Perceived Stress, Subjective, and Objective Symptoms of Disturbed Sleep in Men and Women with Stable Heart Failure.
Perceived Stress, Subjective, and Objective Symptoms of Disturbed Sleep in Men and Women with Stable Heart Failure.
复制标题
DOI：
10.1080/15402002.2020.1762601
复制
发表时间：
2021-05
影响因子：
3.1
通讯作者：
Redeker NS
中科院分区：
文献类型：
--
作者：
Gaffey AE;Jeon S;Conley S;Jacoby D;Ash GI;Yaggi HK;O'Connell M;Linsky SJ;Redeker NS
睡眠障碍在心力衰竭（HF）患者中普遍存在，并与发病率和死亡率增加相关。压力也会影响心血管疾病患者的健康和生活质量，并可能在HF中发挥重要作用。然而，对HF患者的压力和睡眠之间的关系知之甚少。153例稳定的纽约心脏协会（NYHA）分级I-IV级HF患者，至少有轻度失眠症状（法师：63.0±12.8，42%为女性）。我们从一项失眠症认知行为治疗的随机对照试验中检查了基线压力、睡眠障碍和睡眠相关特征，包括感知压力量表、失眠严重程度指数、匹兹堡睡眠质量指数、埃普沃思嗜睡量表、睡眠障碍问卷、睡眠障碍信念量表、PROMIS认知能力、SF-36心理健康和腕动计。我们使用Pearson相关性和一般线性模型来评估压力-睡眠相关性，包括性别和症状严重程度（NYHA）的潜在调节作用。压力与自我报告的睡眠障碍、关于睡眠的功能失调信念、认知能力和心理健康之间存在中度到高度的相关性（p <0.01）。高压力与更客观的测量（即，女性的觉醒和睡眠碎片（活动记录仪评估）高于男性（β =-0.04，p<0.01; β =-0.71，p = 0.04）。压力和客观测量的睡眠之间的关系并没有因症状严重程度而变化。知觉压力与HF患者的睡眠障碍有关，其影响可能与性别有关。随后的研究应该确定睡眠和压力之间的时间联系，以及HF患者干预的最佳时机。
Sleep disturbance is prevalent among patients with heart failure (HF) and is associated with increased morbidity and mortality. Stress also affects health and quality of life among patients with cardiovascular disease and likely plays a prominent role in HF. However, little is known about the associations between stress and sleep among HF patients. One hundred fifty-three stable New York Heart Association (NYHA) Classification I-IV HF patients with at least low symptoms of insomnia (Mage:63.0±12.8, 42% Women). We examined baseline stress, sleep disturbance, and sleep-related characteristics from a randomized controlled trial of cognitive behavioral therapy for insomnia including the Perceived Stress Scale, Insomnia Severity Index, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, Sleep Disturbance Questionnaire, Dysfunctional Beliefs about Sleep Scale, PROMIS Cognitive Ability, SF-36 Mental Health, and wrist actigraphy. We used Pearson correlations and general linear models to assess stress-sleep associations, including potential moderating effects of sex and symptom severity (NYHA). There were moderate-to-large correlations between stress and self-reported sleep disturbance, dysfunctional beliefs about sleep, cognitive ability, and mental health (p’s<0.01). High stress was associated with more objectively-measured (i.e., actigraph-assessed) awakenings and sleep fragmentation among women than men (β = −0.04, p<0.01; β = −0.71, p = 0.04). Relationships between stress and objectively-measured sleep did not vary by symptom severity. Perceived stress is related to sleep disturbance among HF patients, and effects may be sex-dependent. Subsequent research should determine the temporal links between sleep and stress and optimal opportunities for intervention among HF patients.
登录
查看更多内容
影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
4.8
作者：
Bastien, Celyne H.;Vallieres, Annie;Morin, Charles M.
通讯作者：
Morin, Charles M.
影响因子：
3.8
作者：
Brummett, BH;Babyak, MA;Barefoot, JC
通讯作者：
Barefoot, JC
DOI：
10.1016/j.hrtlng.2018.03.008
发表时间：
2018-05
期刊：
Heart & lung : the journal of critical care
影响因子：
--
作者：
Alhurani AS;Dekker R;Ahmad M;Miller J;Yousef KM;Abdulqader B;Salami I;Lennie TA;Randall DC;Moser DK
通讯作者：
Moser DK
影响因子：
3.7
作者：
Edmondson D;Green P;Ye S;Halazun HJ;Davidson KW
通讯作者：
Davidson KW