Pittsburgh Sleep Quality Questionnaire Research Articles

The Correlation Between Lighting Intensity, Eye Fatigue, Occupational Stress, and Sleep Quality in the Control Room Operators of Abadan Refinery

Background: The control room is a critical work environment where optimal performance is essential to minimize errors. Lighting is one of the key environmental factors influencing the performance of control room operators. Inadequate sleep quality and job stress also significantly impact job performance. Poor sleep quality, eye fatigue, inappropriate lighting, and occupational stress can lead to errors and decreased accuracy in work. Objectives: The present study aims to determine the correlation between lighting intensity, eye fatigue, occupational stress, and sleep quality among control room operators at the Abadan Refinery. The study was conducted in 2022. Methods: This cross-sectional descriptive-analytical study was conducted on 190 control room operators at the Abadan Refinery in 2022. A lux meter device was used to evaluate the intensity of lighting. Standard Pittsburgh sleep quality, eye fatigue, and Occupational Stress questionnaires were also administered. The results were analyzed using SPSS software. Results: The average light intensity of the work surface was 347.95 ± 147.34 lux. The mean and standard deviation of job stress score and sleep quality were 155.42 ± 9.18 and 9.38 ± 1.62, respectively. The average eye fatigue score was 5.09 ± 0.821 in people without glasses and 4.47 ± 0.828 in people with glasses. A significant correlation was found between brightness intensity and visual fatigue (ρ = 0.201, P = 0.029). The correlation between eye fatigue and sleep quality score was also significant (ρ = 0.225, P = 0.002). However, no significant correlation was observed between lighting intensity and sleep quality (ρ = - 0.005, P = 0.946). The correlation between the overall score of occupational stress and sleep quality was statistically significant (r = - 0.148, P = 0.042). Conclusions: The results showed a significant correlation between lighting intensity and the factors of sleep quality and eye fatigue. Additionally, there was a significant correlation between eye fatigue and sleep quality, as well as between occupational stress and sleep quality. Therefore, it is suggested that planning to minimize job stress, and improve lighting and sleep quality for gas refinery control room personnel should be designed and implemented by the authorities.

Comparison of the Effectiveness of Adolescent-Oriented Mindfulness Training and Positive Psychological Interventions on Self-Esteem and Sleep Problems of Female Adolescents

Aim: The purpose of this research was to investigate the effectiveness of adolescent-oriented mindfulness training and positive psychological interventions on self-esteem and sleep problems of adolescent girls in city of Abadeh. Methods: The present research method was a post-event descriptive quasi-experimental study with control group. The statistical population of this research was all female teenagers studying in city of Abadeh, 45 of whom were selected through purposeful sampling and randomly assigned to three groups (adolescent-centered mindfulness training, positive psychological interventions, and control groups). The measurement tool was Cooper Smith's Self-Esteem Questionnaire and Pittsburgh's Sleep Quality Questionnaire. Findings: The findings showed that the relationship between pre-test and post-test in self-esteem scores and sleep problems is significant (p<0.05). Other results also showed that the main effect of the group is significant, which indicates that the main variables of the research, namely, self-esteem and sleep problems in the post-test stage, are significantly different in the two experimental and control groups (P=0.001). Conclusion: The results of multivariate and univariate covariance analysis showed that adolescent-oriented mindfulness training and positive psychological interventions increase self-esteem and reduce sleep problems in adolescent girls. Also, mindfulness intervention had a greater effect on increasing self-esteem and reducing sleep problems in adolescent girls than positive psychotherapy intervention.

Eating Patterns, Chronotypes, and Their Relationship with Metabolic Health in the Early Postpartum Period in Women after Gestational Diabetes Mellitus.

Observational studies have shown a relationship between eating patterns and chronotypes with metabolic health in the general population and in healthy pregnancies. Data are lacking in the postpartum period, which is characterized by an externally driven misalignment of sleep and food intake. We investigated the associations between eating patterns, chronotypes, and metabolic health in the early postpartum period in women who had gestational diabetes mellitus (GDM). We prospectively included 313 women who completed their 6-8 weeks postpartum visit between January 2021 and March 2023 at the Lausanne University Hospital. Women filled questionnaires on the timing of food intake, sleep (a shortened Pittsburgh Sleep Quality Questionnaire), and the chronotype (the Morningness-Eveningness Questionnaire) and underwent HbA1c and fasting plasma glucose measurements. After adjustments for weight, sleep quality, or breastfeeding, the later timing of the first and last food intake were associated with higher fasting plasma glucose and HbA1c levels 6-8 weeks postpartum (all p ≤ 0.046). A higher number of breakfasts per week and longer eating durations were associated with lower fasting plasma glucose levels (all p ≤ 0.028). The chronotype was not associated with metabolic health outcomes. Eating patterns, but not the chronotype, were associated with worsened metabolic health in the early postpartum period in women with previous GDM.

