Relationship between ethnicity and sleep patterns in normal controls: implications for psychopathology and treatment

Rao, Uma; Poland, Russell E.; Lutchmansingh, Preetam; Ott, Geoffrey E.; McCracken, James T.; Lin, Keh‐Ming

doi:10.1016/s0022-3956(99)00019-9

Cited by 61 publications

(44 citation statements)

References 32 publications

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“…Substantial race differences in both actigraphy and PSG-measured sleep were observed, such that Blacks slept for a shorter duration, took longer to fall asleep and had less continuous sleep, and spent a smaller percentage of time in Stage 3 to 4 sleep than Whites and Asians, all of which are consistent with prior reports (9)(10)(11)(12)(13)(14). Importantly, Blacks' likelihood of having shorter and more disturbed sleep persisted even after taking into account SES measures.…”

Section: Discussionsupporting

confidence: 84%

“…Several minority groups, including Blacks, take longer to fall asleep and have lower sleep efficiency, as assessed by actigraphy, in comparison with Whites (9,10). Additionally, Blacks spend less time in slow wave or Stage 3 to 4 sleep as assessed by polysomnography (PSG) (11)(12)(13)(14). Studies regarding the association between race and perceptions of sleep quality have produced inconsistent results (15).…”

Section: Introductionmentioning

confidence: 99%

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Influence of Race and Socioeconomic Status on Sleep: Pittsburgh SleepSCORE Project

Mezick

Matthews

Hall

et al. 2008

Psychosomatic Medicine

276

222

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Objective-To examine the independent and interactive effects of race and socioeconomic status (SES) on objective indices and self-reports of sleep.Methods-The sleep of 187 adults (41% Black; mean age = 59.5 ± 7.2 years) was examined. Nine nights of actigraphy and two nights of inhome polysomnography (PSG) were used to assess average sleep duration, continuity, and architecture; self-report was used to assess sleep quality. Psychosocial factors, health behaviors, and environmental factors were also measured.Results-Blacks had shorter sleep duration and lower sleep efficiency, as measured by actigraphy and PSG, and they spent less time proportionately in Stage 3 to 4 sleep, compared with others (p < . 01). Lower SES was associated with longer actigraphy-measured latency, more wake after sleep onset as measured by PSG, and poorer sleep quality on the Pittsburgh Sleep Quality Index (p < .05).Conclusions-Blacks and perhaps individuals in lower SES groups may be at risk for sleep disturbances and associated health consequences.

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Influence of Race and Socioeconomic Status on Sleep: Pittsburgh SleepSCORE Project

Mezick

Matthews

Hall

et al. 2008

Psychosomatic Medicine

276

222

View full text Add to dashboard Cite

show abstract

“…[7][8][9] Because alcohol dependence often cooccurs with other psychiatric disorders, 4 it is unclear whether individuals who present with comorbid alcohol dependence and other psychiatric conditions are more likely to experience sleep disturbances than those with alcohol dependence alone. Moreover, there is an association between sleep parameters and various socio-demographic factors (eg, age, 10 race/ethnicity, 11 and marital status 12 ) in relatively healthy participants, which may also confound this relationship.…”

Section: Introductionmentioning

confidence: 99%

Insomnia in Alcohol Dependence: Predictors of Symptoms in a Sample of Veterans Referred from Primary Care

et al. 2013

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Objective-Patients with alcohol dependence presenting for treatment may have multiple associated co-morbid conditions and limited social supports, which complicate treatment. Each of these factors has been independently associated with complaints of insomnia. In this preliminary study, we investigated the relations between insomnia complaints and socio-demographic factors and psychiatric comorbidity in treatment-seeking patients with alcohol dependence.Method-We conducted a retrospective chart review on 84 consecutive patients referred to the Behavioral Health Laboratory of the Philadelphia Veterans Affairs Medical Center for evaluation of psychiatric and substance use disorders. Patients met DSM-IV diagnostic criteria for alcohol dependence and completed a series of self-assessments of sleep. Univariate and multivariable analyses were used to examine the relations amongst the variables of interest.Results-In multivariable models, Sleep Latency was significantly greater in individuals without partners (p = .01), those with psychiatric disorders (p = .03) and smokers (p = .01), with a nonsignificant trend for those with past-year suicidal ideation. No significant predictor of Wake Time After Sleep Onset was seen. Poor Sleep Quality was predicted by younger age (OR = .93 [.88, . 98], p = .004) and the presence of a psychiatric disorder (OR = 20.80 [4, 102], p = .0002), with a non-significant trend for suicidal ideation.Conclusions-Insomnia symptoms in treatment-seeking alcohol dependent patients should prompt consideration of the individuals' psychiatric and psychosocial features.

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“…Research has focused on sleep-related ethnic differences, which is likely correlated with rest/activity rhythms. Research has shown no differences between ethnicities in sleep architecture (Rao et al, 1999). Other studies have demonstrated that Figure 1.…”

Section: Proposed Modelmentioning

confidence: 91%

“…Sleep research has shown ethnic differences in sleep architecture (Rao et al, 1999), total sleep time (Hale & Do, 2007;Lemola et al, 2013;Profant et al, 2002), sleep efficiency (Lemola et al, 2013); daytime sleepiness (Ancoli-Israel et al, 1995;Chen et al, 2015);…”

Section: Associations Between Psychosocial Stress and Physiological Dmentioning

confidence: 99%

Distress, circadian rhythms, immunity, and survival in presurgical breast cancer patients.

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Relationship between ethnicity and sleep patterns in normal controls: implications for psychopathology and treatment

Cited by 61 publications

References 32 publications

Influence of Race and Socioeconomic Status on Sleep: Pittsburgh SleepSCORE Project

Influence of Race and Socioeconomic Status on Sleep: Pittsburgh SleepSCORE Project

Insomnia in Alcohol Dependence: Predictors of Symptoms in a Sample of Veterans Referred from Primary Care

Distress, circadian rhythms, immunity, and survival in presurgical breast cancer patients.

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