Global Pittsburgh Sleep Quality Index Score Research Articles

Biopsychosocial Factors and Pain Hypervigilance should be considered in the Interpretation of Disease Activity in Systemic Sclerosis.

This study aimed to identify a pain phenotype associated with hypervigilance in systemic sclerosis (SSc) and to evaluate possible variables that influence pain hypervigilance symptoms. This cross-sectional, observational study included healthy controls (HCs) and SSc patients diagnosed with a score of 9 or higher according to the 2013 American College of Rheumatology-European League Against Rheumatism classification criteria. The pain hypervigilance symptoms were evaluated using the CS Inventory (CSI) questionnaire, while disease activity was assessed using the European Scleroderma Research Group Activity Index (EScSG-AI). The patients were classified based on CSI scores. Comparative analyses were conducted for clinical, sociodemographic, and biopsychosocial factors. 51 SSc patients (92.2% female, mean age 50.54±13.16 years) and 45 HCs (88.9% female, mean age 52.62±10.4 years) were included. Education and monthly income were lower for SSc than HCs (p<0.05). The CSI score≥40 proportion was 56.9% in SSc and 15.6% in HCs (p<0.001). Depression-Anxiety-Stress Scale (DASS-21), Epworth Sleepiness Scale (ESS), Global Pittsburgh Sleep Quality Index (PSQI), and EuroQol Five-Dimensional Three-Level Questionnaire (EQ-5D-3L) scores were higher in SSc than HCs (p<0.05). In multiple linear regression analysis to determine predictors of CSI score≥40, the effective variable was EScSG-AI. In multivariate logistic regression analysis, educational level and global PSQI scores were factors associated with CSI score≥40 in SSc. CSI score was positively associated with depression, disease activity, stress, anxiety, and poor sleep quality, and negatively associated with education and economic status. Pain hypervigilance may affect organ involvement and functioning in SSc. Clinicians should examine its biopsychosocial components.

The influence of cumulative and dimensional childhood adversity on maternal sleep quality.

This cross-sectional study examined the extent to which cumulative and specific dimensions-threat and deprivation-of adverse childhood experiences (ACEs) are associated with sleep quality in postpartum mothers. Eighty-seven mothers of infants completed assessments on sociodemographic characteristics, ACEs, and sleep quality. The sample was 39.1% White, 21.8% Latina, 16.1% Black/African American, 10.3% more than one race, 4.6% Asian, 4.6% American Indian/Alaskan Native, 2.4% unspecified race/ethnicity, and 1.1% Pacific Islander. An exploratory factor analysis was computed in which ACEs were categorized as dimensions of threat (i.e., experiencing harm or threat of harm) or deprivation (i.e., an absence of cognitive and social inputs). Separate generalized linear models were conducted to examine (a) cumulative ACEs and (b) threat and deprivation dimensions of ACEs in relation to maternal sleep quality scores on the Pittsburgh Sleep Quality Index (PSQI); higher PSQI scores indicate worse sleep quality. Likelihood ratio tests were conducted to compare if there were significant differences in model fit between the threat and deprivation model versus the cumulative ACEs model. Cumulative ACEs were positively associated with global PSQI scores. Threat, but not deprivation, was positively associated with global PSQI scores. The difference in variance explained between the two models was not statistically significant. The present study highlights the utility of dimensional models of adversity in conjunction with the cumulative ACEs model to identify more nuanced relationships between early adversity and maternal sleep outcomes. This approach may advance research on more targeted interventions during the postpartum period. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Quality of life and sleep disturbances in Afghanistan: a large scale cross-sectional study