SLEEP QUALITY AND AVOIDANCE BEHAVIOR IN COMBATANTS WITH POST-TRAUMATIC STRESS DISORDER

Introduction. Post-traumatic stress disorder (PTSD) is often characterized by various symptoms that result in behavioral changes in patients, among which sleep disturbances and avoidant behavior are commonly observed. However, despite evidence indicating a complex bilateral relationship between emotions and sleep, only few studies have explored the associations between sleep disturbances and avoidant behavior in the context of PTSD. The aim of the study is to assess the severity of avoidant behaviour and insomnia in combatants with posttraumatic stress disorder. Materials and methods. We conducted a clinical study of 45 combatants who were divided into 2 groups: group 1 (n=24) included combatants with PTSD; group 2 (n=21) consisted of combatants without PTSD. The Pittsburgh Sleep Quality Questionnaire was used to analyse sleep quality, namely subjective sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbances, sleep medication use, and daily dysfunction. Avoidance behavior was measured using a multidimensional experience avoidance questionnaire. Results. We found that group 1 demonstrated worse subjective sleep quality (p=0.002), longer sleep latency (p<0.001), lower sleep efficiency (p=0.019) and more severe sleep disturbances (p<0.001). There were no statistically significant differences between the groups in terms of sleep duration, severity of sleeping pills use, and daily dysfunction. The overall severity of sleep quality disorders was higher in group 1 compared to group 2 (p<0.001). Avoidance behavior (p=0.007) and repression and denial (p<0.001) were more pronounced in group 1 compared to group 2. At the same time, group 1 had lower stress endurance (p<0.001). The overall level of experiental avoidance in group 1 was higher than in group 2 (p<0.001). Numerous associations between sleep quality characteristics and experiental avoidance were found as well. Conclusions. The study has revealed that combatants with PTSD have more pronounced manifestations of behavioural avoidance, repression and denial, as well as a lower level of stress endurance. At the same time, combatants with PTSD demonstrate a deterioration in the subjective quality of sleep, a decrease in its effectiveness and an increase in the severity of its disturbances. It has been found that avoidance behavior in combatants has numerous connections with the characteristics of sleep quality that may be suggested as a potential factor for improving psychotherapeutic interventions.

Factors Affecting Sleep Quality among University Medical and Nursing Students: A Study in Two Countries in the Mediterranean Region.

Poor sleep quality, a global public health concern, poses a significant burden on individuals, particularly health care university students facing intense academic stress. A three-center cross-sectional study was conducted at the Higher Institute of Nursing and Health Sciences in Tetouan (Morocco), Faculty of Medicine in Tangier (Morocco) and Faculty of Nursing in Valencia (Spain). We collected various data using a sociodemographic questionnaire, the Pittsburgh sleep quality questionnaire, the international physical activity questionnaire (IPAQ) and the smartphone addiction questionnaire short-version (SAS-SV). A total of 1210 students were included in our study (mean age 20.4 years, 67.2% female, nursing students (66.2%) and medical students (33.8%), 76.1% students from Morocco and 33.9% from Spain). Analysis revealed a higher prevalence of poor sleep quality among Moroccans students compared to Spanish ones (p < 0.001), that nursing students showed less favorable sleep quality than medical students (p < 0.011) and that living with a chronic disease was linked to less favorable sleep quality (p < 0.001). Lastly, intense or weak physical activity and smartphone addiction were correlated with poor sleep quality (p < 0.001). In the multivariate analysis, an association persisted between poor sleep quality and factors such as the country of study (Odds ratio (OR): 6.25 [95% Confidence Interval (CI): 4.34-9.09]), involvement in nursing studies (OR: 3.50 [95% CI: 2.36-5.27]), and the presence of chronic diseases (OR: 2.70 [95% CI: 1.72-4.16]), (p < 0.01 each). Our findings highlight the multifaceted factors affecting sleep quality in young university students. The implications underscore the imperative of interventions tailored to this demographic group.

