Sleep Duration of Inpatients With a Depressive Disorder: Associations With Age, Subjective Sleep Quality, and Cognitive Complaints

Müller, Matthias J.; Olschinski, Christiane; Kundermann, Bernd; Cabanel, Nicole

doi:10.1016/j.apnu.2016.08.008

Cited by 12 publications

(12 citation statements)

References 47 publications

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“…Wilckens et al 42 reported that higher wake after sleep onset (i.e., longer periods of wakefulness occurring after defined sleep onset), and shorter total sleep time, were linearly associated with slower response time across single-task (p = 0.10) and switching blocks (p = 0.005) considered a proxy for condition-independent psychomotor slowing 47 ; however, these associations were also observed in healthy controls and therefore not specific to MDD. Müller et al 39 found that 25-40% of participants with MDD reported 'almost always' daytime sleepiness, non-restorative sleep, attention deficits or memory complaints, with significant correlations between these variables (p < 0.05), as well as curvilinear associations between sleep duration and sleep quality (quadratic contrast, p < 0.05). However, Peng et al 40 reported no significant association between cognition and sleep disturbance (r = 0.029, p = 0.219) in adolescents with first episode MDD.…”

Section: Mdd Resultsmentioning

confidence: 99%

“…Of the 14 included studies, eight included people with BD (Boland et al, 2015; Bradley et al, 2020; Kanady et al, 2017; Laskemoen et al, 2019; Samalin et al, 2017; Ullah, 2017; Volkert et al, 2015), five included people with MDD (Cabanel et al, 2019; Cha et al, 2019; Müller et al, 2017; Peng et al, 2018; Wilckens et al, 2020), and one included both people with MDD and people with BD (Soehner & Harvey, 2012) (see Table 1 ). These studies were published between years 2012-2020.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 14 included studies, eight included people with BD 27,[32][33][34][35][36][37] , five included people with MDD [38][39][40][41][42] , and one included both people with MDD and people with BD 43 (see Table 1). These studies were published between years 2012-2020.…”

Section: Studiesmentioning

confidence: 99%

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The relationship between sleep disturbance and cognitive impairment in mood disorders: A systematic review

Pearson

Uglik‐Marucha

Miskowiak

et al. 2021

Preprint

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Background: Cognitive impairment experienced by people with bipolar disorders (BD) or major depressive disorder (MDD) is associated with impaired psychosocial function and poorer quality of life. Sleep disturbance is another core symptom of mood disorders which may be associated with, and perhaps worsen, cognitive impairments. The aim of this systematic review was to critically assess the relationship between sleep disturbance and cognitive impairment in mood disorders. Methods: In this systematic review, relevant studies which examined sleep disturbance and cognitive function in people with mood disorders were identified using electronic database searches of PsychINFO, MEDLINE, Embase and Web of Science. Findings: Fifteen studies were included; nine investigated people with BD, five investigated people with MDD, and one included both people with MDD and people with BD. One study was an intervention for sleep disturbance and the remaining fourteen studies used either a longitudinal or cross-sectional observational design. Eleven studies reported a significant association between subjectively measured sleep disturbance and cognitive impairment in people with MDD or BD after adjusting for demographic and clinical covariates, whereas no such association was found in healthy participants. Two studies reported a significant association between objectively measured sleep abnormalities and cognitive impairment in mood disorders. One study of cognitive behavioural therapy for insomnia modified for BD (CBTI-BD) found an association between improvements in sleep and cognitive performance in BD. Interpretation: There is preliminary evidence to suggest a significant association between sleep disturbance and cognitive impairment in mood disorders. These findings suggest that identifying and treating sleep disturbance may be important when addressing cognitive impairment in MDD and BD.

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Section: Mdd Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The relationship between sleep disturbance and cognitive impairment in mood disorders: A systematic review

Pearson

Uglik‐Marucha

Miskowiak

et al. 2021

Preprint

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“…First, our study did not have access to chronic disease diagnoses from the participants. Previous research has found that non-restorative sleep is common among certain conditions, such as depression (Müller et al, 2017) and fibromyalgia (Azad et al, 2000), but no research to our knowledge has examined restorative sleep and chronic conditions. It is important to note that the present study did not measure sleep disorders other than insomnia, such as obstructive sleep apnea.…”