BackgroundSleep and quality of life are closely related to one another in patients as well as in the general population of all age groups. The main objective of current study was to study the prevalence and relationship between sleep disturbance and quality of life among adults in different provinces of Afghanistan.MethodsCross-sectional study was conducted from September 5, 2023, to February 10, 2024, among 1380 adult participants (age range 18–80 years) of eight provinces in southern, western, and northern regions of Afghanistan. Quality of life was evaluated with 26-item Dari version of the World Health Organization’s Quality of Life–Bref (WHOQOL-Bref 26) while quality of sleep was assessed with Pittsburgh Sleep Quality Index (PSQI).ResultsAmong the 1380 study participants, 68.9% were females, 62.1% were in the age group 18–29 years, and 69.1% had experienced a bad event in the past month. Sleep disturbance was present in 50.7% (700/1380) of people with a mean PSQI global score of 6.13 which showed poor sleep quality among the study participants. In the physical, psychological, social, and environmental domains of quality of life, the study participants had low scores of 19.1%, 27.6%, 22.6%, and 26.2%, respectively. Significant sleep disturbance was found among participants with poor quality of life, those very dissatisfied with their health, and those with high scores in the physical, psychological, social, and environmental domains. Multiple logistic regression analysis showed that main factors associated with increased sleep disturbance among the study participants were among the age group 30–80 years (p-value 0.001), widowed or divorced (p-value 0.003), people with low family income (p-value < 0.001), and those who had experienced a bad event in the past month (p-value 0.001).ConclusionThis study indicate that poor sleep quality is highly prevalent among the general population in Afghanistan, adversely impacting their quality of life. Future researches on quality of life are highly recommended to focus on sleep quality as a contributing factor. Additionally, well-designed prospective studies examining the correlation between PSQI scores and quality of life could facilitate the development of effective interventions aimed at enhancing quality of life.

PREVALENCE OF SLEEP PROBLEMS AND ITS ASSOCIATION WITH SPORTS PARTICIPATION AMONG UNDERGRADUATE UNIVERSITY STUDENTS

Background: Sleep is a fundamental physiological process essential for cognitive function, mental well-being, and overall health. However, sleep disturbances among university students have become increasingly prevalent, often leading to adverse academic and health-related outcomes. Physical activity, particularly sports participation, has been suggested to enhance sleep quality, but conflicting findings exist. Limited research has directly examined the association between sports participation and sleep quality among university students. This study aimed to assess the prevalence of sleep disturbances and evaluate the impact of sports participation on sleep quality in undergraduate university students. Objective: To investigate the association between sports participation and the prevalence of sleep disturbances among undergraduate students and compare the sleep quality of student-athletes and non-athlete students. Methods: A cross-sectional study was conducted among 378 undergraduate university students (males = 211, females = 167), aged 17–28 years (M = 21.30, SD = 1.822), randomly selected from five universities. Data collection involved the Pittsburgh Sleep Quality Index (PSQI), demographic information, and an assessment of physical activity levels. Sleep quality was analyzed using independent samples t-tests and chi-square tests with IBM SPSS Statistics V22.0. Results: The mean global PSQI score was significantly lower in student-athletes (M = 4.53, SD = 1.73) than in non-athletes (M = 7.22, SD = 3.02), t(376) = 10.37, p &lt; .001, indicating better sleep quality in student-athletes. Good sleepers (PSQI ≤ 5) were significantly more prevalent among athletes (77.6%) compared to non-athletes (32.4%) (p &lt; .001). Student-athletes showed significantly lower scores in subjective sleep quality (M = 0.55 vs. M = 1.16, p &lt; .001), sleep latency (M = 1.16 vs. M = 1.81, p &lt; .001), sleep disturbances (M = 1.01 vs. M = 1.15, p = .002), and daytime dysfunction (M = 0.92 vs. M = 1.50, p &lt; .001). However, 22.4% of student-athletes still exhibited poor sleep quality, highlighting sleep-related concerns even among active individuals. Conclusion: While student-athletes exhibited significantly better sleep quality compared to non-athletes, sleep disturbances were prevalent in both groups. Promoting structured physical activity programs and targeted interventions in university settings may help mitigate sleep-related issues. Addressing sleep hygiene in both athletic and non-athletic populations remains crucial for overall health and academic success.

Association of chronotype pattern on the quality of sleep and anxiety among medical undergraduates- a cross-sectional study.

