Biological and psychological correlates of self-reported and objective sleep measures

Jackowska, Marta; Ronaldson, Amy; Brown, Janet M.; Steptoe, Andrew

doi:10.1016/j.jpsychores.2016.03.017

Cited by 64 publications

(47 citation statements)

References 32 publications

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“…As for the relationship between sleep quality and BP, Jackowska and associates conducted correlation analysis between BP and PSQI scores among 119 healthy women in the United Kingdom, but neither SBP nor DBP demonstrated any significant correlation with sleep quality. Henskens and reasearchers investigated whether subjective sleep disturbances during overnight BP monitoring resulted in higher nighttime BP readings of patients with untreated hypertension.…”

Section: Resultsmentioning

confidence: 89%

“…The quality of the methodologies for the included studies varies, but only a few of them (5 of 29) scored ≤50%. 20,35,39,49,50 The study with the lowest rating (37.5%) was not included in the meta-analysis, while the number of participants of the other four studies was 541, which accounted for only 1.20% of the total patients included in the present review only. Therefore, the quality of the methodologies does not have a significant impact on the validity of the results.…”

Section: Discussionmentioning

confidence: 99%

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Subjective sleep quality, blood pressure, and hypertension: a meta‐analysis

Woo

Wong

et al. 2018

J of Clinical Hypertension

154

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Sleep quality is an important aspect of sleep, but no meta-analysis has elucidated its relationship with blood pressure (BP) and hypertension. A meta-analysis was conducted in October 2016 using multiple databases, including Embase and Medline.Studies that assessed subjective sleep quality and BP or hypertension were included.Upon full-text evaluation, 29 articles from 45 041 patients were selected, of which 22 articles were included in the meta-analysis and seven were presented narratively. Poor sleep quality was significantly associated with a greater likelihood of hypertension (odds ratio, 1.48; P value = .01). Poor sleepers had higher average systolic BP (mean difference = 4.37, P value = .09) and diastolic BP (mean difference = 1.25, P value = .32) than normal sleepers without statistical significance. Patients with hypertension had significantly worse sleep quality scores (mean difference = 1.51, P value < .01), while BP dippers had significantly better scores (mean difference = −1.67, P value < .01).The findings highlight the relationship between sleep quality and hypertension. global PSQI scores (indicative of poorer sleep quality) than patients with normotension. 14,20 Apart from its association with BP, poor sleep quality may be associated with the dipping pattern of BP. For a healthy patient, there is at least a 10% reduction in nocturnal BP as compared with daytime BP; such a patient is characterized as a "dipper."21 "Nondippers" demonstrate an increased activity in the sympathetic nervous system and a decreased activity in the parasympathetic nervous system, which probably explains the higher nocturnal BP. 22 Nondipping BP is associated with higher risk for cardiorenal organ damage such as left ventricular hypertrophy and cerebrovascular diseases. 23 Poor sleep quality may be associated with nondipping patterns through their disruption of the circadian rhythm. 24This association is supported by previous research reporting higher PSQI global scores for nondippers than dippers. 25,26 However, no metaanalysis has been conducted to summarize these findings.Current evidence suggests a potential association between poor subjective sleep quality and hypertension, but it has not been verified through a systematic approach. The primary aims of the present systematic review and meta-analysis are to summarize current evidence and to determine whether poor subjective sleep quality is associated with elevated BP. The secondary aim is to examine whether the associations differ by geographic regions. | METHODS | Search strategyMultiple databases were used for the present review, namely Medline Search terms included a combination of synonyms of "sleep quality," 9 "hypertension," 3 and "blood pressure" 3 as adapted from relevant review articles. 3,9 All articles with English abstracts were assessed. | Study inclusion criteria• Primary studies with a cross-sectional, prospective, or retrospective design• Studies that examined sleep quality with a self-reported questionnaire• Studies that defined hypertension with cri...

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Section: Resultsmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Subjective sleep quality, blood pressure, and hypertension: a meta‐analysis

Woo

Wong

et al. 2018

J of Clinical Hypertension

154

View full text Add to dashboard Cite

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“…In turn, increased WASO and poorer sleep quality were associated with lower cortisol secretion at awakening in both insomnia patients and controls [Backhaus, Junghanns, & Hohagen, ]. Furthermore, a lower cortisol awakening response [CAR; Chida & Steptoe, ] was linked with poorer self‐reported sleep in healthy populations [Jackowska, Ronaldson, Brown, & Steptoe, ]. The period around sleep onset has also been identified as a key time point for alterations in cortisol secretion in individuals with affective disorder [Dahl et al, ; Forbes et al, ].…”

