A gender perspective on sleeplessness behavior, effects of sleep loss, and coping resources in patients with stable coronary artery disease
A gender perspective on sleeplessness behavior, effects of sleep loss, and coping resources in patients with stable coronary artery disease
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DOI：
10.1016/j.hrtlng.2005.09.008
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发表时间：
2006-03-01
期刊：
影响因子：
2.8
通讯作者：
Swahn, E
中科院分区：
文献类型：
--
作者：
Edéll-Gustafsson, U;Svanborg, E;Swahn, E
目的：本研究的主要目的是系统地比较男性和女性稳定型冠状动脉疾病（CAD）患者的感知睡眠质量、失眠行为、掌控感、自尊、抑郁、主观健康和睡眠不足的影响。进一步的目标是确定睡眠质量差和掌控感的可能预测因素，以及睡眠过少的后果。方法：采用比较相关设计和预测设计。有稳定型心绞痛病史的患者计划在瑞典林雪平大学医院接受冠状动脉造影。女性47例，男性88例（平均年龄62.4岁）。采用有效问卷的结构化访谈涵盖了睡眠质量和睡眠习惯、睡眠不足的影响、心理资源和抑郁症。结果：多元逐步回归分析显示，失眠行为、抑郁情绪、女性和炎症抑制剂药物治疗显著（P < 0.0001）解释了睡眠质量差的方差。分析还表明，以下因素对睡眠质量的影响程度由高到低有显著影响（P < 0.0001）；不能被睡眠唤醒，难以保持睡眠，肠胃问题，睡眠太少，最终早晨醒来时间，睡眠发作潜伏期，因白天疲劳而躺下，白天身体疲劳。结论：与男性相比，即使在失眠行为和炎症抑制剂药物治疗得到控制的情况下，患有稳定型CAD的女性可能尤其有睡眠质量差的风险。它。也有可能他们更容易抑郁。
OBJECTIVE: The primary aim of this study was to systematically compare perceived sleep quality, sleeplessness behavior, sense of mastery, self-esteem, depression, subjective health, and effects of sleep loss in men and women with stable coronary artery disease (CAD). Further aims were to determine possible predictors of poor sleep quality and sense of mastery, as well as the consequences of too little sleep.METHODS: Comparative-correlation and predictive design were used. Patients with a history of stable angina pectoris scheduled to undergo coronary angiography at Linkoping University Hospital in Sweden were included. There were 47 women and 88 men (mean age 62.4 years) with CAD. Structured interviews using validated questionnaires covered sleep quality and sleep habits, effects of sleep loss, psychologic resources, and depression.RESULTS: Multiple stepwise regression analysis showed that sleeplessness behavior, depressed mood, female gender, and pharmacologic treatments with inflammation inhibitors significantly (P < .0001) accounted for the variance of poorer sleep quality. The analysis also showed that the following factors in descending order significantly accounted (P < .0001) for the outcome of sleep quality; inability to feel refreshed by sleep, difficulty in maintaining sleep, gastrointestinal problems, too little sleep, final morning awakening time, sleep onset latency, lying down because of daytime tiredness, and daytime physical tiredness.CONCLUSIONS: Compared with men, women with stable CAD may be especially at risk of experiencing poor sleep quality, even when sleeplessness behavior and pharmacologic treatments with inflammation inhibitors are controlled. It. is also possible that they may be more at risk of depressed mood.