The Subjective Meaning of Sleep Quality: A Comparison of Individuals with and without Insomnia

Harvey, Allison G.; Stinson, Kathleen; Whitaker, Katriina L; Moskovitz, Damian; Virk, Harvinder

doi:10.1093/sleep/31.3.383

Cited by 364 publications

(312 citation statements)

References 32 publications

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“…36 Self-reported sleep quality is an important clinical construct which involves a subjective assessment of sleep that has more specifically been defined by individuals with and without sleep problems as relating to tiredness on waking and throughout the day, feeling rested and restored on waking, and the number of awakenings expe rienced in the night. 37 A question assessing sleep quality has been recommended as essential when assessing sleep by self-report, 38 and the particular sleep quality question used in the present study has previously predicted outcomes such as anger expression. 39 …”

Section: Sleepmentioning

confidence: 92%

The Mediating Effect of Sleep Quality on the Relationship between PTSD and Physical Activity

Talbot

Neylan

Metzler

et al. 2014

Journal of Clinical Sleep Medicine

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Study Objectives: Physical inactivity is linked to health outcomes such as obesity, diabetes, and psychiatric disorders. Sleep disturbance has been linked to the same adverse outcomes. We examine the infl uence of sleep on physical activity as a novel approach to understand these relationships. Specifi cally, our objective was to determine whether low sleep quality predicts low physical activity in posttraumatic stress disorder (PTSD), a disorder associated with sleep disturbance, physical inactivity, and poor health outcomes. Methods: We used data from the Mind Your Heart Study, a prospective cohort study of 736 outpatients recruited from two Department of Veterans Affairs (VA) medical centers. We assessed PTSD with the Clinician Administered PTSD Scale, sleep quality using an item from the Pittsburgh Sleep Quality Index, and physical activity by self-report at baseline and again one year later. Hierarchical multiple regression models and structural equation modeling were used to examine the relationships among PTSD, sleep, and physical activity. Results: Sleep quality but not PTSD status was prospectively associated with lower physical activity in a model adjusting for age, sex, apnea probability, depression, body mass index, and baseline physical activity (β = 0.129, SE = 0.072, p < 0.01). Structural equation modeling indicated that the results were consistent with sleep quality statistically mediating the relationship between PTSD status at baseline and physical activity one year later. Conclusions: Worse sleep quality predicts lower physical activity in PTSD, providing possible evidence for a behavioral pathway from disturbed sleep to poor physical health outcomes. Keywords: posttraumatic stress disorder, sleep quality, physical activity Citation: Talbot LS, Neylan TC, Metzler TJ, Cohen BE. The mediating effect of sleep quality on the relationship between PTSD and physical activity. J Clin Sleep Med 2014;10(7):795-801.

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Section: Sleepmentioning

confidence: 92%

The Mediating Effect of Sleep Quality on the Relationship between PTSD and Physical Activity

Talbot

Neylan

Metzler

et al. 2014

Journal of Clinical Sleep Medicine

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“…Chronic sufferers of insomnia focus on daytime functional deficits rather than nocturnal experiences (e.g. total sleep time) (Carey et al 2005;Harvey et al 2008;Kyle et al 2010). This disparity may extend further into the treatment recommendations where there is an assumption that insomnia patients prefer pharmacotherapy (Dollman et al 2003;Dyas et al 2010).…”

Section: Managing Insomnia In Primary Carementioning

confidence: 99%

Primary health care practitioner perspectives on the management of insomnia: a pilot study

Cheung

Atternäs

Melchior

et al. 2014

Aust. J. Prim. Health

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Abstract. This paper reports a qualitative pilot study exploring primary care health practitioners' perspectives on the management of insomnia following the extensive media coverage on the adverse effects of zolpidem in 2007-08. General practitioners and community pharmacists were recruited throughout metropolitan Sydney, New South Wales using a convenience sampling and snowballing technique. Demographic information was collected from each participant followed by a semistructured interview. In total 22 participants were interviewed, including eight general practitioners and 14 community pharmacists. Interview transcripts were analysed using 'framework analysis'. Participants' responses illuminated some of the key issues facing primary care practitioners in the management of insomnia. Practitioners perceived there to be an overreliance on pharmacotherapy among insomnia patients and inadequate support for directing patients to alternative treatment pathways if they require or prefer non-pharmacological management. Current prescribing trends appear to favour older benzodiazepines in new cases of insomnia whereas some successful sporadic users of zolpidem have continued to use zolpidem after the media coverage in 2007-08. The findings of this pilot study suggest the need to address the limitations in the management of insomnia within the current health care system, to revise and disseminate updated insomnia guidelines and to provide educational opportunities and resources to primary care practitioners concerning management options.

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“…The definition of sleep quality may be subjective [8] and difficult to define [9]. Systematic deficiencies exist in the understanding and measurement of sleep quality [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

“…The definition of sleep quality may be subjective [8] and difficult to define [9]. Systematic deficiencies exist in the understanding and measurement of sleep quality [8][9][10]. Sleep quality-related complaints and diagnosis often are not correlated with objective sleep measurements, including electroencephalogram [11] and polysomnography [12].…”

Section: Introductionmentioning

confidence: 99%

Sadly Awake: Short Sleep Duration and Depressive Symptoms among Adolescents

Reisman¹

2017

J Sleep Disord Ther

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The Subjective Meaning of Sleep Quality: A Comparison of Individuals with and without Insomnia

Abstract: The meaning of sleep quality among individuals with insomnia and normal sleepers was broadly similar. A comprehensive assessment of a patient's appraisal of their sleep quality may require an assessment of waking and daytime variables.

Cited by 364 publications

References 32 publications

The Mediating Effect of Sleep Quality on the Relationship between PTSD and Physical Activity

The Mediating Effect of Sleep Quality on the Relationship between PTSD and Physical Activity

Primary health care practitioner perspectives on the management of insomnia: a pilot study

Sadly Awake: Short Sleep Duration and Depressive Symptoms among Adolescents

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