Abstract
The purpose of the study was to assess the incidence of insomnia in adolescents and young adults with cystic fibrosis and its impact on the quality of life, and to examine whether demographic and clinical factors and negative emotional states are predictors of insomnia in these patients. The study was conducted among 95 cystic fibrosis patients aged 14-25 years. The study used a personal questionnaire survey, the Athens Insomnia Scale, the Cystic Fibrosis Quality of Life Questionnaire, the Hospital Anxiety and Depression Scale, and the Numeric Rating Scale. Insomnia was diagnosed in 38% of cystic fibrosis patients. In patients with insomnia, the level of anxiety (Me: 10 vs. 4; P=0.000) and depression (Me: 6.5 vs. 2; P=0.000) was significantly higher than in the good sleep quality group. The risk of insomnia increases as anxiety (OR: 4.31; 95% CI: 2.20 to 8.41) and depressive symptoms exacerbate (OR: 4.98; 95% CI: 1.84 to 13.43). Insomnia significantly worsens the quality of life in cystic fibrosis patients (ß=-0.5, P=0.000). Insomnia affects a large percentage of cystic fibrosis patients, and anxiety and depression are factors that increase the risk of insomnia. Insomnia decreases the quality of life in cystic fibrosis patients.
Highlights
Cystic fibrosis (CF) is an autosomal, recessive genetic disorder that is one of the most common among European, North American and Australian populations
The statistical analysis covered data obtained from 95 patients with CF, divided into 2 groups depending on the quality of sleep
The first group were patients with good sleep quality (AIS
Summary
Cystic fibrosis (CF) is an autosomal, recessive genetic disorder that is one of the most common among European, North American and Australian populations. It significantly shortens the survival time of patients. Until the large-scale promising therapies are implemented, the effective modification of the course of the disease and the improvement of the lives of patients with CF are still determined by a reliable assessment of the physical and psycho-emotional status and the multidirectional standard therapy with its efficacy control. Some of the recognized factors that destabilize the patient's well-being and directly or indirectly affect the life of an individual are sleep disorders, pain, and negative emotional states, such as anxiety and depression
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