Sleep, Fatigue, and Problems With Cognitive Function in Adults Living With HIV.

Sleep, Fatigue, and Problems With Cognitive Function in Adults Living With HIV.
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DOI:
10.1016/j.jana.2015.10.002
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发表时间:
2016-01
期刊:
The Journal of the Association of Nurses in AIDS Care : JANAC
影响因子:
--
通讯作者:
Lee KA
Lee KA
中科院分区:
其他
文献类型:
--
作者:
Byun E;Gay CL;Lee KA

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Up to 50% of people living with HIV have some neurocognitive impairment. We examined associations of sleep and fatigue with self-reported cognitive problems in 268 adults living with HIV. Multivariate regression was used to examine associations between cognitive problems, self-reported sleep quality, actigraphy-measured total sleep time and wake after sleep onset, and fatigue severity. Poorer self-reported sleep quality (p < .001), short or long total sleep time (< 7 or > 8 vs. 7–8 hours, p = .015), and greater fatigue (p < .001) were associated with lower self-reported cognitive function scores after controlling for demographic and clinical characteristics. However, objective measure of wake after sleep onset was unrelated to self-reported cognitive function scores. Findings suggest that assessing and treating poor sleep and complaints about fatigue would be areas for intervention that could have a greater impact on improving cognition function than interventions that only target cognitive problems.