This study aims to explore the relationship between chronotypes, sleep quality, and anxiety among medical undergraduates, providing valuable insights for academic institutions seeking to enhance student well-being. A cross-sectional design was used, involving 200 medical undergraduates who were selected based on specific inclusion and exclusion criteria. Data collection included comprehensive clinical histories and the administration of three validated questionnaires: the Morningness-Eveningness Questionnaire Self-Assessment (MEQ-SA), the Pittsburgh Sleep Quality Index (PSQI), and the State-Trait Anxiety Inventory (STAI). Participants were recruited during class breaks, and informed consent was obtained prior to participation. The majority of participants (76.5 %; n=152) exhibited a neutral chronotype, with a mean MEQ score of 50.18 (±7.781). No significant correlations were found between MEQ scores and variables such as sex, BMI, or electronic media use. However, individuals classified as evening types reported higher anxiety levels, with mean STAI-S and STAI-T scores of 56.09 (±4.566) and 49.09 (±6.202), respectively (ANOVA, F=31.798, p=0.001; F=30.294, p=0.001). The mean global PSQI score was 6.00 (±2.553), with 56 % of participants reporting poor sleep quality. Evening chronotypes had significantly poorer sleep quality, as evidenced by higher PSQI scores (8.14±1.670) (ANOVA, F=43.663, p=0.001). The findings underscore the need for academic institutions to reconsider the alignment of academic schedules with students' chronotypes, potentially enhancing academic performance and reducing health risks. Despite these contributions, the study has limitations, including geographical and demographic constraints and reliance on self-reported data, suggesting the need for further research to provide more comprehensive insights.

Evaluation of the Prevalence of Sleep Disorders and Their Association with Stroke: A Hospital-Based Retrospective Study.

Background: Sleep disturbances are prevalent among stroke survivors, significantly impacting their recovery and quality of life. This study aimed to evaluate the prevalence of sleep disorders, sleep quality, risk of obstructive sleep apnea (OSA), and daytime sleepiness among stroke survivors and to identify potential associations with clinical and demographic factors. Materials and Methods: A retrospective observational study analyzed adult stroke survivors (aged ≥ 18 years) attending neurology clinics at our institution from November 2022 to November 2024. The primary outcome measures included overall sleep quality, sleep apnea and daytime sleepiness assessment. Data were collected using validated Arabic versions of the Pittsburgh Sleep Quality Index (PSQI), STOP-Bang Questionnaire, and Epworth Sleepiness Scale (ESS). Statistical analyses, including Chi-square tests and t-tests, were performed using SPSS version 30.1. Results: A total of 100 stroke survivors, mostly aged 40-60 years, were recruited in our study. The prevalence of sleep disorders was 60.0%, with poor sleep quality reflected by a mean global PSQI score of 9.13 ± 14.40. Additionally, 19.0% were at high risk of OSA, and 24.0% experienced abnormal daytime sleepiness. While no statistically significant associations were found between sleep disorders and clinical or demographic factors, trends indicated higher sleep disorder prevalence in those with hemorrhagic stroke and high-risk OSA profiles. Conclusions: Our study highlights a high prevalence of sleep disorders among stroke survivors, emphasizing the need for regular sleep assessments. Future studies should explore objective assessments and larger sample sizes to validate these findings and to assess their potential implication in stroke recovery and quality of life.

From strain to strength: a yearlong study on the transformative influence of inner engineering online program on mental well-being.

Health is a multidimensional phenomenon encompassing physical, mental, and social well-being, all of which are deeply interconnected. The COVID-19 pandemic highlighted the importance of mental and social health, as rates of loneliness, depression, and anxiety surged. Mindfulness practices, such as Shambhavi Mahamudra Kriya (SMK), have gained attention for their potential to enhance well-being by integrating breath regulation, meditation, and cognitive reframing techniques. During the COVID-19 pandemic, the Inner Engineering Completion Online (IECO) program was created to effectively teach SMK with global travel restrictions in effect. This study examines the long-term effects of SMK, taught through the IECO, on various measures of well-being over a one-year follow-up period. Participants were recruited from the January 2020 IECO course. Participants completed surveys at consent, post-IECO, and 6 weeks, 6 months, and 1-year post-IECO. The surveys consisted of 4 validated neuropsychological scales: Perceived Stress Scale (PSS), Positive Emotion/Relationship/Engagement Scale (PERMA) Profiler, Pittsburgh Sleep Quality Index (PSQI), and Mindful Attention Awareness Scale (MAAS). Survey data was analyzed using linear mixed effect modeling. Two-sided p-values of <0.05 were considered statistically significant. Hundred and eighty-eight participants were enrolled. Hundred and sixty-four participants completed baseline measurements, and 41 participants completed surveys at all timepoints. The baseline median [IQR] PSS score in participants was 13 [8, 18]; post-IECO median [IQR] PSS was 11 [8, 16] and 6-week median [IQR] PSS was 7 [4, 12], suggesting that consistent practice of Shambhavi Mahamudra Kriya resulted in reduced stress. This score was sustained up to a year post-IECO with a median [IQR] of 7 [3, 12]. The mean mindfulness scale (MAAS) score increased by 0.97 (95% C.I. 0.7-1.2 p < 0.01, η2 p = 0.30) at the 1-year timepoint compared to baseline. The global PSQI score reduced at the week 6 timepoint by 1.3 (95% C.I. 0.49-2.0, p < 0.01) with medium effect size and was sustained until 1 year. Within 6 weeks of participating in IECO, regular practice of SMK significantly reduced stress, improved sleep quality, and boosted mindfulness. These benefits were sustained for at least a year with continued practice, suggesting that this practice is an effective path to maintaining general well-being. ClinicalTrials.gov, trial identification number NCT04189146.