Effectiveness of Sleep Hygiene Intervention on the Sleep Quality of the Elderly in Nursing Homes in Salatiga City

The aging process, physiologically, brings about changes and increases the risk of disease. Twenty-eight older adults in three different nursing homes in Salatiga City had difficulty sleeping at night. Poor sleep quality can cause disorders, such as being at higher risk of diseases, forgetfulness, confusion, disorientation, and decreased concentration ability. This research contributed to identifying the effectiveness of sleep hygiene on elderly sleep disorders in Salatiga City nursing homes. The research method is a quasi-experiment with a one-group pretest-posttest design research design among 28 older people who lived in the nursing home from April to July 2023. Sleep hygiene intervention in the form of aerobic exercise and education was carried out five times in five weeks. Sleep quality was measured through the Pittsburgh Sleep Quality Questionnaire (PSQI), and data was analyzed using descriptive statistics (percentage and mean). The results of the pre-experiment study revealed a 33.21% prevalence of sleep disturbances among older individuals, with the majority falling into the category of moderate sleep quality (64%). After receiving a sleep hygiene intervention, there was a reduction of 2.89 in the number of elderly individuals experiencing sleep disturbances. Additionally, 36% of the elderly were found to be sleeping without any disorders, while 64% experienced only mild sleep disturbances. This means that there will be a significant change after the intervention. Conclusion Sleep hygiene effectively improves sleep quality in older people in nursing homes. Future research is expected to conduct physical and laboratory examinations to support the respondent's sleep quality results

Investigating the Prevalence of Stress and its Relationship with Sleep Quality in University Students: A Study in Iran

Introduction: Students are willing to cut back on sleep in order to adapt and cope with their stressful work load and environment. This study examines the prevalence of stress and its relationship with sleep quality. Methods: This cross-sectional study was conducted using available sampling of male and female students of the Nursing and Midwifery Faculty of Jundishapur University of Medical Sciences, Ahvaz in 2022. Pittsburgh Sleep Quality Questionnaire was used to measure sleep quality and Kessler Psychological Distress Scale Questionnaire was used to measure stress. Results: The prevalence of all levels of stress among students was 53.2% (140 people). 61 people (23.2%) experienced mild stress, 35 students (13.3%) experienced moderate stress, and 44 students (16.7%) experienced severe stress. The average score of Kessler's psychological distress (K10) of the participants was 21.9 ± 7.3 (maximum = 50). No significant relationship was observed between stress and gender (p=0.25) and academic year (p=0.72). There was a statistically significant relationship between sleep quality and stress (p &lt; 0.001). Conclusion: This study reports the high prevalence of stress and poor sleep quality in students of Ahvaz College of Nursing and Midwifery. This study shows a strong connection between sleep quality and stress.

Sleep Quality among Pregnant Women during COVID-19 Pandemic: A Short Report

&#x0D; &#x0D; &#x0D; &#x0D; Background and Objective: During the coronavirus disease 2019 (COVID-19) pandemic, one of the vulnerable groups was pregnant women. This study aimed to determine sleep quality in pregnant women in the third trimester of pregnancy referred to Ibn Sina Health Center in Tabriz, Iran.&#x0D; Materials and Methods: We performed a cross-sectional study among third-trimester pregnant women in May 2021. To study sleeping habits, we used the Pittsburgh Sleep Quality Questionnaire (PSQI), which had acceptable reliability and validity in Persian to evaluate sleep quality. Participants filled out the questionnaires with the help of healthcare providers in the health center.&#x0D; Results: A total of 176 pregnant women participated in this study. The mean and standard deviation (SD) of partici- pants’ age was 25.9 ± 1.2 years. This study showed that the mean of sleep quality in the third trimester was 9.97 ± 1.81 and the majority of pregnant women (87.79%) had poor sleep quality.&#x0D; Conclusion: The findings of the current study demonstrated that most pregnant women during COVID-19 had poor sleep quality. Finding ways to improve their sleep quality is important&#x0D; &#x0D; &#x0D; &#x0D;

Improved subjective sleep quality after three months of balance learning in older adults

Improved subjective sleep quality after three months of balance learning in older adults

The effect of cataract surgery on quality of life and sleep in geriatric patient group

