Psychological and behavioral factors in patients with comorbidobstructive sleep apnea and insomnia

Yang, Chien‐Ming; Liao, Ying Siou; Lin, Chia Mo; Chou, S. L.; Wang, En Nan

doi:10.1016/j.jpsychores.2010.12.005

Cited by 59 publications

(68 citation statements)

References 26 publications

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“…Insomnia may serve as a trigger or perpetuator for depression and vice versa [36]. Moreover, OSA patients with insomnia showed a higher incidence of depressive mood and significantly more dysfunctional sleep beliefs than patients without insomnia [37]. We verified that the link between insomnia and SI was not significant after adjusting for depressive symptom severity.…”

Section: Discussionmentioning

confidence: 55%

Suicidal ideation and insomnia symptoms in subjects with obstructive sleep apnea syndrome

et al. 2015

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Section: Discussionmentioning

confidence: 55%

Suicidal ideation and insomnia symptoms in subjects with obstructive sleep apnea syndrome

et al. 2015

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“…Unfortunately, this study was conducted in adults rather than in pediatric populations. Interventions based on physiologic, psychologic, and behavioral perspectives [50] might be useful to address nighttime sleep difficulties and daytime sleepiness issues faced by children who frequently have poor asthma control status.…”

Section: Discussionmentioning

confidence: 99%

The relationships between asthma control, daytime sleepiness, and quality of life among children with asthma: a path analysis

Huang

Thompson

et al. 2013

Sleep Medicine

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Objectives We aimed to examine the relationships between asthma control, daytime sleepiness, and asthma-specific health-related quality of life (HRQOL) among children with asthma. Path analyses were conducted to test if daytime sleepiness can mediate the effect of asthma control status on asthma-specific HRQOL. Methods 160 dyads of asthmatic children and their parents were collected for analyses. The Asthma Control and Communication Instrument (ACCI) was used to categorize adequate and poor asthma control status. The Cleveland Adolescent Sleepiness Questionnaire (CASQ) was used to measure children’s daytime sleepiness, including sleep in school, awake in school, sleep in evening, and sleep during transport. The Patient-Reported Outcomes Measurement Information System (PROMIS) Asthma Impact Scale was used to measure asthma-specific HRQOL. Results Poorly controlled asthma was associated with daytime sleepiness and impaired asthma-specific HRQOL. Asthma control status was directly associated with asthma-specific HRQOL (P<.05), whereas sleep in school and sleep in evening domains of daytime sleepiness significantly mediated the relationship between poor asthma control and impaired HRQOL (P<.01). Conclusions Asthma control status was associated with pediatric asthma-specific HRQOL, and the association was significantly mediated by daytime sleepiness. Healthcare providers need to address pediatric sleep needs related to poor asthma control to reduce the impact on HRQOL.

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“…64 Exploratory and confirmatory factor analyses have supported the validity of these subscales in normal sleepers, insomnia patients, and obstructive sleep apnea patients. 63,64 Total scores for each subscale are summed. The arousal-associated behaviors subscale (SHPS-A, range: 6-42) was the only subscale used for analysis because the behaviors (i.e., engaging in sleep-irrelevant activities in bed, pondering about unresolved matters, and worry about not being able to fall asleep) identified in this subscale are more highly related to sleep disturbance for both persons with insomnia and normal sleepers.…”

Section: Methodsmentioning

confidence: 99%

Disrupted Sleep Is Associated With Altered Pain Processing by Sex and Ethnicity in Knee Osteoarthritis

Petrov

Goodin

Cruz-Almeida

et al. 2015

The Journal of Pain

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Studies indicate that improving sleep decreases reported pain in patients with knee osteoarthritis (OA), but it is unclear if this association extends to experimentally-induced pain responses. A community-based sample of 88 African-American and 52 non-Hispanic white adults (45-76y) with knee OA completed the Insomnia Severity Index and the arousal subscale of the Sleep Hygiene and Practices Scale. Participants underwent quantitative sensory testing including measures of pain sensitivity and facilitation at the knee, and pain inhibition. Outcomes were analyzed with multiple Tobit, hierarchical regression models, with adjustment for relevant covariates. Ethnicity and sex by sleep interactions were also entered into the models. After covariate adjustment, main associations were not observed. However, sex interacted with insomnia severity to predict greater temporal summation of heat and punctate pressure pain among women and lower heat temporal summation among men. Men and women who engaged in frequent arousal-associated sleep behaviors demonstrated higher and lower heat temporal summation, respectively. Non-Hispanic whites with greater insomnia severity displayed lower pressure pain thresholds and pain inhibition. Our findings are the first to demonstrate that disrupted sleep is associated with altered pain processing differentially by sex and ethnicity/race among people with knee OA.

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Psychological and behavioral factors in patients with comorbidobstructive sleep apnea and insomnia

Cited by 59 publications

References 26 publications

Suicidal ideation and insomnia symptoms in subjects with obstructive sleep apnea syndrome

Suicidal ideation and insomnia symptoms in subjects with obstructive sleep apnea syndrome

The relationships between asthma control, daytime sleepiness, and quality of life among children with asthma: a path analysis

Disrupted Sleep Is Associated With Altered Pain Processing by Sex and Ethnicity in Knee Osteoarthritis

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