Sleep satisfaction and cognitive complaints in Chinese middle-aged and older persons living with HIV: the mediating role of anxiety and fatigue

Mediating Roles of Cognitive Complaints on Relationships between Insomnia, State Anxiety, and Presenteeism in Japanese Adult Workers

“…In particular, considering this study’s findings on the mediating roles of CCFs, it may be necessary to develop interventions that directly target CCFs. Recent research emphasizes the importance of promoting sleep quality to improve CCFs [ 34 ]. Hence, our findings on the mediating role of SA in the association between insomnia and CCFs may also contribute to the development of interventions that directly target CCFs.…”

“…Path analysis was conducted to evaluate the influences of insomnia, SA, and CCFs on presenteeism. CCFs are known to mediate the relationship between depressive symptoms and presenteeism [ 13 ], whereas anxiety is believed to mediate the relationship between sleep satisfaction and cognitive complaints [ 34 ]. Thus, we hypothesized the path model as follows, “insomnia → SA → CCFs → presenteeism”.…”

“…CCFs are reported to mediate the relationship between depressive symptoms and presenteeism in the following manner: “depressive symptoms → CCFs → presenteeism” [ 13 ]. Further, anxiety reportedly mediates the relationship between sleep satisfaction and cognitive complaints as follows: “sleep satisfaction → anxiety → cognitive complaints” [ 34 ]. Hence, we have hypothesized the path model as follows: “insomnia → SA → CCFs → presenteeism”.…”

Sleep Disturbance in the Context of HIV: A Concept Analysis

“…The researched articles reveal that psychological factors are the most frequently described antecedent of sleep disturbance in the articles. According to Alikhani et al (2020) , Chen et al (2021) , Daubert et al (2022) , Han et al (2021) , Ren et al (2018) , Wang et al (2021) , and Yan et al (2021) , psychological factors, such as depression, anxiety, and stress-related to living with a chronic illness, preceded sleep disturbance in PLWH. The second antecedent of sleep disturbance involves biological factors, including low CD4 cell levels ( Shi et al, 2020 ), high viral load ( Balthazar et al, 2021a ), genetic involvement ( Aouizerat et al, 2021 ; Ding et al, 2018 ), sex ( De Francesco et al, 2021a ; Moore et al, 2020 ), brain damage ( Happe, 2020 ; Leone et al, 2021 ), disease progress and duration ( Faraut et al, 2018b ; Milinkovic et al, 2020 ), and decreased immune function ( Babson et al, 2013 ; Low et al, 2012 ; Taibi et al, 2013 ).…”

“…The third antecedent, physical symptoms, includes fatigue ( Chenxi et al, 2019 ; Han et al, 2021 ; Voss et al, 2021 ), pain ( Nogueira et al, 2019 ; Redman et al, 2018 ; Sabin et al, 2020 ), apnea ( Chen et al, 2021 ; Gutierrez et al, 2019 ), gastrointestinal symptoms ( Nogueira et al, 2019 ), and nocturnal sweats ( Thorarinsdottir et al, 2019 ). The fourth antecedent of sleep disturbance is the side effects of the ARV therapy ( González-Tomé et al, 2018 ; Ren et al, 2018 ; Shikuma et al, 2018 ; Venkataraman et al, 2021 ), and the fifth antecedent is social factors, including family and social support ( Bedaso et al, 2020 ; Ren et al, 2018 ), internalized HIV stigma ( Fekete et al, 2018 ), unsatisfactory lifestyles ( dos Santos et al, 2018 ), low-income ( Yan et al, 2021 ), unemployment ( Najafi et al, 2021 ), and behavioral risk factors ( Costa et al, 2019 ; Downing et al, 2020 ; Ogunbajo et al, 2020 ).…”