Section: Introductionmentioning

confidence: 99%

Assessing a hyperarousal hypothesis of insomnia in adults with autism spectrum disorder

et al. 2019

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This study aimed to investigate the relationship between sleep, psychopathology (anxiety, depression and presleep arousal) symptoms, and cortisol in adults with autism spectrum disorder (ASD). The sample composed of 29 adults with ASD (51.7% males) and 29 control adults (51.7% males) aged 21-44 years. Thirteen adults with ASD were medicated for a comorbid diagnosis of anxiety and/or depression (ASD-Med), while the remaining 16 adults with ASD were not medicated for such diagnoses (ASD-Only). Participants completed a questionnaire battery, 14-day sleep/wake diary and 14-day actigraphy assessment. On one day during the data collection period, participants collected five saliva samples, hourly, prior to sleep and two morning samples; immediately upon waking and 30 min thereafter for the analysis of cortisol. Cortisol 1 hr prior to habitual sleep onset time was associated with poorer sleep efficiency in both ASD groups and increased wake after sleep onset duration (ASD-Only). Higher subjective somatic arousal was also associated with increased sleep onset latency, regardless of group, and poorer sleep efficiency in the ASD-Only group. ASD-Only participants had significantly greater reductions in evening cortisol concentrations compared to both ASD-Med and control participants. No significant group differences were found for the cortisol awakening response. Findings suggest a hyperarousal hypothesis of insomnia in adults with ASD. Moreover, the low cortisol levels observed in ASD-Only adults suggest dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis. Longitudinal studies exploring the interplay between insomnia, anxiety and HPA axis regulation across the lifespan in those with ASD are warranted. Autism Res 2019, 12: 897-910.Lay Summary: Both objective (cortisol) and subjective (somatic) physiological arousal were associated with poor sleep quality in adults on the autism spectrum. Adults with autism spectrum disorder (ASD) who were not medicated for a comorbid diagnosis of anxiety and/or depression also had dampened cortisol secretion, suggesting a dysregulation of the hypothalamic pituitary axis. Longitudinal studies investigating the relationship between sleep, psychopathology symptoms and physiological arousal in autistic individuals are warranted.

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“…Confiding support improves emotion regulation and facilitates cognitive reappraisal of stressors, linked to reduced likelihood of poor sleep [19]. Other positive aspects of social support, including sense of belonging, shared interests and feeling valued, can all enhance positive mood, which is linked to better sleep [12], [20], [21]. Negative aspects of social relationships, including worries and problems relating to a close person and interpersonal conflict, may lead to ruminating, negative affect and physiological arousal, all linked to poorer sleep [21], [22], [23], [24].…”

Section: Introductionmentioning

confidence: 99%

Social support from the closest person and sleep quality in later life: Evidence from a British birth cohort study

Stafford

Bendayan

Tymoszuk³

et al. 2017

Journal of Psychosomatic Research

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ObjectivesSupportive social relationships have been found to be related to fewer sleep problems and better sleep quality. We examined associations between positive and negative support from the nominated close person across 15 years of follow-up with sleep quality in older age.MethodsMRC National Survey of Health and Development study members reported sleep quality at age 68 (n = 2446). Cumulative exposure to and changes in positive and negative support were derived from data at age 53, 60–64 and 68 years. Pittsburgh Sleep Quality Index scores were regressed on social support measures adjusted for i) gender only then additionally ii) education, marital status, number in household, limiting illness, body mass index, caregiving, iii) and affective symptoms.ResultsGreater exposure to positive support and lower exposure to negative support over 15 years were independently associated with better sleep quality at age 68. Sleep quality was poorer for those who experienced declining positive support or increasing negative support. Those who nominated their spouse/partner as their closest person at age 53 but not at age 68 had poorer sleep quality than those who nominated their spouse on both occasions. These associations were not explained by the covariates, including affective symptoms.ConclusionsBased on repeat data on support from the closest person, this study finds a link between declining social relationship quality and poor sleep quality. Whilst acknowledging that the association may be bi-directional, the study suggests that interventions to improve older people's social relationships may have benefits for sleep.

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Biological and psychological correlates of self-reported and objective sleep measures

Cited by 64 publications

References 32 publications

Subjective sleep quality, blood pressure, and hypertension: a meta‐analysis

Subjective sleep quality, blood pressure, and hypertension: a meta‐analysis

Assessing a hyperarousal hypothesis of insomnia in adults with autism spectrum disorder

Social support from the closest person and sleep quality in later life: Evidence from a British birth cohort study

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