The effect of caffeine reduction on sleep quality and well-being in persons with HIV

Dreher, H. Michael

doi:10.1016/s0022-3999(02)00472-5

Cited by 43 publications

(62 citation statements)

References 35 publications

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“…Previous attempts have shown benefits of acupuncture 54 and reduced caffeine intake 55 on sleep quality. Buchanan and colleagues recently reported significant improvements in sleep quality and total sleep time among a clinic-based sample of adults living with HIV following a multi-session behavioral intervention for insomnia.…”

Section: Discussionmentioning

confidence: 99%

“…57,58 Despite obvious contributions to the literature on sleep promotion and HIV, these studies are limited by small sample sizes, lack of a control or a matched-control condition, high attrition, lack of objective sleep measures, or self-reported compliance to experimental protocol. Findings from Dreher 55 highlight the potential utility of self-regulation on improving sleep quality among HIV populations. Interventions that target an individual’s ability to self-regulate (or exert self-control) 59 in the context of sleep health may lead to better HIV-related outcomes through reductions in psychological distress and changes in sleep hygiene (e.g., time to bed, relaxation activities).…”

Section: Discussionmentioning

confidence: 99%

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Engagement in care, psychological distress, and resilience are associated with sleep quality among HIV-positive gay, bisexual, and other men who have sex with men

et al. 2016

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Objectives We investigated risk and protective factors associated with sleep quality among a national sample of HIV-positive gay, bisexual, and other men who have sex with men (GBMSM). Design This study reports on findings from both an eligibility survey and baseline assessment for an online HIV risk reduction intervention. Participants There were 16,466 completed eligibility surveys. A total of 1,205 eligible men completed a baseline assessment after consenting to participate in the intervention. Measurements and results Among participants with a completed eligibility survey, men with an HIV-positive status had significantly worse sleep quality and more frequent use of sleep medications during the past month than HIV-negative men. Within the intervention sample (n = 1,205 HIV-positive participants), men with symptoms of anxiety (Adjusted odds ratio [AOR]=2.80; 95% confidence interval [CI]: 1.93–4.06) and depression (AOR=1.66; CI: 1.14–2.43), and who reported a detectable viral load in the past six months (AOR=1.57; CI: 1.06–2.33) had increased odds of poor sleep quality after controlling for demographic characteristics, socioeconomic status, ART use and adherence, substance use, and CD4 count. However, men with greater perceived resilience had decreased odds of reporting poor sleep quality during the past month (AOR=0.68; CI: 0.51–0.89). Conclusions Findings from this online study call for more attention to the role of sleep in immune system functioning and engagement in HIV care. Results further suggest a need to design and test culturally-appropriate sleep health interventions for GBMSM living with HIV that promote protective factors and target particular behavioral changes (i.e., stress reduction, substance use).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Engagement in care, psychological distress, and resilience are associated with sleep quality among HIV-positive gay, bisexual, and other men who have sex with men

et al. 2016

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“…[8][9][10] In HIV infection, poor sleep has been associated with disease progression, medication therapy, employment status, and lack of knowledge about behaviors that promote good sleep. [11][12][13][14] The specifi c type of sleep disturbance experienced by this population needs to be better understood in order to provide the most effective intervention to improve symptoms, daytime functioning, and quality of life. 8,[15][16][17][18] Fragmented sleep occurs in chronic health conditions and may not even be perceived by the patient.…”

