Pittsburgh Sleep Quality Index Questionnaire Research Articles

Evaluation of the influence of sleep on obesity indices among young adults

Background: Sleep is an indispensable physiological process. The recommended average sleep duration for young adults is about 7–9 h a day. Quality and duration of sleep have a considerable influence on several anthropometric measurements, in addition to the typical determinants, such as level of physical activity, dietary choices, and genetic predisposition. These days, obesity is a ubiquitous public health crisis and there has been a parallel rise in sleep deprivation. Several reviews have suggested an increased likelihood of obesity among short-sleepers. Aims and Objectives: This study aims to assess the quality and duration of sleep, physical activity, and obesity indices in young adults and evaluate the impact of sleep on the obesity indices. Materials and Methods: Three hundred young adults of both sexes aged between 18 and 25 years were selected and their anthropometric measurements such as height, weight, waist, and hip circumference were recorded. Obesity indices – waist/hip ratio (WHR), waist to height ratio, body mass index (BMI), abdominal volume index (AVI), and conicity index were calculated. Pittsburgh Sleep Quality Index (PSQI) and General Practice Physical Activity Questionnaire were used to assess the quality and duration of sleep as well as physical activity, respectively. Based on the PSQI index, they were categorized into – Group 1 with adequate sleep and Group 2 without adequate sleep. Independent Student’s t-test was employed; P < 0.05 was considered significant. Results: Analysis of anthropometric measurements showed a significant increase in weight (63.60 ± 16.52 kg vs. 60.26 ± 13.73 kg), waist circumference (79.52 ± 12.83 cm vs. 78.60 ± 10.27 cm), and AVI (13.07 ± 4.20 vs. 12.68 ± 3.30) in Group 2. BMI and WHR were increased in Group 2 but were not statistically significant. Physical activity was found to be more in Group 2 subjects. Conclusion: Quality of sleep has a role in obesity irrespective of physical activity.

Sleep disorders among South Indian computer professionals and the beneficial effect of blue light filters

Background: Prolonged exposure to light emitted from screen-based devices has been known to cause sleep disturbances. Although computer professionals have high screen exposure and screen exposure is known to cause sleep disturbances, there is no published literature on sleep disorders among computer professionals. Aims and Objectives: To find out the prevalence of sleep disorders among computer professionals in South India and their association with risk factors like screen time and duration of work. Material and Methods: Data were collected online from computer professionals working in South India using a structured questionnaire in Google Forms. The form contained questions on demographics, medical history, and the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Data were entered in Microsoft Excel and analyzed using SPSS 17. The chi-square test, odds ratio, Kruskal–Wallis test, and regression analyses were used. Results: The prevalence of sleep disorders among computer professionals in South India was found to be 63.3%. Sleep latency was found to be the most significant contributor to the total PSQI score. Significantly associated risk factors were daily and weekly work duration and daily screen time. Working for more than 8 h a day was found to be the single independent risk factor for 7.9% of those with sleep disorders. Using a blue-light filter was found to be protective. Conclusion: There is a high prevalence of sleep disorders among computer professionals. Interventions like monitoring the daily duration of screen exposure and total daily work hours and periodic evaluation of the sleep health of computer professionals are crucial to reducing morbidity and early mortality.

ANALYSIS OF PHYSIOLOGICAL ERGONOMICS FOR NIGHT SHIFT WORKERS CORRELATED WITH SLEEP QUALITY AND TIME TO RECOVERY

The worker’s recovery time from physical and mental workload is a crucial factor for office and factory management and it will effect on the working performance and design working system. The aim of this paper is to investigate the impact of physiological conditions on sleep quality and time to recovery for night shift electric steam power plant workers. The research is started with study literatures on physiology ergonomics, sleep quality measurement, human metabolism, expenditure energy graph and physical/mental workload. The research worked with 50 samples (age between 30 to 45 years old) who have duty to control the electric steam power plant on dynamic computer screen in the night shift. The Pittsburgh Sleep Quality Index (PSQI) questionnaire was used subjectively to measure the value of sleep quality on 19 self – rated questions that assessed various sleep quality – related factor over the previous month. To know the speed of Time to Recovery (TTR), every worker perform a treadmill load with constant speed of 5 Km/hour for 10 minutes. Heart rate changes before activity, during activity (treatment) and TTR are recorded and it be analysed the pattern of relationship conducting to PSQI score. According to the data analysis, the higher PSQI score the longer time consume by workers to recovery. Moreover, Pearson statistic test results found that there is a strong relationship between sleep quality (PSQI value) and TTR for workers with value of 0.853. In sort, improving the quality of sleep for night shift electric steam power plant workers can definitely improve work performance on a shorter rest time or healthier conditions of workers.