Section: Discussionmentioning

confidence: 98%

A Nationally Representative Survey Assessing Restorative Sleep in US Adults

et al. 2022

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Restorative sleep is a commonly used term but a poorly defined construct. Few studies have assessed restorative sleep in nationally representative samples. We convened a panel of 7 expert physicians and researchers to evaluate and enhance available measures of restorative sleep. We then developed the revised Restorative Sleep Questionnaire (REST-Q), which comprises 9 items assessing feelings resulting from the prior sleep episode, each with 5-point Likert response scales. Finally, we assessed the prevalence of high, somewhat, and low REST-Q scores in a nationally representative sample of US adults (n = 1,055) and examined the relationship of REST-Q scores with other sleep and demographic characteristics. Pairwise correlations were performed between the REST-Q scores and other self-reported sleep measures. Weighted logistic regression analyses were conducted to compare scores on the REST-Q with demographic variables. The prevalence of higher REST-Q scores (4 or 5 on the Likert scale) was 28.1% in the nationally representative sample. REST-Q scores positively correlated with sleep quality (r = 0.61) and sleep duration (r = 0.32), and negatively correlated with both difficulty falling asleep (r = −0.40) and falling back asleep after waking (r = −0.41). Higher restorative sleep scores (indicating more feelings of restoration upon waking) were more common among those who were: ≥60 years of age (OR = 4.20, 95% CI: 1.92–9.17); widowed (OR = 2.35, 95% CI: 1.01–5.42), and retired (OR = 2.02, 95% CI: 1.30–3.14). Higher restorative sleep scores were less frequent among those who were not working “other” (e.g., a person performing household duties, OR = 0.36, 95% CI: 0.10–1.00) and living in a household with two or more persons (OR = 0.51, 95% CI: 0.29–0.87). Our findings suggest that the REST-Q may be useful for assessing restorative sleep.

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“…B. stö rende Geräusche durch Bettnachbarn, Verkehrslärm oder nächtliche Kontrollen durch Pflegende oder ärztliches Per sonal. Neben Lärm können aber auch Schmerzen, depres sive Verstimmungen, die Dauer eines Krankenhausaufent halts oder die Atmosphäre der Station die Schlafqualität mindern (Müller, Olschinski, Kundermann & Cabanel, 2017;Park & Kim, 2017).…”

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Nicht-medikamentöse Maßnahmen bei Ein- und Durchschlafproblemen von älteren Patienten im Krankenhaus – Qualitative Interviews mit Pflegenden

Kauffmann

Heinemann

Himmel

et al. 2018

Pflege

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Zusammenfassung. Hintergrund: Ältere Patienten leiden im Krankenhaus häufig unter Ein- und Durchschlafproblemen. Nicht selten erhalten diese Patienten trotz der bekannten Risiken ein Schlaf- oder Beruhigungsmittel, obwohl auch nicht-medikamentöse Maßnahmen zur Verfügung stehen. Ziel: Die Studie untersucht Erfahrungen und Wahrnehmungen von Pflegenden im Umgang mit nicht-medikamentösen Maßnahmen bei Schlafproblemen älterer Patienten im Krankenhaus. Methode: Es wurden semistrukturierte Interviews mit 13 examinierten Gesundheits- und Krankenpflegern / -pflegerinnen aus einem Krankenhaus geführt und inhaltsanalytisch ausgewertet. Ergebnisse: Folgende nicht-medikamentöse Maßnahmen werden bei Schlafproblemen älterer Patienten eingesetzt: (1) strukturelle Maßnahmen (Regulierung von Temperatur und Licht), (2) organisatorische Maßnahmen (Zeit für abendliche Rundgänge), (3) pflegerische Maßnahmen (pflegerische Schlafanamnesen, beruhigende Ganzkörperpflegen) und (4) übliche Hausmittel. Die Anwendung dieser Maßnahmen erhöht die Patientenzufriedenheit und entspannt Abläufe im Nachtdienst. Barrieren ergeben sich durch knappe zeitliche und personelle Ressourcen, fehlende Standards, diskrepante Vorstellungen im Pflegeteam und dezidierte Patientenwünsche nach Medikamenten. Schlussfolgerung: Pflegende kennen eine Vielzahl nicht-medikamentöser Maßnahmen zur Förderung eines gesunden Schlafes. Das Fehlen eines Konsenses und mangelnde Ressourcen behindern den Einsatz dieser Maßnahmen. Wünschenswert wäre ein Klima, das den Einsatz von Medikamenten bei Schlafproblemen als letzte Möglichkeit vorsieht.

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Sleep Duration of Inpatients With a Depressive Disorder: Associations With Age, Subjective Sleep Quality, and Cognitive Complaints

Cited by 12 publications

References 47 publications

The relationship between sleep disturbance and cognitive impairment in mood disorders: A systematic review

The relationship between sleep disturbance and cognitive impairment in mood disorders: A systematic review

A Nationally Representative Survey Assessing Restorative Sleep in US Adults

Nicht-medikamentöse Maßnahmen bei Ein- und Durchschlafproblemen von älteren Patienten im Krankenhaus – Qualitative Interviews mit Pflegenden

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