed the alternation of sleep structure and circadian rhythm in AD patients.

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Quantitative Analysis of Actigraphy in Sleep Research (수면연구를 위한 액티그라피 정량분석 방법론)

  • Kim, Jong Won
    • Sleep Medicine and Psychophysiology
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    • v.23 no.1
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    • pp.10-15
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    • 2016
  • Since its development in the early 70s, actigraphy has been widely used in sleep research and clinical sleep medicine as an assessment tool of sleep and sleep-wake cycles. The validation and reliability of actigraphic measures have been reasonably examined in healthy normal individuals with good sleep patterns. Recent literature suggests that the use of actigraphy could be further extended to monitor insomnia and circadian sleep-wake disturbances, and detect sleep changes associated with drug treatments and non-pharmacologic interventions, although it is generally recommended to use complementary assessments such as sleep diaries and overnight polysomnography when possible. The development of actigraphy includes its improved hardware sensors for better detection of movements and advanced algorithms to score sleep and wake epochs. In this paper, we briefly review the quantitative analysis methods of actigraphy and its potential applications in sleep research.

The Effect of Psychological Factors on Sleep Disturbances in Young Adults

  • Park, Hye Sook
    • Journal of Oral Medicine and Pain
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    • v.45 no.1
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    • pp.1-11
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    • 2020
  • Purpose: The purpose of this study was to assess influences of psychological factors on sleep disturbances in young adults through the revised version of the Minnesota Multiphasic Personality Inventory (MMPI-2). Methods: Two hundred and ninety nine college students in Gyeonggi-do completed the MMPI-2 and a questionnaire related to sleep disturbances and collected data were analyzed by logistic regression. Results: The odds of tooth grinding increased significantly with the increase of T-score of hysteria (Hy) scale. The increase of T-score of hypomania (Ma) and social introversion (Si) scale significantly contributed to the risk of insomnia. The occurrence of insomnia increased significantly as T-score of somatic complaints (RC1) and psychoticism (PSYC) scale increased. The odds of tooth grinding increased significantly as T-score of anxiety (ANX) and family problems (FAM) scale increased. The occurrence of insomnia decreased significantly with the increase of T-score of type A behavior (TPA) scale. The increase of T-score of dominance (Do) scale significantly contributed to the risk of tooth clenching. The odds of tooth grinding decreased significantly as T-score of MacAndrew alcoholism-revised (MAC-R) scale increased, whereas it increased significantly as T-score of addiction potential scale (APS) increased. No scale of MMPI-2 significantly affected the occurrence of snoring. Conclusions: T-scores of Hy, ANX, FAM, Do, MAC-R, and APS scales on MMPI-2 affected the risk of bruxism. T-scores of Ma, Si, RC1, PSYC, and TPA scales on MMPI-2 influenced the occurrence of insomnia. The psychometric instrument such as MMPI-2 is helpful in understanding and managing bruxism and insomnia.

Sleep Disturbances and Personality Type Test

  • Park, Hye Sook
    • Journal of Oral Medicine and Pain
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    • v.40 no.3
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    • pp.102-109
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    • 2015
  • Purpose: The purpose of this study was to assess the association between sleep disturbances and personality type. Methods: Five hundred twenty-four college students in Gyeonggi-do completed the Myers-Briggs Type Indicator (MBTI) and a questionnaire and collected data were analyzed by SAS 9.4 program. Results: Extroversion (E) type, sensation (S) type, and perceiving (P) type had significantly higher prevalence of insomnia than introversion (I) type (p<0.05), intuition (N) type (p<0.05), and judging (J) type (p<0.001), respectively. Tooth grinding, snoring and insomnia appeared to occur more frequently in feeling (F) type than in thinking (T) type. Tooth clenching, tooth grinding and snoring seemed to occur more frequently in S type than in N type. Insomnia occurred significantly the most frequently in sensation-feeling (SF) type (p<0.05). Tooth grinding and snoring seemed to occur the most frequently in SF type. A significantly increased percentage of sensation-perceiving (SP) type demonstrated insomnia (p<0.001). Tooth clenching, tooth grinding and snoring seemed to occur the most frequently in sensation-judging (SJ) type. Sensitive or nervous type of personality had significantly higher prevalence of insomnia than relaxed or general type of personality (p<0.01). A significantly increased percentage of subjects with bad general health status showed insomnia (p<0.0001). Tooth clenching and snoring seemed to occur the most frequently in subjects with bad general health status. A significantly decreased percentage of normal weight subjects demonstrated tooth grinding (p<0.05). Snoring occurred significantly the most frequently in overweight subjects (p<0.001). Tooth clenching showed significant correlation with stress (p<0.01) and personality (p<0.05). Snoring showed significant correlation with stress (p<0.05) and body weight (p<0.001). Insomnia showed significant correlation with stress (p<0.0001), personality (p<0.01), and general health status (p<0.0001). Conclusions: Sleep disturbances including tooth clenching and insomnia were associated with personality type and it is desirable to manage them considering personality type.