Association of dietary acid-base load with psychological disorders, sleep and circadian rhythm among obese and overweight women: a cross-sectional study

Background: Epidemiological studies have reported that dietary acid load is associated with psychological disorders through different pathways. We aimed to examine the association of dietary acid-base load with psychological disorders, sleep and circadian rhythm. Methods: This study was performed on 404 female subjects aged 18 years and above. We evaluated potential renal acid load (PRAL) and net endogenous acid production (NEAP) score by a validated food frequency questionnaire (FFQ) for Iran which contained 147 items. To assess psychological disorders, an Iranian validated version of the depression, anxiety and stress scale (DASS-21) was used. The Pittsburgh Sleep Quality Index (PSQI) and morning-evening questionnaire (MEQ) were applied to evaluate sleep quality and circadian rhythm status, respectively. Results: After adjustment for a wide range of confounding variables, a significant positive association was observed between dietary acid-base load and severe depression (ORPRAL=1.10, 95% CI=1.01-1.19, p=0.02 and ORNEAP=2.46, 95% CI=1.41-14.61, p=0.02). Women in the high dietary acid base load category had higher anxiety (ORPRAL=1.12, 95% CI=1.02-1.23, p=0.01 and ORNEAP=1.80,95% CI=1.12-10.72, p=0.01). There was a strong positive relationship between dietary acid-base load and sleep disturbance (p<0.05). Additionally, circadian rhythm assessment showed that those with greater commitment to PRAL had 23% higher risk of being completely evening type, while the odds of being completely morning type were decreased by 15% and 12% across higher adherence to PRAL and NEAP. Conclusion: Women with higher dietary acid-base load score had greater odds for depression, anxiety, psychological distress, sleep disturbance and evening-type circadian rhythm compared to lower ones.

PENGARUH ACUPRESSURE TITIK HT7 SHENMEN TERHADAP LATENSI DAN DURASI TIDUR PASIEN KANKER PASCA TERAPI

Abstract: Disruption of sleep latency and duration of cancer patients occurs due to multifactorial causes, one of which is a side effect of cancer therapy. The aim of this study was to analyze the effect of acupressure at the Shenmen HT7 point on sleep latency and duration of post-therapy cancer patients. The design uses a pre-experimental one-group pretest-posttest design approach. The population is 50 cancer patients at the Pucang Sewu Health Center and the Rangkah Health Center, Surabaya. A sample of 25 respondents was taken by purposive sampling according to the researcher's criteria. The instrument used was the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The results of the pre-test mean latency and sleep duration scores respectively were 1.96 + 0.61 and 1.08 + 0.86, while in the post-test conditions it was 1.12 + 0.72 and 0.56 + 0.71. The results of the Wilcoxon Signed Rank Test statistical test found that the p-value on the latency and sleep duration variables was 0.000 and 0.001, respectively, which means that there was a significant effect of giving the HT7 Shenmen point acupressure on the latency and sleep duration of post-therapy cancer patients. HT7 Shenmen stimulates the release of endorphins which cause relaxation, a feeling of calm, comfort, thereby helping to improve sleep latency and duration.

Sleep deprivation alters pubertal timing in humans and rats: the role of the gut microbiome.