Aim: Investigation of the effects of cataract surgery on quality of life and sleep in geriatric patient group Methods: Ninety four patients who were diagnosed with cataract and operated were included. Preoperative and postoperative best corrected visual acuity (BCVA) was measured with the Snellen chart. Cataract types were divided into 3 categories as nuclear, cortical and posterior subcapsular. The VFQ-25 (vision-related quality of life) questionnaire and the Pittsburgh Sleep Quality Questionnaire were administered to the patients before and after the surgery. Results: One hundred thirty-eight eyes of 94 patients were operated. 45.7% of the patients had nuclear, 16% had cortical, 38.3% had posterior subcapsular cataracts. VFQ 25 questionnaire scores increased from 70.70±3.46 (42-89) to 85.65±7.09 (70-97) postoperatively (p&lt;0.001). While the preoperative Pittsburgh sleep quality index (PSQI) score of the patients was 8.70±2.99 (2-17), it was 6.26±3.19 (1-17) postoperatively (p&lt;0.001). There was a positive correlation between the increase in postoperative visual acuity (?) and the VFQ 25 questionnaire score increase (?) (r=0.891, p=0.000). ?VFQ 25 and ? PSQI values were higher in patients who underwent bilateral cataract surgery, but this difference was not statistically significant (p=0.199, p=0.808). ?VFQ 25 after posterior subcapsular cataract surgery was greater than nuclear and cortical type. ? PSQI values were similar in nuclear, posterior subcapsular and cortical cataracts. Conclusion: Geriatric patients with posterior subcapsular cataracts had a higher postoperative vision-dependent quality of life than patients with other cataract types. Cataract surgery has positive effects on sleep quality of geriatric patients, regardless of cataract type and laterality (bilateral/unilateral).

Sleep and fine motor skills: the influence of sex and level of physical activity

To examine the influence of sleep quality on psychophysiological testing results and autonomic state in university students of both sexes with different habitual physical activity level. One hundred and twenty-four 6th year medical students (88 women and 36 men) and 80 sport science students (42 women and 38 men) underwent a comprehensive psychophysiological study, including 7 tests: simple motor reaction, choice reaction, reaction under conditions of interference, reaction to a moving object, critical fusion frequency, as well as static and dynamic (by profile) dexterity tests. Autonomic status was assessed using heart rate variability, sleep quality and alertness were assessed based on self-report, and in athletes, using the Pittsburgh Sleep Quality Questionnaire (PSQI). In the male athletes' group with morning chronotype the sleep quality was better than in medical students. Only female medical students demonstrated a deterioration in praxis with an increase in the severity of evening features in the chronotype and a decrease in self-assessment of sleep quality. Increased sleepiness in the first half hour after awakening significantly reduced the quality of performance of psychometric tests in all subjects. The most informative was critical fusion frequency, which was lower in girls with «poor» sleep, as well as the reaction to a moving object. In addition, sympathetic drive was increased in female medical students with poor self-rated sleep quality. A decrease in the quality of sleep in students causes fine motor impairment, mediated by sex, the level of habitual physical activity and circadian chronotype.

Assessing Neurobehavioral Alterations Among E-waste Recycling Workers in Hong Kong

BackgroundE-waste workers in Hong Kong are handling an unprecedented amount of e-waste, which contains various neurotoxic chemicals. However, no study has been conducted to evaluate the neurological health status of e-waste workers in Hong Kong. This study aimed to evaluate the prevalence of neurobehavioral alterations and to identify the vulnerable groups among Hong Kong e-waste workers. MethodsWe recruited 109 Hong Kong e-waste workers from June 2021 to September 2022. Participants completed standard questionnaires and wore a GENEActiv accelerometer for seven days. Pittsburgh Sleep Quality Index and Questionnaire 16/18 (Q16/18) were used to assess subjective neurobehavioral alterations. The GENEActiv data generated objective sleep and circadian rhythm variables. Workers were grouped based on job designation and entity type according to the presumed hazardous level. Unconditional logistic regression models measured the associations of occupational characteristics with neurobehavioral alterations after adjusting for confounders. ResultsWhile dismantlers/repairers and the workers in entities not funded by the government were more likely to suffer from neurotoxic symptoms in Q18 (adjusted odds ratio: 3.18 [1.18–9.39] and 2.77 [1.10–7.46], respectively), the workers from self-sustained recycling facilities also have poor performances in circadian rhythm. Results also showed that the dismantlers/repairers working in entities not funded by the government had the highest risk of neurotoxic symptoms compared to the lowest-risk group (i.e., workers in government-funded companies with other job designations). ConclusionThis timely and valuable study emphasizes the importance of improving the working conditions for high-risk e-waste workers, especially the dismantlers or repairers working in facilities not funded by the government.