Improved Sleep Quality and Sleep Duration After an 8-Week Exergaming Intervention for Exercise Training Among Elementary Schoolchildren in Taiwan.

The present study aimed to investigate the effects of an 8-week exergaming intervention for exercise training on sleep quality and sleep duration among elementary schoolchildren in Taiwan. A randomized controlled trial design was employed, with 68 elementary schoolchildren (aged 10.76 ± 0.49 years) recruited and randomly assigned to either an experimental group (n = 35) or a control group (n = 33). The experimental group participated in an 8-week exergaming intervention for exercise training; this comprised three sessions per week consisting of three rounds per session, with each round lasting 1 min. The control group did not receive any training and maintained their regular daily routines. All participants provided information on their demographic characteristics and anthropometric measurements and completed the Pittsburgh Sleep Quality Index (PSQI) questionnaire at both pre-test (baseline) and post-test (week 8) assessments. After 8 weeks of exergaming intervention, the experimental group showed a significant reduction in the PSQI global score (6.17 ± 2.96 vs. 4.80 ± 1.97, p < 0.0001). The change in the PSQI global score in the experimental group was significantly greater than in the control group (-1.37 ± 1.97 vs. -0.27 ± 1.89, p = 0.022). Additionally, the experimental group demonstrated a significantly longer sleep duration at week 8 compared with the control group (505.15 ± 53.16 vs. 480.51 ± 54.13, p = 0.047). Overall, the findings of this study indicate a beneficial response of elementary schoolchildren to exergaming, with participants reporting improved sleep quality and sleep duration as a result of engaging in the exergaming intervention sessions three times per week for 8 weeks, with three one-minute rounds per session. Therefore, it appears that exergaming may be an effective method for improving certain aspects of sleep quality and sleep duration among children between 10 and 12 years of age.

P1289 Sleep Quality and Associated Factors in Patients with Inflammatory Bowel Disease: A Cross-Sectional Study

Abstract Background Inflammatory bowel disease (IBD), encompassing crohn’s disease (CD) and ulcerative colitis (UC), considerably impacts patients’ quality of life, with sleep disturbances being a prevalent concern. This study aimed to investigate the association between sleep quality and various factors in IBD patients Methods A cross-sectional study was conducted involving 307 IBD patients (50 CD and 257 UC) from Guilan province, North of Iran, between 2021 and 2023. Participants were recruited from Razi hospital and the IBD registry of the Gastrointestinal and Liver Diseases Research Center of Guilan University of Medical Sciences. Data were collected using standardized questionnaires, including the Pittsburgh Sleep Quality Index (PSQI), Generalized Anxiety Disorder-7 (GAD-7), and Patient Health Questionnaire-9 (PHQ-9). Results The mean age of participants was 45.4 ±13.1 years, most participants (67.1%) were female. The mean global PSQI score was 3.09, indicating that 11.7% of patients experienced poor sleep quality. Notable correlations were found between PSQI scores and GAD-7 (r=0.158, P=0.005) and PHQ-9 scores (r=0.246, P&amp;lt;0.001). Multivariable analysis revealed that each one-point increase in PHQ-9 score was associated with a 0.18-point increase in PSQI score (P&amp;lt;0.001), and patients with comorbidities had PSQI scores 1.32 points higher than those without (P=0.043). Conclusion The study highlights a notable prevalence of poor sleep quality among IBD patients, with important associations identified with psychological factors and comorbid conditions. These findings underscore the importance of addressing sleep disturbances in the comprehensive management of IBD, emphasizing the need for targeted interventions to improve sleep quality and overall patient well-being.