Evidence implied that sleeping duration is associated with the timing of puberty and that sleep deprivation triggers early pubertal onset in adolescents. Sleep deprivation can affect metabolic changes and gut microbiota composition. This study investigated the effects of sleep deprivation on pubertal onset and gut microbiota composition in animal models and a human cohort. This study comprised 459 boys and 959 girls from the Taiwan Pubertal Longitudinal Study. Sleep duration was evaluated using the self-report Pittsburgh Sleep Quality Index questionnaire. Early sexual maturation was defined by pediatric endocrinologist assessments. Mediation analyses were done to examine the association between sleep parameters, obesity, and early sexual maturation. Besides, Sprague Dawley juvenile rats were exposed to 4 weeks of chronic sleep deprivation. Vaginal opening (VO) and preputial separation (PS) were observed every morning to determine pubertal onset in female and male rats. The sleep-deprived juvenile rats in the sleep-deprived-female (SDF) and sleep-deprived-male (SDM) groups experienced delayed VO (mean VO days: 33 days in control; 35 days in SDF; p-value < 0.05) and PS (mean PS days: 42 days in control; 45 days in SDM; p-value < 0.05), respectively. Relative to their non-sleep-deprived counterparts, the sleep-deprived juvenile rats exhibited lower body weight and body fat percentage. Significant differences in relative bacterial abundance at genus levels and decreased fecal short-chain-fatty-acid levels were identified in both the SDF and SDM groups. In the human cohort, insufficient sleep increased the risk of early sexual maturation, particularly in girls (OR, 1.44; 95% CI: 1.09 to 1.89; p-value < 0.01). Insufficient sleep also indirectly affected early sexual maturation in girls, with obesity serving as the mediator. Overall, sleep deprivation altered the timing of puberty in both animal and human models but in different directions. In the rat model, sleep deprivation delayed the pubertal onset in juvenile rats through gut dysbiosis and metabolic changes, leading to a low body weight and body fat percentage. In the human model, sleep deprivation led to fat accumulation, causing obesity in girls, which increased the risk of early puberty.

Sleep quality and associated factors among patients with chronic kidney disease in Nigeria: a cross-sectional study

ObjectivePoor sleep quality adversely affects the overall well-being and outcomes of patients with chronic kidney disease (CKD). However, it has not been well studied in Africans with CKD. We determined...

Reasons behind Sleep Deprivation among Adolescents: Evidence from Beijing

Although current studies have examined the association between multiple variables and sleep deprivation among adolescents, such as the use of electronic devices and stress, few studies managed to disassociate the variables and examine the impact of each one on sleep individually. The objective of this study is to examine which factor between the use of electronic devices, workload, stress and basic psychological needs of an individual has the most impact on sleep duration and quality of adolescents. 16 participants volunteered for this research measuring their sleep and deep sleep through commercially available smart band provided. They self-reported the sleep data recorded along with the amount of time spent on electronic devices and schoolwork, and a rating of workload and stress on a scale of 1-10 through a period of 38 days. Participants then completed a Pittsburgh Sleep Quality Index questionnaire and a Self-Determination Theory questionnaire. Results show that stress has the most impact on both sleep duration and quality. The fulfillment of an individual’s psychological needs highly correlates with sleep: the unmet psychological needs directly influence other variables such as stress level which will affect sleep. This research shows inconsistency during data analysis when different method is applied potentially due to time constrain of this research, future research is needed to prove the validity of the finding.

Memory performance mediates subjective sleep quality associations with cerebrospinal fluid Alzheimer's disease biomarker levels and hippocampal volume among individuals with mild cognitive symptoms.

Sleep disturbances are prevalent in Alzheimer's disease (AD), affecting individuals during its early stages. We investigated associations between subjective sleep measures and cerebrospinal fluid (CSF) biomarkers of AD in adults with mild cognitive symptoms from the European Prevention of Alzheimer's Dementia Longitudinal Cohort Study, considering the influence of memory performance. A total of 442 participants aged >50 years with a Clinical Dementia Rating (CDR) score of 0.5 completed the Pittsburgh Sleep Quality Index questionnaire and underwent neuropsychological assessment, magnetic resonance imaging acquisition, and CSF sampling. We analysed the relationship of sleep quality with CSF AD biomarkers and cognitive performance in separated multivariate linear regression models, adjusting for covariates. Poorer cross-sectional sleep quality was associated with lower CSF levels of phosphorylated tau and total tau alongside better immediate and delayed memory performance. After adjustment for delayed memory scores, associations between CSF biomarkers and sleep quality became non-significant, and further analysis revealed that memory performance mediated this relationship. In post hoc analyses, poorer subjective sleep quality was associated with lesser hippocampal atrophy, with memory performance also mediating this association. In conclusion, worse subjective sleep quality is associated with less altered AD biomarkers in adults with mild cognitive symptoms (CDR score 0.5). These results could be explained by a systematic recall bias affecting subjective sleep assessment in individuals with incipient memory impairment. Caution should therefore be exercised when interpreting subjective sleep quality measures in memory-impaired populations, emphasising the importance of complementing subjective measures with objective assessments.