CHRONOBIOLOGICAL ASPECTS OF SLEEP DISORDERS UNDER ANXIETY DISORDERS

Modern research highlights the connection between the deterioration of sleep quality, sleep efficiency and daytime sleepiness with the disruption of the sleep-wake pattern due to circadian dysfunction. The aim of the study is to investigate the features of sleep disorders in patients with anxiety disorders of neurotic genesis, taking into account individual chronotype.&#x0D; 91 patients, 48 women (52,7%) and 43 men (47,3%) with anxiety disorders of neurotic origin were examined at Regional Center of Psychiatric Care. The Horn-Ostberg Morningness-Eveningness Questionnaire was used to determine the chronotype of participants. The study was also conducted using the Hamilton anxiety scale, Pittsburgh sleep quality questionnaire, Insomnia severity index, Epworth sleepiness scale, and Fatigue severity scale. All patients, depending on the individual chronotype, were divided into 3 groups, representative by age and gender. The morning type group comprised 32 patients (35.2%), the intermediate type group consisted of 31 patients (34.1%), and the evening type group included 28 patients (30.7%).&#x0D; A significant difference has been established between groups of morning and evening type in terms of the total score of anxiety and its somatic component (p&lt;0.05). There is no difference in the indicator of the mental component of anxiety. However, this indicator is higher in people with extreme evening type compared to extreme morning type (p=0.001). Differences in indicators of sleep disturbances have been found to depend on the individual chronotype. Representatives of the evening type compared to the intermediate and morning types have significantly higher indicators of sleep latency and daytime dysfunction according to PSQI, as well as daytime sleepiness and fatigue severity (p&lt;0.001). People with an intermediate chronotype have better sleep duration (p&lt;0.05) and lower insomnia severity index than people with a morning (p&lt;0.05) and evening type (p&lt;0.01).

Homeopathy in the Treatment of Temporomandibular Disorders in Covid-19

ABSTRACT The literature records the relevance of emotional and psychosocial status as triggering factors for sleep disorders and orofacial pain, including temporomandibular disorder. Homeopathy is a complementary treatment method for these conditions. SARS-CoV-2 is a virus that causes respiratory disease, COVID-19, identified in December 2019, in China the significant increase in changes in sleep and mood cycles as triggers of various forms of orofacial pain and bruxism, presented as oral-facial comorbidities resulting from the pandemic. The objective of this retrospective observational study was to analyze data from 129 records of patients seen between May 2020 and May 2021 diagnosed with Temporomandibular Disorder and seen at Clínica Núcleo Endo for dentistry and orofacial pain care. Methodology: Of these, 35 with a diagnosis of TMD and clinical follow-up by a Pittsburgh sleep quality questionnaire and questionnaire, received a prescription for the homeopathic medicine Chamomille 30CH (Matricaria chamomilla L.) drops at a dose of 5 drops daily to assess the effectiveness of the use of the drug in controlling pain and changes in sleep and mood, with and without the installation of the interocclusal plaque. Conclusion: Chamomilla 30 CH has been demonstrated to be effective as a treatment Complement the changes: Of pain, stress and anxiety and humor. Other clinical work are necessary for further elucidation About chamomilla's action mechanisms and its healing potential.

The impact of social support, physical and psychological performance on sleep outcomes in Iranian older adults: a case-control study