Noise in hospital rooms and sleep disturbance in hospitalized medical patients

  • Park, Marn Joon;Yoo, Jee Hee;Cho, Byung Wook;Kim, Ki Tae;Jeong, Woo-Chul;Ha, Mina
    • Environmental Analysis Health and Toxicology
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    • v.29
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    • pp.6.1-6.6
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    • 2014
  • Objectives Hospitalized patients are vulnerable to sleep disturbances because of environmental stresses including noise. While most previous studies on hospital noise and sleep have been performed for medical machines in intensive care units, there is a limited data for patients hospitalized in medical wardrooms. The purpose of present study was to measure noise level of medical wardrooms, identify patient-perceived sources of noise, and to examine the association between noise levels and sleep disturbances in hospitalized patients. Methods Noise dosimeters were used to measure noise level in 29 inpatient wardrooms at a university hospital. Sleep pattern and disturbance were assessed in 103 hospitalized patients, using the Pittsburgh Sleep Quality Index (PSQI) and Leeds Sleep Evaluation Questionnaire. Results The mean equivalent continuous noise level for 24 hours was 63.5 decibel A (dBA), which was far higher than 30 dBA recommended by the World Health Organization for hospital wardrooms. Other patients sharing a room were perceived as the most common source of noise by the patients, which was usually preventable. Of the patients in the study, 86% had bad sleep as assessed by the PSQI. The sleep disturbance was significantly correlated with increasing noise levels in a dose response manner. Conclusions Systemic organizational interventions are needed to keep wardrooms private and quiet to reduce sleep disturbance.

A study of the Effect of Sensory Processing on Sleep Disturbance for Life care of Preschool Children with Developmental Disabilities (학령전기 발달장애 아동의 라이프 케어를 위한 감각처리가 수면장애에 미치는 영향에 관한 연구)

  • Kim, Hee-Young
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.3
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    • pp.203-211
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    • 2019
  • The purpose of this study was to investigate the relations between sensory processing and sleep disturbances and to investigate the effect of sensory processing on sleep disorder in preschool children with developmental disorder. This study was conducted for 110 children with developmental disorder in developmental clinic and rehabilitation hospital in Gwang Ju from June to August, 2017. The final 109 data were analyzed. Sensory processing and Sleep disturbances were measured using the Shortened sensory profile(SSP) and Korean-the Children's Sleep Habits Questionnaire(K-CSHQ). Statistical analysis was performed using descriptive analysis, Pearson correlation analysis, and multiple regression analysis were performed. Children with developmental disorder had problems with sensory processing and sleep habits. Sensory processing was related to sleep habit and most important factors of sensory processing influencing sleep was taste/olfactory sensitivity, auditory filtering. Conclusion: In order to help children with developmental disorder with sleep problem, it is necessary to consider the sensory processing especially taste/olfactory sensitivity, auditory filtering.

Auricular acupuncture for sleep quality in participants with mental and behavioral disorders due to prior multiple drug use: a retrospective consecutive case series

  • Yuri Gimelfarb;Eran Goldstien
    • Journal of Yeungnam Medical Science
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    • v.40 no.1
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    • pp.78-85
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    • 2023
  • Background: Poor sleep quality is associated with psychoactive substance abuse/addiction/withdrawal. Auricular acupuncture (AA) is a nonpharmacological method used for the treatment of sleep disturbances. This study aimed to examine the quality of sleep before and after AA in participants with mental and behavioral disorders due to prior multiple drug use in the therapeutic community. Methods: This was a consecutive case series of 27 participants (25 male [92.6%]). The median age was 35.0 years (interquartile range [IQR], 29.0-37.2 years), methadone/buprenorphine were not used, and the participants were treated with AA (median number of treatments, 15.0 [IQR, 12.0-18.0]) during a median period of 51.0 days (IQR, 49.0-51.0 days) according to the National Acupuncture Detoxification Association (NADA)-Acudetox protocol. Sleep quality was determined using the Pittsburgh Sleep Quality Index (PSQI), a self-rated questionnaire that assesses sleep quality and disturbances over a 1-month interval. Results: The global PSQI score dropped (indicating better sleep quality) by a median of 3.0 points (IQR, 0.0-8.0 points) after treatment. In the multivariate logistic regression analysis, with an increase in global PSQI score during AA by 1 point, there was a 0.73-fold reduction in the risk of poor sleep quality post-AA (adjusted odds ratio, 0.73; 95% confidence interval, 0.52-1.01; p<0.055; Nagelkerke's R2 =0.66). Conclusion: The results revealed a positive effect of AA (by the NADA-Acudetox protocol) on sleep quality (as measured by PSQI) among participants in a treatment center with mental and behavioral disorders due to multiple drug use.

Sleep disorders in childhood (소아기 수면 장애)

  • Cha, Byung Ho
    • Clinical and Experimental Pediatrics
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    • v.50 no.8
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    • pp.718-725
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    • 2007
  • Sleep disorders are very common among pediatric patients. Its prevalence is between 10% and 45% in preschool- and school-aged children. However parents commonly do not concern about their children's sleeping habits and for many pediatricians, there is not part of the routine office visit about a childs sleep. Sleep disorders were classified by International Classification of Sleep Disorder (ICSD) as dyssomnias, parasomnias, sleep disorders associated with mental, neurologic, or other medical disorders, and proposed sleep disorders. There are lots of differences in the causes, manifestations, and managements of sleep disorders between children and adult. The sleep disorders in childhood may manifest themselves as bedtime resistance, refusal to go to bed at a parentally described time, sleep-onset delay, inability to fall asleep within a reasonable time, prolonged nighttime awakening, and inability to return to sleep without assistance after waking during the night, and so have wide-ranging influences on children's behavior, mood, school performance, and family life. It's very important for pediatrician to concern about the sleep disturbances in childhood and so the problems of sleep in children should be early detected and managed.