Correlation of Sleep Quality with the Classification of Primary Headache Pain in 2020 and 2021 Students of the Faculty of Medicine, Dentistry and Health Sciences

Good quality sleep is an important element in maintaining individual health and well-being. Even so, some individuals often experience sleep disorders which can have a negative impact on health. One of the health problems that is often associated with sleep disorders is primary headaches, including migraine headaches and tension headaches. This study aims to determine the relationship between sleep quality and primary headache classification. Data collected in this research used a survey method. This research applies an analytical approach with a cross-sectional design, where data collection is only carried out once. Data were collected through questionnaires evaluating sleep quality using the Pittsburgh Sleep Quality Index and Headache Screening Questionnaire, and data were analyzed using the Chi-square test. The population in this study was 189 students using the Simple Random Findings Technique with 100 samples. This study shows a significant correlation between poor sleep quality and the incidence of migraines and tension headaches, with test results showing a P value of 0.001&lt;0.005. There is a correlation between sleep quality and the incidence of migraines and tension headaches.

Maternal Stress, Anxiety, Well-Being, and Sleep Quality in Pregnant Women throughout Gestation

Background: Maternal stress, anxiety, well-being, and sleep quality during pregnancy have been described as influencing factors during pregnancy. Aim: We aimed to describe maternal stress, anxiety, well-being, and sleep quality in pregnant women throughout gestation and their related factors. Methods: A prospective study including pregnant women attending BCNatal, in Barcelona, Spain (n = 630). Maternal stress and anxiety were assessed by the Perceived Stress Scale (PSS) and State-Trait Anxiety Inventory (STAI)-validated questionnaires. Maternal well-being was assessed using the World Health Organization Well-Being Index Questionnaire (WHO-5), and sleep quality was assessed using the Pittsburgh Sleep Quality Index Questionnaire (PSQI). All questionnaires were obtained twice during the second and third trimester of pregnancy. A multivariate analysis was conducted to assess factors related to higher maternal stress and anxiety and worse well-being and sleep quality. Results: High levels of maternal stress were reported in 23.1% of participants at the end of pregnancy, with maternal age &lt;40 years (OR 2.02; 95% CI 1.08–3.81, p = 0.03), non-white ethnicity (OR 2.09; 95% CI 1.19–4.02, p = 0.01), and non-university studies (OR 1.86; 95% CI 1.08–3.19, p = 0.02) being the parameters mostly associated with it. A total of 20.7% of women had high levels of anxiety in the third trimester and the presence of psychiatric disorders (OR 3.62; 95% CI 1.34–9.78, p = 0.01) and non-university studies (OR 1.70; 95% CI 1.11–2.59, p = 0.01) provided a significant contribution to high anxiety at multivariate analysis. Poor maternal well-being was observed in 26.5% of women and a significant contribution was provided by the presence of psychiatric disorders (OR 2.96; 95% CI 1.07–8.25, p = 0.04) and non-university studies (OR 1.74; 95% CI 1.10–2.74, p = 0.02). Finally, less sleep quality was observed at the end of pregnancy (p &lt; 0.001), with 81.1% of women reporting poor sleep quality. Conclusion: Maternal stress and anxiety, compromised maternal well-being, and sleep quality disturbances are prevalent throughout pregnancy. Anxiety and compromised sleep quality may increase over gestation. The screening of these conditions at different stages of pregnancy and awareness of the associated risk factors can help to identify women at potential risk.

Association between frailty and sleep quality in people living with multiple sclerosis and obesity: An observational cross-sectional study

BackgroundA majority of the people with multiple sclerosis (pwMS) experience sleep disturbances. Frailty is also common in pwMS. The geriatric literature strongly suggests that frailty is associated with worse sleep outcomes in community-dwelling older adults, but this association has yet to be explored among pwMS. This study focused on examining the association between frailty and sleep quality in pwMS. MethodsSeventy-six people with both MS and obesity (mean age: 47.6 ± 10.9 years, 81.6 % female, mean body mass index (BMI): 37.10 ± 5.5 kg/m2, mean Patient Determined Disease Steps (PDDS): 0.82 ± 1.20) were included in this cross-sectional secondary analysis. A comprehensive frailty index (FI) based on 41 health deficits from various health domains was calculated based on standardized procedures. Sleep quality was determined by the Pittsburgh Sleep Quality Index questionnaire (PSQI). ResultsOverall, 67.1 % of the participants were identified as non-frail (FI ≤ 0.25), and 32.9 % were identified as frail (FI > 0.25). A significant correlation was observed between FI scores and global PSQI scores (ρ = 0.43, p < 0.05). Cross-tabulation analyses revealed that frail participants had worse subjective sleep quality, sleep latency, habitual sleep efficiency, sleep disturbances, daytime dysfunction, and higher use of sleep medications compared to non-frail participants (p < 0.05). ConclusionsThe current study identified a significant association between frailty and sleep quality in people with both MS and obesity with minimal disability. These findings underscore the importance of untangling the relationship between frailty and sleep quality in pwMS. These results could lead to a more targeted approach for rehabilitation interventions aiming to improve frailty in MS.