BackgroundSleep quality is one of the most important factors to improve the quality of life in older adults and physical and mental health plays an essential role in better sleep quality. This study aimed to determine the impact of social support, and physical and psychological performance on sleep outcomes in Iranian older adults.MethodsIn this case-control study, 400 elder people, who were exposed to sleep problems, and 400 people without sleep problems were randomly selected during 2016–2017 in Amirkola, Iran. Subjects in the case and control groups were matched in terms of gender and age. The demographic characteristics, Duke Social Support Questionnaire (DSSI), Physical Activity Scale for the Elderly (PASE), Activity of Daily Living (ADL), Instrumental Activity of Daily Living (IADL), Mini-Mental State Examination (MMSE), and Pittsburgh Sleep Quality Questionnaire (PSQI) questionnaires were used to collect data. T-test, Chi-square, Pearson Correlation coefficient, and multiple Logistic regression were used for data analysis.ResultsThe mean score of DSSI and its domains including social interaction (DSSI.Int) and social satisfaction (DSSI.Sat) were 28.15 ± 3.55, 9.31 ± 1.23, and 18.84 ± 2.88 in the case group and 28.87 ± 3.20, 9.48 ± 1.10, and 19.83 ± 2.44 in the control group, respectively. In this study, the mean scores of MMSE, PASE, ADL, and IADL were 25.36 ± 3.95, 101.71 ± 56.99, 13/97 ± 0.37, 20.59 ± 2/79; respectively. There was a significant inverse correlation between poor sleep quality with DSSI score (rho = -0.165, P < 0.0001), DSSI.Int (rho = -0.113, P < 0.001), DSSI.Sat (rho = -0.160, P < 0.0001), PASE (rho=-0.160, P < 0.0001), and IADL (rho = -0.112, P < 0.001) score. Therefore, more social support and physical activity improved the quality of sleep. There was a significant negative relationship between DSSI, and its domains with sleep quality in terms of gender. DSSI (rho = 0.25, P < 0.0001), DSSI.Int (P < 0.0001, rho=-0.18), and DSSI.Sat (P < 0.0001, rho=-0.22) was significant in men but not in women. The results of the adjusted logistic regression revealed a significant association between sleep quality problems and DSSI (p < 0.045, OR = 1.40), the use of hypnotic drugs (p < 0.0001, OR = 7.56), and occupation (p <0.03, OR= 12.66).ConclusionsThe results of the present study suggest that low social support and all its domains, PASE, IADL, and using hypnotic drugs may play a role in the development of sleep problems. It can be used as an effective, safe, and low-cost strategy for promoting sleep quality in older adults.

Stress and sleep quality in medical students: a cross-sectional study from Vietnam.

The COVID-19 pandemic has resulted in significant global social and economic disruptions, as well as changes in personal attitude and behavior. The purpose of this research is to assess the sleep quality and stress levels of medical students. Data was collected from medical students over the course of a month in 2021. A total of 4,677 students at the University of Medicine Pham Ngoc Thach were invited to complete an anonymous web-based survey, which included the Pittsburgh Sleep Quality Questionnaire Index (PSQI) for measuring sleep quality and the COVID-19 Student Stress Questionnaire (CSSQ) for evaluating stress. A total of 1,502 students participated in our survey. More than half of the participants exhibited poor quality of sleep as indicated by their PSQI score. Many students reported going to bed after midnight and spending time on their smartphones. Among the students surveyed, 21.84% experienced low levels of stress (CSSQ ≤6), 63.38% had mild stress (7 ≤ CSSQ score ≤ 14), 14.78% reported high levels of stress (CSSQ >14). This study showed a high prevalence of poor sleep quality in the surveyed students, which could be attributed to changes in their behavior following the COVID-19 outbreak. Mild stress was also frequently observed, and it may be related to sleep disorders in this population. These important findings provide valuable insights for making recommendations, including lifestyle modifications to improve sleep quality.

Association of Sleep Disorders with Pregnancy Outcomes During the Third Trimester

Background: Pregnancy is a significant cause of sleep disorders, leading to adverse effects on the health of the mother and fetus. Objectives: The current study aimed to investigate the association of sleep disorders with pregnancy outcomes during the third trimester. Methods: Following a descriptive-analytical approach, 100 pregnant women referring to the prenatal clinic of Mousavi Hospital of Zanjan City from April to September 2021 were recruited by convenience sampling. Data were collected using the Pittsburgh Sleep Quality Questionnaire, filled by mothers, and a researcher-made checklist on pregnancy outcomes. Data were analyzed using the SPSS version 24, and the significance level was considered at P ≤ 0.05. Results: The mean age of participants was 32.43 ± 4.6 years and, 46 (46%) participants were at the age of 36 years and older, 62 (62%) participants were nulligravid, and 65 (65%) participants were nulliparous. There was a significant association between study outcomes (low birth weight, intrauterine growth delay, preterm, preeclampsia, gestational hypertension, and gestational diabetes) and sleep disorders (P-value = 0.001). Conclusions: It seems that sleep disorders result in adverse pregnancy outcomes; however, further studies are needed to extend our knowledge.

