Co-Morbidity, Mortality, Quality of Life and the Healthcare/Welfare/Social Costs of Disordered Sleep: A Rapid Review

Garbarino, Sergio; Lanteri, Paola; Durando, Paolo; Magnavita, Nicola; Sannita, Walter G.

doi:10.3390/ijerph13080831

Cited by 166 publications

(150 citation statements)

References 144 publications

(169 reference statements)

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“…Problems with sleep may severely impact our cognitive functioning (Alhola and Polo-Kantola, 2007) and health (Garbarino et al, 2016;Kecklund and Axelsson, 2016). More than one third of the adult population suffers from insufficient sleep or impaired sleep quality (Liu, 2016;Madrid-Valero et al, 2017), with significant consequences for our economy (Hafner et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Effect of Rocking Movements on Afternoon Sleep

et al. 2020

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Study Objectives: Gentle rocking movements provided by a moving bed have been proposed as a promising non-pharmacological way to promote sleep. In rodents the sleep promoting effect of rocking movements depended on the peak acceleration (named "stimulation intensity") perceived by the vestibular system. We set out to verify previous reports on the sleep promoting effect of rocking movements and to investigate the importance of stimulation intensity in this process. Methods: Side-to-side rocking movements along a pendulum trajectory with different peak accelerations (control: 0 m/s 2 , low intensity: 0.15 m/s 2 , medium intensity: 0.25 m/s 2 , high intensity: 0.35 m/s 2) were provided for 45 min during an afternoon nap opportunity. Participants were assigned to a low intensity group (n = 10) experiencing control, low and medium intensity stimulation or a high intensity group (n = 12) experiencing control, medium and high intensity stimulation. Sleep and sleep-related memory performance were assessed using polysomnography and a word-pair memory task, respectively. Results: Participants transitioned faster into deep sleep under the influence of medium intensity rocking as was evident by a faster buildup of delta power compared to the control condition (n = 22). The faster buildup did not affect sleep architecture, since e.g., the proportion of the nap spent in deep sleep or latencies did not change. Previously reported effects like a shorter latency to stage N2 and a higher density of sleep spindles were not observed. Sleep quality during control naps of the low intensity group was worse than in the high intensity group. In the low intensity group, we also observed a significant increase in delta power throughout the nap, as well as a higher density of slow oscillations both under the influence of low and medium intensity vestibular stimulation. No such effects were observed in the high intensity group. Conclusion: Rocking movements may promote nap sleep in young adults. Due to a difference in sleep quality during control naps between the low and high intensity group no conclusion regarding the influence of stimulation intensity were possible. Thus, optimal stimulation settings in humans need further investigation.

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Section: Introductionmentioning

confidence: 99%

Effect of Rocking Movements on Afternoon Sleep

et al. 2020

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“…Sleep quality is an indicator of wellbeing. Poor sleep quality is associated with increased co-morbidity, mortality, and healthcare costs and decreased quality of life (" Garbarino, Lanteri, Durando, Magnavita, & Sannita, 2016"), both in clinical populations (Koren, Dumin, & Gozal, 2016) and in the general population (Hayashino et al, 2010). Sleep quality is commonly impaired in medical disorders (Berry & Harding, 2004).…”

Section: Introductionmentioning

confidence: 99%

“…The prevalence of poor sleep quality does not change in the context of highly effective ARV therapy and controlled viral replication, indicating that it may be attributable to factors other than HIV disease (Allavena et al, 2016). Other factors contributing to poor sleep quality in people with HIV include psychosocial distress, gender, employment status, negative lifestyle habits, and psychiatric comorbidity (Garbarino et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Factors associated with poor sleep quality among HIV-positive individuals in Mexico City

Estrada

Chiesa

Orellana

et al. 2018

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Introduction. Sleep quality is commonly impaired in medical disorders, and the HIV-positive population is particularly vulnerable to complaint from sleep disturbances. Objective. To determine the prevalence of poor sleep quality and the factors associated with it, in a population of HIV positive Mexican out patients. Method. A cross sectional study was done. A sample of 367 HIV-positive subjects over 18 years completed a set of self-administered questionnaires: the Pittsburgh Sleep Quality Index (PSQI), the Epworth Sleepiness Scale, the Athens Insomnia Scale, and the Beck Depression Inventory. Sociodemographic and clinical data were recorded. Results. Of the respondents, 82.8% (n = 304) were male. The mean age of the patients was 36.6 (SD = 9.4) years, and the mean educational level was 12.2 (SD = 3.8) years. According to the PSQI, 58.6% (n = 215) had poor sleep quality. Poor sleep quality was more common in those who had lived longer with HIV, had started their antiretroviral treatment later, had suboptimal antiretroviral adherence, had a CD4 cell count < 200 cells/µL, reported illicit drug use, had concomitant medications, or had insomnia, sleepiness, or depressive symptoms. In multivariate analyses, poor sleep quality was associated with depressive symptoms, illicit drug use, a CD4 count < 200 cells/µL, and time elapsed since HIV diagnosis. Discussion and conclusion. Poor sleep quality is common in HIV patients. Early identification of patients with poor sleep quality through vigilance for factors associated with it might facilitate prompt treatment.

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“…is an augmented risk of relapse and suicide [28] [29]. Sleep disturbances in depression result in a slowdown of the recovery process for the individual and this is costly for the individual and for the society [12].…”

Section: Discussionmentioning

confidence: 99%

Music to improve sleep quality in adults with depression related insomnia (MUSTAFI): Study protocol for a randomized controlled trial

Lund

Pedersen

Heymann-Szlachcinska

et al. 2020

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Background Insomnia is a common sleep disorder for adults with depression with major impact on the quality of life. Previous trials suggest that music listening may be helpful in the treatment of sleep disturbances in healthy populations including students and elderly. In addition, small studies with clinical populations of traumatized refugees, adults with chronic insomnia and adults with depression insomnia add to the evidence base. However, the impact of music listening in the treatment of depression related insomnia is not well documented. Objective To examine the efficacy of music listening on sleep quality, symptoms of depression and quality of life in adults with depression related insomnia. Method A single center randomized controlled trial (RCT) in a two arm parallel group design is conducted and reported according to the Consort guidelines. The trial consists of an experimental group and a standard care control group. Both groups receive standard treatment for depression following Danish guidelines in an outpatient unit in psychiatry. The experimental group listen to music minimum 30 minutes at bedtime in four weeks. Discussion This study will provide information on the efficacy of music intervention as a non-pharmacological intervention in the treatment of depression related insomnia. This study will provide novel knowledge concerning music medicine as an evidence based treatment of depression in psychiatry. Trial Registration: Clinicaltrials.gov. ID NCT03676491, registered on 19th of September 2018. Keywords: Music, insomnia, depression, sleep

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Co-Morbidity, Mortality, Quality of Life and the Healthcare/Welfare/Social Costs of Disordered Sleep: A Rapid Review

Cited by 166 publications

References 144 publications

Effect of Rocking Movements on Afternoon Sleep

Effect of Rocking Movements on Afternoon Sleep

Factors associated with poor sleep quality among HIV-positive individuals in Mexico City

Music to improve sleep quality in adults with depression related insomnia (MUSTAFI): Study protocol for a randomized controlled trial

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