Ansietas dan Kualitas Tidur Lanjut Usia

Sleep disorders in the elderly continue to increase. About 50% of the elderly complain of difficulty sleeping. One of the causes is anxiety. Deterioration of mental condition in the elderly is the most visible result of lack of sleep. To improve the quality of sleep of the elderly can be done by controlling the time of elderly naps, light exercise, and relaxation therapy. The purpose of this study is to analyze the relationship between anxiety and sleep quality of the elderly in the work area of UPTD Muara Kumpeh Health Center. The independent variable is anxiety and the dependent variable is sleep quality. The research location is in the working area of UPTD Muara Kumpeh Health Center, starting from September 2022-April 2023. There were 106 samples using the Proportionate Stratified Random Sampling method. The data collection instruments used were the ZSAS (Zung-Self Anxiety Rate Scale) questionnaire and the PSQI (Pittsburgh Sleep Quality Index) questionnaire using the Kendall tau statistical test. There was a statistically significant relationship between anxiety and sleep quality of the elderly with a value of p = 0.000 (p &lt; 0.05). The role of puskesmas officers in providing health promotion such as providing motivation and encouragement, as well as teaching relaxation therapy is needed to overcome anxiety and improve the quality of sleep of the elderly.

Physical activity levels and sleep quality among military aircrew during COVID-19: A questionnaire-based pilot study

Objective: Adequate physical activities (PAs) and sleep quality are also crucial factors for maintaining optimal performance in military aircrew given the physiological demands of alien flying conditions and the occupational stress of the military lifestyle. During the COVID-19 pandemic, PA levels and sleep quality are compromised globally. Due to a lack of adequate research studies, this pilot study was aimed at assessing the PA levels and sleep quality among military aircrew during the COVID-19 pandemic. Material and Methods: Fifty-nine aircrew (Weight: 68.7 ± 6.45 kg and body mass index: 22.6 ± 1.76 kg/m2) of a training establishment voluntarily participated in this anonymous pen-paper pilot survey. The participants included instructors/trainee aircrew and one female aircrew. Responses for the validated International Physical Activity Questionnaire, Pittsburgh Sleep Quality Index (PSQI) questionnaire, and self-rating before the pandemic along with demographic details were collected. Data were expressed as a median and interquartile range with statistical significance set at 0.05. Results: About 80% of participants reported participating in games and PA regularly. Before the pandemic, 68% of aircrew did moderate-vigorous PA and &gt;93% had average-good sleep quality. Total PA during the pandemic was 1059 (594, 1074) MET-min/week with an energy expenditure of 1226.48 (623.7, 2036.7) Kcal/week. Time spent sitting was 6 (5, 10) h/day and more than 86% of aircrew reported good global PSQI score. The effect of the pandemic was observed as significantly reduced energy expenditure, that is, 1001.25 (673.2, 1794) Kcal/week among aircrew who self-rated high levels of PA before the pandemic (P = 0.042). Aircrew who regularly played games significantly engaged in more total PA of 1547 (827, 1911) MET-min/weeks (P &lt; 0.0001) with a significantly higher energy expenditure of 1752.7 Kcal/week (P &lt; 0.0001). Conclusion: Despite pandemic restrictions, aircrew who were regularly involved in PA/games were able to maintain a better PA level. Moreover, aircrew with better sleep quality significantly engaged in higher PA levels and lesser sitting time. Sedentary behavior was assessed as sitting time increased in trainee aircrew, aircrew who were not involved in active flying, and aircrew with bad sleep quality.

Sleep Disturbances in Early Gestation and the Risks of Hypertensive Disorders of Pregnancy: A Prospective Cohort Study.