Relationship Between Poor Sleep and Depressive Symptoms in Korean Elite Youth Athletes.

Background: Sleep and mental health are crucial to elite youth athletes, who face combined pressures of training, competition, school, and social commitments. We examined the association between sleep and depression in elite youth athletes. Methods: We analyzed data of 248 Korean world-class youth athletes (aged 13-19 years). The athletes completed the Pittsburgh Sleep Quality Index (PSQI), the Morningness-Eveningness Questionnaire (MEQ), and the Center for Epidemiologic Studies Depression Scale (CES-D). Results: Overall, 50.4% of the athletes were considered poor sleepers (global PSQI score ≥ 5.5); 23.8% reported depressive symptoms (CES-D score ≥ 16). Depression was 4.26 times (95% confidence interval [CI], 2.00-9.09, p < 0.001) more likely in poor than in good sleepers. Odds of depression were increased with poor subjective sleep quality (odds ratio [OR]: 4.62; 95%CI, 2.10-10.18, p < 0.001), prolonged sleep latency (OR: 2.45: 95% CI, 1.28-4.69, p < 0.01), increased sleep disturbances (OR: 3.98: 95% CI, 1.83-8.63, p < 0.001), and daytime dysfunction (OR: 3.28; 95% CI, 1.67-6.44, p < 0.001). Depressive symptoms were associated with worse sleep, particularly poor subjective sleep quality, prolonged sleep latency, increased sleep disturbances, and increased daytime dysfunction. Conclusions: These results suggest that depressive symptoms are associated with poor sleep in the elite youth athlete population.

Impact of sleep quality on academic achievements of undergraduate medical students: a cross-sectional study from Saudi Arabia

BackgroundSleep is an active process that affects human health and quality of life. Sleep is essential for learning and memory consolidation. Good sleep is required for good academic performance. Sleep disorders are common among medical students, due to the high academic load, stressful life, and hectic schedule. Therefore, this study aims to assess sleep quality among medical students.MethodsA cross-sectional study was conducted among medical students at King Khalid University by using the Pittsburgh sleep quality index (PSQI) to assess sleep duration, sleep efficiency, sleep latency, and global PSQI score. Participants were enrolled from second to sixth year. Bivariate and multivariate logistic regression were used to predict factors related to poor sleep quality.ResultsOut of 514 medical students, 453 (88.1%) of students exhibited poor sleep quality. Fourth year students were less likely to have poor sleep quality (AOR, 0.381; CI, 0.158–0.934) p = 0.035 and students with regular sleep schedule were more likely to be good sleepers (AOR,0.349; CI, 0.129–0.940) p = 0.037. Additionally, students who had more than five courses per semester more frequently had daytime sleepiness p = 0.03. However, Insufficient sleep was not significantly affected by factors like gender, different age groups, number of courses per semester, daytime sleeping, and students with varying Grade Point Averages (GPA).ConclusionPoor sleep quality is common among medical students, which may affect academic performance and general health. It is essential to educate them about good sleep hygiene and time management skills.

The Interplay of Dual Tasks, Sleep Quality and Load Carriage on Postural Stability in Young, Healthy Adults

Background/Objectives: To examine the combined effects of sleep quality, dual tasks, and load carriage on postural stability. Methods: Twenty-three university student participants (12 males, ages: 24.6 ± 6.1 year) completed the Pittsburgh Sleep Quality Index (PSQI), then performed quiet standing and a dual task while standing on force plates with and without load carriage. Correlations and repeated measures analysis of variances were used to assess relationships, main effects, and interaction effects of tasks on center of pressure (COP) to assess postural stability. Both a traditional PSQI global score and a sensitivity analysis of the PSQI cut-off were conducted. Results: With the traditional PSQI criteria, a main effect of sleep quality on 95% ellipse area was observed, with good sleepers outperforming bad sleepers (p = 0.016). Additionally, a significant interaction between sleep quality and task (p = 0.049) indicated that COP anterior–posterior velocity was lower during the dual task for good sleepers. No effects on sleep quality or interaction were found for other COP measures. The sensitivity analysis yielded no effect on sleep quality or interaction effects on any COP measure. There were no significant correlations between the PSQI global scores and COP variables. Conclusions: Overall, the results indicate that sleep quality alone had a limited effect and did not significantly interact with dual tasks or load carriage during quiet standing. Practitioners working with individuals who commonly experience poor sleep quality and perform load carriage and dual tasks should consider that common COP screens to assess postural stability may not detect differences due to self-reported sleep quality in healthy, young adults.