Section: S C I E N T I F I C I N V E S T I G a T I O N Smentioning

confidence: 99%

Types of Sleep Problems in Adults Living with HIV/AIDS

Lee

Gay

Portillo

et al. 2012

Journal of Clinical Sleep Medicine

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Objective: To characterize specifi c types of sleep problems experienced by adults with HIV. Method: The design was cross-sectional involving sleep questionnaires, diaries, and wrist actigraphy. The convenience sample included 290 adults living with HIV, 22-77 years of age. Measures included self-report for sleep onset latency, and wrist actigraphy estimates of total sleep time at night, wake after sleep onset, and daytime sleep. Results: Nearly half (45%) of the sample slept < 6 h per night. Diffi culty falling asleep was reported by 34%, and 56% had fragmented sleep according to actigraphy; 20% had both problems, and 30% were good sleepers. Participants reporting diffi culty falling asleep had actigraphy and clinical measures similar to the good sleepers, but subjectively they experienced greater sleep disturbance and symptom burden (particularly anxiety and morning fatigue) and reported more use of sleep medication. Participants with fragmented sleep reported low levels of sleep disturbance and symptom burden similar to the good sleepers, despite actigraphy measures indicating they obtained less sleep both at night and during the day. Sleep fragmentation was also associated with sociodemographic factors and slightly lower CD4+ T-cell counts. Participants reporting both sleep problems had actigraphy and clinical profi les similar to those who had only fragmented sleep, but their symptom experience was similar to participants with only sleep initiation diffi culties. Types of Sleep Problems in Adults Living with HIV/AIDS S C I E N T I F I C I N V E S T I G A T I O N SS leep problems affect about 30% of the population in the United States and are associated with higher healthcare utilization and use of sleep medication, as well as poor work performance and mood disorders.1 Adults living with a chronic illness are at higher risk for sleep problems, and depending on the definition, sleep problems are experienced by 30% to 100% of HIVpositive adults. [2][3][4][5][6][7][8][9] It is unclear what type of sleep problem adults with HIV experience, or whether their sleep disturbance is related to the infection itself or to the medical treatment and side effects of medications. Sleep disturbance is not only prevalent, but also one of the more intense and distressful symptoms experienced in this population. [8][9][10] In HIV infection, poor sleep has been associated with disease progression, medication therapy, employment status, and lack of knowledge about behaviors that promote good sleep. [11][12][13][14] The specifi c type of sleep disturbance experienced by this population needs to be better understood in order to provide the most effective intervention to improve symptoms, daytime functioning, and quality of life. 8,[15][16][17][18] Fragmented sleep occurs in chronic health conditions and may not even be perceived by the patient. 19,20 With this type of sleep loss, it is rare to fi nd complaints of initiation insomnia, but complaints of daytime sleepiness or fatigue are common and can lead to diffi culty concentrat...

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“…Some adaptations for CBTI to the specific comorbid diseases have been used. For example, when treating insomnia in cancer and HIV patients, CBTI was augmented with counterfatigue measures such as scheduled short naps, exercise, and judicious use of caffeine 35–37…”

Section: Cbti Treatment In the Presence Of Comorbidities: Recent Devementioning

confidence: 99%

New developments in cognitive behavioral therapy as the first-line treatment of insomnia

Siebern¹,

Manber²

2011

PRBM

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Insomnia is the most common sleep disorder. Psychological, behavioral, and biological factors are implicated in the development and maintenance of insomnia as a disorder, although the etiology of insomnia remains under investigation, as it is still not fully understood. Cognitive behavioral therapy for insomnia (CBTI) is a treatment for insomnia that is grounded in the science of behavior change, psychological theories, and the science of sleep. There is strong empirical evidence that CBTI is effective. Recognition of CBTI as the first-line treatment for chronic insomnia (National Institutes of Health consensus, British Medical Association) was based largely on evidence of its efficacy in primary insomnia. The aim of this article is to provide background information and review recent developments in CBTI, focusing on three domains: promising data on the use of CBTI when insomnia is experienced in the presence of comorbid conditions, new data on the use of CBTI as maintenance therapy, and emerging data on the delivery of CBTI through the use of technology and in primary care settings.

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The effect of caffeine reduction on sleep quality and well-being in persons with HIV

Cited by 43 publications

References 35 publications

Engagement in care, psychological distress, and resilience are associated with sleep quality among HIV-positive gay, bisexual, and other men who have sex with men

Engagement in care, psychological distress, and resilience are associated with sleep quality among HIV-positive gay, bisexual, and other men who have sex with men

Types of Sleep Problems in Adults Living with HIV/AIDS

New developments in cognitive behavioral therapy as the first-line treatment of insomnia

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