Maternal poor sleep quality may increase blood pressure during pregnancy, but sound evidence is still limited and inconsistent. To evaluate whether sleep disturbances in early gestation are risk factors for the development of hypertensive disorders of pregnancy, we conducted the Early Life Plan Project from June 2016 to December 2019. Maternal sleep patterns were assessed at 12-16 weeks of gestation by using the Pittsburgh Sleep Quality Index questionnaire. For gestational hypertension and preeclampsia, we estimated adjusted odds ratios (ORs) and 95% confidence intervals (CIs) using multinomial logistic regression models adjusting for potential confounders. Among 5,532 eligible women, we observed that maternal blood pressure in early gestation was significantly higher in women with low sleep efficiency (≤85%), long sleep duration (≥9 hours/night), and snoring. Compared with nonsnorers, snoring in early gestation was independently associated with preeclampsia (OR=1.72 (95% CI: 1.09, 2.73) for snoring once or twice per week; OR=2.06 (95% CI: 1.01, 4.31) for snoring 3 or more times per week), particularly for term preeclampsia (OR=1.79 (95% CI: 1.08, 2.95) and 2.26 (95% CI: 1.03, 4.95), respectively). Results suggest that snoring in early gestation may be a significant risk factor for preeclampsia, with a dose-response pattern.

Efficacy of digestive enzyme supplementation in functional dyspepsia: A monocentric, randomized, double-blind, placebo-controlled, clinical trial

Functional dyspepsia is a form of dyspepsia lacking in clear causes following clinical assessment. Dyspepsia is characterized by episodic or persistent abdominal pain or discomfort of the upper gastrointestinal (GI) tract. Its onset has been linked with a deficiency or dysfunction of digestive enzymes. Thus, consumption of digestive multi-enzymatic preparations may be effectively used for the reduction of symptoms. The aim of this study is to assess the effectiveness and tolerability of the supplementation of a normal diet with a multi-enzyme blend obtained from fungal fermentation, in a randomized, placebo-controlled, double-blind, clinical trial. Enrolled subjects (n = 120, male: 63, female: 57), aged 18–59 years, were randomized (allocation ratio 1:1) to receive either 2 capsules per day of the food supplement (containing 200 mg of the multi-enzyme blend/capsule) or placebo, for 2 months. The primary outcome of the study (i.e., improvements in quality of life) was evaluated by the Nepean Dyspepsia Index-SF (NDI-SF) questionnaire, while the secondary outcomes (i.e., severity of pain and the quality of sleep) were assessed through the Visual Analogue Scale (VAS) and Pittsburgh Sleep Quality Index (PSQI) questionnaire. The results showed an improvement in NDI-SF1, NDI-SF2–5, VAS, and PSQI scores in subjects treated with the multi-enzyme blend, indicating an improvement in quality of life and of sleep, and a decreased severity of pain, following the supplementation with digestive enzymes, without side effects. In conclusion, treatment with digestive enzymes was found to be effective in the reduction of functional dyspepsia symptoms and in the improvement of sleep quality, and is well-tolerated.

Prevalence of Sleep Quality among Academic Staff of a Private University in Malaysia

Introduction: Poor sleep quality is frequently related to poor mental health and is a common medical disorder. It may differ by population, but limited studies have been done in Malaysia. This study was conducted to measure the prevalence of poor sleep quality among academic staff at Universiti Tunku Abdul Rahman (UTAR) Kampar Campus. Methods: In total, 344 randomly selected academic staff were approached to answer the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Results: Unexpectedly, 42.7 % of them were affected by poor sleep quality (global PSQI score &gt;5). The average actual sleep duration was recorded at 6.68 hours. Age and global PSQI scores were not significantly correlated. Female staff had poorer subjective sleep quality (P= 0.027). The elder age group (P= 0.012) and associate professors and professors (P= 0.006) consumed more sleep medications. Non-Ph.D. holders had poorer subjective sleep quality (P= 0.008) and sleep latency (P= 0.032) as well as global PSQI score (P= 0.045) compared to Ph.D. holders. Conclusion: Prevalence of poor sleep quality was higher than expected among academic staff. This may affect workplace functioning and burden the staff with more health issues related to poor sleep quality.

