A gender perspective on sleeplessness behavior, effects of sleep loss, and coping resources in patients with stable coronary artery disease

Edéll-Gustafsson, Ulla; Svanborg, Eva; Swahn, Eva

doi:10.1016/j.hrtlng.2005.09.008

Cited by 18 publications

(44 citation statements)

References 59 publications

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“…10,14,22,31,69-72 The underlying mechanism involves the alleviation of symptoms that are barriers or constraints to physical activity and function, resulting in higher levels of physical activity and function among postoperative CABS patients. Although several studies examined gender differences in CABS outcomes, 4,30,63 little evidence is available regarding gender differences in response to post-CABS interventions and the potential explanatory factors.…”

Section: Discussionmentioning

confidence: 99%

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Gender differences in recovery outcomes after an early recovery symptom management intervention

et al. 2011

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Background Despite known gender differences in recovery, few studies have examined symptom management (SM) interventions or responses by gender after coronary artery bypass surgery (CABS). Objective The purpose of this subanalysis was to describe and evaluate differences in response by gender to an SM intervention on the presence and burden of symptoms, physical activity, and physical functioning in elderly CABS patients during the early discharge period (3 and 6 weeks after CABS, and 3 and 6 months after CABS). Methods The parent study whose data were analyzed to examine gender differences involved a two-group, randomized clinical trial design. The 6-week early recovery SM telehealth intervention was delivered by the Health Buddy. Measures included the Cardiac Symptom Survey, a Modified 7-Day Activity Interview, an RT3 accelerometer, an Activity Diary, and the Medical Outcomes Study Short Form 36. This study was not powered for a gender × group analysis, and we used descriptive statistics, χ2 tests, t tests, and analysis of variance for statistical analyses. Results Subjects (n = 232) included 192 men and 40 women, with a mean age of 71.2 SD, 7 years. The intervention group consisted of 86 men and 23 women, and the usual care (UC) group consisted of 106 men and 17 women. Data trends suggest that the SM intervention exerted greater impact on women than on men for symptoms such as fatigue, depression, sleep problems, and pain. Again, men exhibited higher levels of physical activity than did women. However, women in the SM group generally had higher scores than did women in the UC group. Conclusion Although the parent study found no effect of an early recovery SM intervention, this exploratory secondary analysis indicated that women in the intervention group demonstrated more improvement in measures of physical activity than did those in the UC group. Further study, using a larger sample, is necessary to test these preliminary results.

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Section: Discussionmentioning

confidence: 99%

“…8,13 Women experience poorer sleep quality than men, 4,14 which in turn may be associated with decreased daytime physical functioning, impaired emotional well-being, longer sleep onset latency, more difficulty falling asleep, later morning awakenings, more awakenings, and total waking time. 13-15 …”

Section: Related Literaturementioning

confidence: 99%

Gender differences in recovery outcomes after an early recovery symptom management intervention

et al. 2011

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“…The external drop-out analysis revealed that persons with cardiovascular disease and diabetes, who could be expected to suffer from insomnia [41,42], chose to decline participation, which may have influenced the findings. Furthermore, the MISS has not been tested as an independent instrument but was extracted from the USI-25 questionnaire, which may have implications for the response rate in the present study.…”

Section: Limitationsmentioning

confidence: 99%

Measurement properties of the Minimal Insomnia Symptom Scale (MISS) in an elderly population in Sweden

et al. 2010

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BackgroundInsomnia is common among elderly people and associated with poor health. The Minimal Insomnia Symptom Scale (MISS) is a three item screening instrument that has been found to be psychometrically sound and capable of identifying insomnia in the general population (20-64 years). However, its measurement properties have not been studied in an elderly population. Our aim was to test the measurement properties of the MISS among people aged 65 + in Sweden, by replicating the original study in an elderly sample.MethodsData from a cross-sectional survey of 548 elderly individuals were analysed in terms of assumptions of summation of items, floor/ceiling effects, reliability and optimal cut-off score by means of ROC-curve analysis and compared with self-reported insomnia criteria.ResultsCorrected item-total correlations ranged between 0.64-0.70, floor/ceiling effects were 6.6/0.6% and reliability was 0.81. ROC analysis identified the optimal cut-off score as ≥7 (sensitivity, 0.93; specificity, 0.84; positive/negative predictive values, 0.256/0.995). Using this cut-off score, the prevalence of insomnia in the study sample was 21.7% and most frequent among women and the oldest old.ConclusionsData support the measurement properties of the MISS as a possible insomnia screening instrument for elderly persons. This study make evident that the MISS is useful for identifying elderly people with insomnia-like sleep problems. Further studies are needed to assess its usefulness in identifying clinically defined insomnia.

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“…The medians and quartiles (Q 1 -Q 3 ) of the IPSS were 19 (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27), the SPI 16 (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22), the BII 7 (3-9) and the bother question in the IPSS 3 (3)(4).…”

Section: Resultsmentioning

confidence: 99%

“…Clinical insomnia was defined as difficulties falling asleep on three to five days or more a week, sleeponset latency or wakefulness after sleep onset of longer than 30 min, nocturnal awakenings on more than three nights a week, awakenings five times or more a night or early morning awakenings more than three times a week combined with one or more day-time symptoms. The requirement for day-time symptoms was that the subject had excessive morning sleepiness, day-time sleepiness, physical tiredness or non-restorative sleep on three to five days or more a week [17][18][19]21].…”

Section: Questionnairesmentioning

confidence: 99%

Sleep and partner-specific quality of life in partners of men with lower urinary tract symptoms compared with partners of men from the general population

Marklund

Spångberg²,

Edéll-Gustafsson

2014

Scandinavian Journal of Urology

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A gender perspective on sleeplessness behavior, effects of sleep loss, and coping resources in patients with stable coronary artery disease

Cited by 18 publications

References 59 publications

Gender differences in recovery outcomes after an early recovery symptom management intervention

Gender differences in recovery outcomes after an early recovery symptom management intervention

Measurement properties of the Minimal Insomnia Symptom Scale (MISS) in an elderly population in Sweden

Sleep and partner-specific quality of life in partners of men with lower urinary tract symptoms compared with partners of men from the general population

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