Sleep quality and fatigue among hemodialysis patients

ABSTRACT Background: Sleep quality is a crucial clinical outcome for hemodialysis (HD) patients, and fatigue is among the most prevalent symptoms experienced by this group. However, research on sleep quality and fatigue among HD patients in Saudi Arabia remains relatively scarce. Aims: The study aimed to evaluate the quality of sleep and fatigue levels among HD patients and to examine the correlation between these two variables. Methods: This study employed a cross-sectional design with a convenience sample of 96 HD patients. Data were collected from two large public hospitals using the Fatigue Severity Scale and the Pittsburgh Sleep Quality Index (PSQI). Results: The findings revealed that the global PSQI score was 7.93 ± 3.63, indicating moderate sleep disturbance, while fatigue levels were also moderate, with a mean of 4.60 ± 1.76. A moderate positive and significant correlation was observed between fatigue and poor sleep quality. When comparing individuals with poor sleep (PSQI ≥ 5) to those with good sleep (PSQI &lt; 5), poor sleepers exhibited significantly higher fatigue levels (mean = 4.89) than good sleepers (mean = 3.5, P = 0.001). No significant differences were identified in other clinical or demographic factors. Conclusions: This study highlights the high prevalence of poor sleep quality and fatigue among HD patients, underlining the importance of addressing these issues to improve patient outcomes. Further research is needed to explore the underlying causes of sleep disturbances and fatigue in this population and to evaluate interventions that can help improve sleep and reduce fatigue, ultimately enhancing the quality of life for these patients.

Sleep quality and mental health among medical students in Imphal, Manipur: A cross-sectional study.

Sleep and mental health are deeply interlinked, with poor sleep quality, a common issue among medical students, having a profound impact on their mental well-being. A cross-sectional study was conducted among medical students in a tertiary care hospital in Imphal, Manipur. Data were collected using a self-administered questionnaire consisting of the Pittsburgh Sleep Quality Index (PSQI) and Depression Anxiety Stress Scale (DASS-21). Descriptive statistics, Chi-square test, and Pearson correlation test were applied, and P < 0.05 was considered statistically significant. A total of 425 respondents took part in the study, including 268 undergraduate and 157 postgraduate students. Most participants, 236 (55.5%) had poor sleep quality. Among the participants, 168 (39.5%) had depression, 167 (39.3%) had anxiety, and 95 (22.4%) had stress. Poor sleep quality was significantly associated with academic year among undergraduate students (P = 0.005), increased total screentime per day (P = 0.024), and increased screentime before sleep (P = 0.007). Depression, anxiety, and stress were significantly associated with younger age (P = 0.001), the undergraduate course being pursued (P = 0.001, 0.003, and 0.001), and increased screen time before sleep (P = 0.021, 0.046, and 0.039). Depression, anxiety and stress scores had a significant positive correlation with the global PSQI score. More than half of the participants experienced poor sleep quality, with four out of ten experiencing depression or anxiety, and two out of ten experiencing stress. Hence, medical institutes must implement sleep hygiene education and screen time reduction initiatives to enhance students' sleep quality and overall well-being.

Prevalence and Impact of Sleep Disturbances on Burnout Among Emergency Medicine Residents in Riyadh, Saudi Arabia

Background: Emergency medicine (EM) is a high-stress specialty associated with burnout and sleep disturbances. Burnout is characterized by emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment, while sleep disturbances impair cognitive and physical performance. We aimed to assess the prevalence of sleep disturbances and their relationship with burnout among EM residents in Riyadh, Saudi Arabia. Methods: A cross-sectional study was conducted over six months among 182 EM residents in Riyadh. Data were collected using an online survey, including demographic and professional information, the Pittsburgh Sleep Quality Index (PSQI) for sleep assessment, and the Abbreviated Maslach Burnout Inventory for burnout evaluation. Statistical analysis was performed using IBM SPSS Statistics for Windows, Version 27.0. (Armonk, NY: IBM Corp.), with multiple linear regression exploring variable relationships. Results: Most participants (57.7%; n=105) reported sleep problems, with 22.5% (n=41) experiencing severe sleep disturbances (PSQI score 15–21) and 19.8% demonstrating good sleep quality (n=36; PSQI score 0–6). The mean global PSQI score was 10.7 ± 4.3. Burnout prevalence was high, with 81.3% (n=148) exhibiting high EE scores and 66.5% high DP scores (n=121). DP significantly predicted poor sleep quality (R = 0.42, 95% confidence interval [CI]: 0.3–5.6; p = 0.001), while gender also showed a significant association (R = 0.16, 95% CI: 0.3–2.5; p = 0.01). Conclusion: Sleep disturbances and burnout are highly prevalent among EM residents in Riyadh, with poor sleep quality significantly linked to higher DP levels. Targeted interventions are needed to improve residents&amp;apos; well-being and prevent adverse outcomes.