The prevalence and predictors of poor sleep quality and excessive daytime sleepiness in epilepsy: A single tertiary centre experience in Malaysia

Background and objectivePeople with epilepsy frequently encounter sleep disruptions that can stem from a variety of complex factors. Epilepsy-related sleep disturbance can lead to reduced quality of life and excessive daytime hypersomnolence. Identification of sleep disturbances may help in the overall management of epilepsy patients. This study was conducted to determine the prevalence and predictors of poor sleep quality and daytime sleepiness in epilepsy. MethodsA cross-sectional study on 284 epilepsy patients was performed in a local tertiary centre. The demographic and clinical epilepsy data were collected. The Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS) questionnaires were utilised to determine the quality of life and daytime hypersomnolence of epilepsy patients, respectively. ResultsPoor sleep quality was reported in 78 (27.5%) patients while daytime hypersomnolence was present in 17 (6%) patients. The predictors of poor sleep quality include structural causes (OR = 2.749; 95% CI: 1.436, 5.264, p = 0.002), generalised seizures (OR = 1.959, 95% CI: 1.04, 3.689, p = 0.037), and antiseizure medications such as Carbamazepine (OR = 2.34; 95% CI: 1.095, 5.001, p = 0.028) and Topiramate (OR 2.487; 95% CI: 1.028, 6.014, p = 0.043). Females are 3.797 times more likely score higher in ESS assessment (OR 3.797; 95% CI: 1.064, 13.555 p = 0.04). DiscussionSleep disturbances frequently coexist with epilepsy. Patients should be actively evaluated using the PSQI and ESS questionnaires. It is imperative to identify the key factors that lead to reduced sleep quality and heightened daytime sleepiness in patients with epilepsy, as this is essential to properly manage their condition.

Hubungan Lama Pemakaian Smartphone Dengan Tingkat Kualitas Tidur Pada Remaja Di Kabupaten Brebes

Adolescents had a problem in lack of fulfillment of sleep needs. This problem has increased along with changes in patterns and lifestyles. One of the lifestyles that are currently popular among adolescents is smartphone addiction. Prolonged use of smartphones before night bedtime will affect adolescent sleep patterns. The research aim is to determine the relationship between smartphone use and sleep quality in adolescents at MAN 1 Brebes. The research is a quantitative study with a cross-sectional approach to correlational research design. The research instrument used the “Kuesioner Penggunaan Smartphone” and Pittsburgh Sleep Quality Index Questionnaire. The study sample is 297 students recruited using stratified random sampling techniques. The inclusion criteria in the research were active students, willing to be respondents, and using smartphones. The data was analyzed using the Kendall-Tau correlation. The study result showed the majority of adolescents had a high frequency of smartphone use, and the quality of sleep was in the poor category. There was a relationship between smartphone use and the sleep quality of adolescents in Brebes with a value of Sig. (2-tailed) -0.08 (sig. 2-tailed) 0.005) and Correlation Coefficient 0.184 (very weak). Adolescents show poor sleep quality conditions with a high category in smartphone use.

Poor sleep quality, COPD severity and survival according to CASIS and Pittsburgh questionnaires

Poor sleep quality is frequent among COPD patients and it has been related to worse outcomes. The objective of this study was to compare the COPD and Asthma Sleep Impact Scale (CASIS) and the generic Pittsburgh Sleep Quality Index (PSQI) questionnaires as reliable tools for evaluating sleep quality and its relationship with COPD characteristics and survival. Stable COPD patients were prospectively evaluated. Anthropometric, sociodemographic, comorbidity, lung function and treatment data were collected. All patients completed CASIS and PSQI, mMRC dyspnea severity scale, COPD Assessment Test (CAT), sleep apnoea STOP-Bang and Hospital Anxiety and Depression Scale (HADS) questionnaires. Body mass index, airflow Obstruction, Dyspnea and Exacerbations (BODEx) index was calculated. Life status was determined after a mean follow-up of 3.7 (SD 1) years. We included 200 patients, 69.5% male, mean age 65.8 (9) years. Poor sleep was detected in 100 (50%) and 84 patients (42%) according to PSQI and CASIS questionnaires, respectively, with an agreement of 63%. Poor sleep was related to female gender, more severe dyspnea and worse BODEx, HADS and CAT scores according to both questionnaires. PSQI was associated to chronic pain or inferior urinary tract symptoms and CASIS to exacerbations, shorter walked distance in the 6-min walking test and treatment with oral corticosteroids or chronic oxygen. Thirty nine (19.5%) patients died during follow-up. Mortality was not associated to PSQI nor CASIS results. Unlike PSQI, CASIS is more related to COPD severity and its results are not influenced by comorbidities with known impact on sleep quality. In our sample, poor sleep quality was not associated with increased mortality.