Impact of insomnia and its correction on quality of life of persons with disabilities

Aim. To study the effect of insomnia on the severity of the condition and on the quality of life in patients with disabilities.Materials and methods. A prospective cohort study was conducted from 2019 to 2022, in which 100 patients took part. Patients with acute cerebrovascular accident (ACV) were selected as a clinical model of persons with disabilities. Two groups were formed from the total number of patients included in the study. 50 patients with acute cerebrovascular accident and suffering from insomnia constituted the main group, which was divided into 2 subgroups by a simple choice according to the random sampling rule in the Statistica 12 program. MG1 – the main subgroup 1–26 people who received, as part of complex therapy, a course of short-term (five sessions) cognitive-behavioral therapy for insomnia in combination with doxylamine at a dose of 15 mg 15–30 minutes before bedtime for 10 days. The second subgroup of the main group of patients (MG2) – 24 people who received only standard treatment. The comparison group (GS) (50 people) and a part (48 %) of the patients of the main group (24 people) also received only standard treatment for the underlying disease. All patients were assessed using the SF-36 Quality of Life Questionnaire, the Perrudet-Badoux, Mendelsohn, Chiche Subjective Wellbeing Scale (PSS), sleep quality questionnaires (Pittsburgh Sleep Quality Questionnaire and the Insomnia Severity Scale).Results and conclusions. Against the background of the treatment in the main group 1, there was a reduction in insomnia, as well as an improvement in the quality of life on all scales of the quality of life questionnaire and more pronounced than in the comparison group and the main group 2. Thus, the correction of insomnia in addition to the basic therapy of post-stroke patients with limited opportunities allows you to achieve a more significant result of treatment than the use of only basic therapy for patients.

Effect of insomnia on severity of condition and quality of life of patients with disabilities

Aim. To study the effect of insomnia on the severity of the condition and quality of life in patients with disabilities.Materials and methods. A prospective cohort study was conducted from 2019 to 2022, in which 100 patients participated. As a clinical model of persons with disabilities, patients who suffered cerebrovascular accidents were selected. The patients were divided into two groups: the main group – 50 patients who had suffered acute cerebrovascular accident and suffered from insomnia, and the comparison group – 50 patients who had suffered acute cerebrovascular accident, without concomitant insomnia. All patients were examined by the Rankin Scale, sleep quality questionnaires (Pittsburgh Sleep Quality Questionnaire and Insomnia Severity Scale) and the SF-36 Quality of Life Questionnaire.Results and conclusions. The study made it possible to prove the influence of insomnia on the severity of patients' condition and their quality of life. This indicates the relevance of the detection and correction of sleep disorders in the complex treatment of patients with disabilities who have suffered acute cerebrovascular accident, which can increase the effectiveness of therapy for this category of patients.

Effects of Post-Traumatic Stress Disorder on Sleep Quality in Family Members of Trauma Patients Admitted to The Intensive Care Unit

Introduction: The hospitalization of individuals who have experienced trauma has a significant impact on their family members' lives. Consequently, the objective of this study was to examine the influence of post-traumatic stress disorder (PTSD) on the sleep quality of family members whose loved ones were hospitalized in the intensive care unit (ICU). Material and Methods: This descriptive-analytical cross-sectional study involved 120 participants (66 males and 54 females) who were first-degree relatives of trauma patients admitted to the ICU at 5th Azar Hospital in Gorgan. Within the first 24 hours of the trauma patient's admission to the ICU, one of their first-degree relatives completed the PCL-C questionnaire for assessing PTSD symptoms. If the participant obtained a score of 45 or higher on the PCL-C questionnaire, they were then requested to complete the Pittsburgh sleep quality questionnaire. Statistical analyses were conducted using SPSS 23 software. Results: The study found that the average score for PTSD among participants was 67.8 ± 5, indicating a high level of stress. The sleep quality score for family members of trauma patients upon hospitalization was 3.9 ± 1.8 (acceptable). However, one month later, their sleep quality significantly deteriorated to a score of 9.3 ± 2.5 (poor) (P &lt; 0.001). There was no significant association found between sleep quality and PTSD (P &gt; 0.05). Conclusion: The research findings indicate that the admission of a trauma patient to the ICU has a significant negative impact on the sleep quality of their family members. Although PTSD was prevalent among these individuals, it did not directly influence sleep quality. Nevertheless, addressing psychological issues and providing adequate psychological support are crucial for improving sleep quality and managing PTSD-related problems, especially for patients with severe complications.