PSYCHOLOGICAL RESILIENCE MAY IMPROVE SLEEP QUALITY OF FAMILY CAREGIVERS OF OLDER ADULTS

Abstract Given the increasing focus on the importance of sleep for health and well-being, we assessed the (a) association of caregiving status (family caregiver/non-caregiver) with sleep quality and its moderation by psychological resilience and (b) factors influencing sleep quality among caregivers. Cross-sectional data on subjective sleep quality (Pittsburgh Sleep Quality Index (PSQI); higher global or component scores represent worse sleep quality) and psychological resilience (Connor-Davidson resilience scale) from Singapore on 167 family caregivers of older adults and 135 non-caregivers was analyzed. Multivariable linear regression models assessed the association of caregiving status with global PSQI score and it’s moderation by psychological resilience and identified caregiver and care-recipient characteristics associated with global PSQI score among caregivers. Mean global PSQI score (6.0 versus 4.5), proportion with poor sleep quality (global PSQI score&amp;gt;5; 46.1% versus 28.1%) and mean component scores (for sleep latency, sleep quality, sleep duration, and daytime dysfunction) were higher for caregivers, versus non-caregivers, reflecting their worse sleep quality. In multivariable analysis, caregivers had higher global PSQI score than non-caregivers (beta-coefficient: 1.04, p&amp;lt;0.05). However, this association was moderated by psychological resilience (beta-coefficient: -0.70, p&amp;lt;0.05) – the deficit in sleep quality for caregivers versus non-caregivers reduced with higher psychological resilience. Finally, among caregivers, those with higher education, fewer chronic conditions, fewer functional limitations, and higher psychological resilience had lower global PSQI score, i.e., better sleep quality. Our findings reveal the detrimental effect of being a family caregiver (versus not) on sleep quality and identify psychological resilience as a potential modifiable factor for mitigating it.

Yoga Intervention and Sleep Quality in Asymptomatic COVID-19 Cases: Insights from a Tertiary Care Center in Central India

Background: The COVID-19 pandemic posed significant challenges globally, with asymptomatic carriers forming a notable proportion and concerns regarding isolation resulting in stress and sleep disturbances. This study aimed to assess the efficacy of tele-based yoga interventions in improving sleep patterns among asymptomatic COVID-19 patients. Material and Methods: A pre-and-post- study design was employed, implementing structured breathing exercises and mindful meditation via telemedicine to evaluate their impact on sleep quality. Participants consisted of asymptomatic individuals aged 18 to 85 years who tested positive for COVID-19. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) before and after a fourteen-day tele-based yoga program. Results: Analysis of 86 participants revealed a pre-intervention mean global PSQI score of 10.22 ± 2.22, indicating poor sleep quality. Following the intervention, the mean global PSQI score improved to 5.99 ± 1.81. Subgroup analysis demonstrated significant enhancements in various sleep domains, including subjective sleep quality, sleep latency, and sleep disturbances. Discussion: The findings suggest efficacy of yoga interventions in ameliorating sleep quality in patients with sleep disturbances among asymptomatic COVID-19 patients. Tele-based yoga interventions showed promise in improving sleep patterns among asymptomatic COVID-19 patients. Further research is warranted to investigate long-term effects and refine intervention strategies for optimal sleep management.

