Relationship between sleep disturbance, depression and anxiety in the 12 months following a cardiac event

Grande, Michael Le; Jackson, Alun C; Murphy, Barbara; Thomason, Neil

doi:10.1080/13548506.2015.1040032

Cited by 32 publications

(23 citation statements)

References 24 publications

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“…Sleep quality has been shown to play an integral part in mental wellness, with sleep disturbances contributing to mental disorders such as depression in different patient and ageing populations (Bhati & Richards, 2015;Foley et al, 2004;Le Grande, Jackson, Murphy, & Thomason, 2016). Nurses with fewer sleep problems report better mental health (Perry, Lamont, Brunero, Gallagher, & Duffield, 2015).…”

Section: Discussionmentioning

confidence: 99%

Do sleep disturbances mediate the association between work‐family conflict and depressive symptoms among nurses? A cross‐sectional study

Zhang

Duffy

Castillero

2017

Psychiatric Ment Health Nurs

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Introduction Depression has been identified as the leading cause of disability worldwide. Nurses report higher rates of depression than the general public. Work-family conflict is challenging for nurses and may lead to depression and poor health. However, the mechanisms for the effect of work-family conflict on depression haven’t been well understood. Aim The objective is to use a cross-sectional design to examine the role of sleep disturbances in the association between work-family conflict and depressive symptoms in nurses. Methods Questionnaires, measuring working conditions, work-family conflict, sleep disturbances, and depressive symptoms, were collected from 397 nurses at a not-for-profit community hospital in the northeastern United States. Results We observed a significant association between work-family conflict and depressive symptoms (β=2.22, p<.001) among nurses. Sleep disturbances partially mediated this association by 40.54%. Discussion Sleep disturbances play an important role in translating work-family conflict into depressive symptoms. Implications Evidence-based interventions to promote healthy sleep practices should be evaluated for their effectiveness in addressing the impact of work-family conflict on mental health. Organizations should include sleep education and training as a component of workplace health promotion and employee assistance programs to mitigate the effect of work-family conflict and promote overall health in nurses.

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Section: Discussionmentioning

confidence: 99%

Do sleep disturbances mediate the association between work‐family conflict and depressive symptoms among nurses? A cross‐sectional study

Zhang

Duffy

Castillero

2017

Psychiatric Ment Health Nurs

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“…The observed distributions in the insomnia were summarized in de ned groups based on the scores from ISI as follows: none (0-7), mild (8)(9)(10)(11)(12)(13)(14), moderate (15)(16)(17)(18)(19)(20)(21), severe (22)(23)(24)(25)(26)(27)(28). Depression was rate on PHQ-9 of ve levels: none (0-4), mild (5-9), moderate (10)(11)(12)(13)(14), moderatesevere (15)(16)(17)(18)(19) severe (20)(21)(22)(23)(24)(25)(26)(27). Anxiety was graded according to the score of the GAD-7: none (0-4), mild (5-9), moderate (10-13), moderate-severe (14-18), severe (19)(20)(21).…”

Section: Discussionmentioning

confidence: 99%

Insomnia is Associated with Depression and Anxiety in Patients Undergoing Noncardiac Surgery

Huang

Chen

Wang

et al. 2020

Preprint

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BackgroundTo investigate the difference of demographic, health status and clinical characteristics of patients with or without insomnia postoperatively, and to identify the potential risk factors of insomnia.Methods299 patients undergoing surgery were included. Patients were divided into group A (insomnia, N = 78) and group B (without insomnia, N = 221). Insomnia Severity Index (ISI), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder (GAD-7), and Montreal cognitive assessment (MoCA) were applied to all patients preoperatively. Visual Analogue Scale (VAS) was assessed preoperatively, and at the end of the surgery, one day after surgery, two days after surgery and three days after surgery. The PHQ-9, the GAD-7 and the ISI were reassessed three days after surgery. Information on sociodemographic variables and demographic data were collected.ResultsAmong the two groups, the average points patients got in the ISI, PHQ-9 and the GAD-7 in group A were also significantly higher than those in group B. The VAS score 3 days after surgery was significantly higher in group A. The PHQ-9 and the GAD-7 3 days after surgery showed significantly higher depression and anxiety scores in group A. Logistic regression showed ISI (P < 0.001, 95%CI = 1.218-1.500), the GAD-7 (P = 0.01, 95%CI = 0.712–0.954) preoperatively and the PHQ-9 postoperatively (P < 0.001, 95%CI = 1.226–1.555) were risk factors of insomnia.ConclusionsInsomnia is common in patients, which worsen after surgery. The present study suggests that depression and anxiety are risk factors of poor sleep quality after surgery. There is a need for further research and strategies for depression and anxiety management to achieve better sleep and significant health benefits in these patients.Trial registration: clinical trial, NCT04027751. Registered 22 July 2019, https://clinicaltrials.gov/ct2/show/NCT04027751?cond=NCT04027751&cntry=CN&draw=2&rank=1.

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“…Insomnia is highly prevalent in cardiac patients (~ 37%) [160], and poor sleep quality is strongly associated with both depressive symptoms and decreased HRQoL in patients attending CR [161]. Furthermore, in patients recovering from a cardiac event (MI and/or revascularization) sleep disturbance was associated with poorer treatment adherence, and predicted anxiety and depression one year later [162]. These findings suggest that sleep disturbance in cardiac patients may hamper rehabilitative efforts, and demonstrate the importance of sleep evaluation in cardiac care.…”

Section: Sleep and Cvdmentioning

confidence: 99%

Psychological Aspects of Cardiac Care and Rehabilitation: Time to Wake Up to Sleep?

2015

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Psychological aspects of cardiac care & rehabilitation: Time to wake up to sleep? Abstract:Psychological and psychosocial factors have long been linked to cardiovascular disease. These psychosocial factors, including low socioeconomic status, social support/isolation, stress and distress, personality and sleep disturbance increase risk of cardiovascular events and negatively impact on quality of life. These factors may have direct effects on cardiovascular disease via immune or neuroendocrine pathways, or more indirect effects, by for example limiting adherence to recommended therapies and cardiac rehabilitation. Most psychosocial risk factors can be assessed relatively easily using standardised tools. Sleep disturbance, in particular, is gaining evidence for its importance, and may be crucial to address. While the management of certain psychosocial risk factors is an ethical requirement for care and improves quality of life, unfortunately there is little evidence that such strategies impact on 'hard' endpoints such as recurrent myocardial infarction. A comprehensive biopsychosocial approach to management of these psychosocial factors is required to maximise the benefits patients derive from cardiac care.

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Relationship between sleep disturbance, depression and anxiety in the 12 months following a cardiac event

Cited by 32 publications

References 24 publications

Do sleep disturbances mediate the association between work‐family conflict and depressive symptoms among nurses? A cross‐sectional study

Do sleep disturbances mediate the association between work‐family conflict and depressive symptoms among nurses? A cross‐sectional study

Insomnia is Associated with Depression and Anxiety in Patients Undergoing Noncardiac Surgery

Psychological Aspects of Cardiac Care and Rehabilitation: Time to Wake Up to Sleep?

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