Efficacy of Trataka Kriya in Improving Quality of Sleep in population aged 30-50 years: An open clinical trial

Background: In present era, Sleeplessness and disturbed sleep is a common disorder associated with morbidity and poor quality of life. In Ayurveda, Sleep is included under three supportive pillars of life (trayopasthambha). More than 50-70 million people in the United States have a sleep disorder i. In India prevalence rates are 6.5% among women and 4.3% among men. Trataka is one of the Shat Karma (yogic purificatory therapy) but is also observed to be having effects similar to meditative practices. It relieves mental stress so can improve sleep quality. Aim: To study the effect of Trataka Kriya in improving Quality of sleep-in population aged 30- 50 years. Objective: To evaluate the change in subjective and objective parameters on Pittsburgh Sleep Quality Index (PSQI) &amp; WHO-QOL Bref Questionnaire. Materials and Methodology: Part 1: Survey Study: A survey was conducted in 100 subjects to understand the distribution of sleep disorder in the population. Part 2: Interventional Study: From the participants of the survey 35 subjects were selected who reported sleep disturbance (decreased sleep). After Day 0 Assessment of the PSQI &amp; WHO-QOL BREF Scales, Training session on Trataka Kriya was given to the subjects and were advised to continue the practice for 15 days. Re-assessment of the objective Scales was done on Day 15. Results: PSQI SCORE: Based on the observations there was a significant improvement (p= &lt;0.001) in PSQI Global score. WHO-QOL BREF: There was a significant improvement (p= &lt;0.001, p = 0.016) respectively in the Physical &amp; Psychological Health Domains in WHO=QOL BREF questionnaire. However, no significant changes observed in overall quality of life (p=1.000), overall quality of general health (p=I.000), Domain Social Relationships (p=I.000), Environmental Health (p=I.000). Conclusion: It can be concluded that Trataka Kriya is effective in improving the quality of sleep in population aged 30-50 years.

Feasibility of Hypnotherapy in Fatigue and Sleep Disturbance Management in Patients with Multiple Sclerosis Disease

ABSTRACT The aim of this study was to test the clinical feasibility of hypnotherapy in the management of fatigue and sleep disturbances among multiple sclerosis (MS) patients in the south of Iran. Forty patients aged 25–47 were enrolled, and 22 (19 females, 3 males) completed eight 50-minute sessions of hypnotherapy for 10 weeks. Patients were required to practice the hypnotherapy sessions at home throughout the week. Participants completed the Multidimensional Fatigue Inventory (MFI) and Pittsburgh Sleep Quality Index (PSQI) at baseline and after the final hypnotherapy session. The mean MFI score was significantly reduced by 8.19 points following hypnotherapy (p < .05). The mean PSQI global score following hypnosis treatment significantly decreased from 7.4 ± 3.3 to 5.52 ± 3.12 (p < .05). Our results suggest that MS patients might benefit from hypnotherapy for controlling fatigue and sleep disturbance symptoms. Confirmative assessment is required in a randomized controlled trial after feasibility has been established.

Fatigue and Pruritus Impact Sleep Quality in Hemodialysis Patients.

This study assesses sleep quality amongst hemodialysis (HD) patients and identifies contributing factors, which include demographic and clinical factors and significant symptoms associated with HD (ie, fatigue and pruritus). In this cross-sectional design, 116 participants were recruited from HD units of two hospitals in Saudi Arabia. Three measures were used to identify predictors of sleep quality among HD patients, including the Pittsburgh Sleep Quality Index (PSQI), the Fatigue Severity Scale (FSS), and the 5-D itch scale. Demographic and clinical profiles were also obtained. Univariate and multiple regression analyses were used to determine significant factors associated with sleep quality during HD. The mean global PSQI score was 6.77±3.23, with 56.9% of participants scoring 5 or more, indicating poor sleep. Sleep latency achieved the highest mean PSQI score (1.70 ±0.94), and 'use of sleep medication components' the lowest (0.36 ±0.83). Increased age, lower educational status, higher fatigue, and pruritus were associated with poorer sleep. Controlling for status and age suggested that fatigue and pruritus independently influenced HD patients' sleep quality (F (4, 111) = 10.89, P = <0.001). There were positive relationships between increased levels of fatigue and pruritus and poor quality of sleep. This is the first study to examine fatigue, pruritus, and sleep quality in HD patients. Findings will assist dialysis clinicians to develop appropriate management strategies to mitigate factors causing poor sleep for such patients. Intervention programs targeting self-management of fatigue and pruritus symptoms could potentially improve patients' sleep quality.