Total Score Of Sleep Quality Research Articles

Efficacy of Mindfulness Meditation on Patients With Stroke With Concurrent Coronary Heart Disease: A Randomised Controlled Trial.

This study aimed to investigate the efficacy of mindfulness meditation on sleep quality and negative emotions in patients with stroke with concurrent coronary heart disease. This study was a randomised controlled trial. A total of 72 patients with stroke with concurrent coronary heart disease were randomly divided into an observation group and a control group, with 36 patients in each group. The control group received routine treatment plus eszopiclone tablets at a dosage of 3 mg once daily. The observation group received mindfulness meditation in addition to the treatment given to the control group. The Pittsburgh Sleep Quality Index was used to assess sleep status, the Self-Rating Anxiety Scale and Self-Rating Depression Scale were used to assess depression and anxiety, and the Fugl-Meyer Assessment was used to assess motor function. All participants in both groups received a 6-week intervention. Pairwise comparisons revealed that the observation group had better outcomes in sleep quality, sleep onset latency, sleep duration, sleep efficiency, sleep disturbances, daytime function and total scores at both 6 and 12 weeks compared with the control group (p < 0.05). After 12 weeks of intervention, compared with the control group, the total score of sleep quality improved more significantly (9.22 ± 2.35/6.26 ± 2.47). Additionally, different treatment methods had varying effects on anxiety scores, depression scores and motor function scores between the two groups (p < 0.001). Further comparisons showed that the observation group had lower anxiety and depression scores and higher motor function scores at both 6 and 12 weeks compared with the control group (p < 0.05). Mindfulness meditation can effectively improve sleep quality and reduce negative emotions in patients with stroke with concurrent coronary heart disease, as well as promote the recovery of limb functions.

Relationship between sleep quality during pregnancy and postpartum anxiety: a prospective birth cohort study

The present study aimed to determine the relationship between sleep quality during pregnancy and postpartum anxiety.A total of 237 pregnant women participated in this birth cohort study, using the sequential sampling method. The data collection tools included a demographic information form, Pittsburgh Sleep Quality Inventory, and Spielberger State-Trait Anxiety Inventory. The PSQI was completed by the participants at 28 and 40 weeks of gestation, and the STAI was completed in two stages, that is, once in the third trimester and once at eight weeks postpartum.The mean global PSQI score of the participants was 8.11 (SD=5.41) in this study. Overall, 138 (58.2%) women had poor sleep quality. The mean score for overt anxiety was 36.58 (SD=9.37), and the mean score for latent anxiety was 37.56 (SD=9.44). There was a significant positive correlation between the total score of sleep quality during pregnancy and the scores of overt anxieties (r=0.314, P&lt;0.001) and latent anxiety (r=0.344, P&lt;0.001) after delivery.The results of the present study indicated a significant relationship between sleep quality during pregnancy and postpartum anxiety. Therefore, it is recommended to evaluate the quality of sleep of pregnant women and design appropriate interventions during pregnancy to reduce postpartum anxiety. Keywords: Sleep; pregnant woman; postpartum period.

Effects of 12 weeks of functional and resistance training on stress perception and sleep quality in Bra-zilian older people

The study investigated the effects of a 12-week functional and resistance training program on the perception of stress and sleep quality in Brazilian older people, involving 49 participants. The Perceived Stress in older adults and the Pittsburgh Sleep Quality Index (PSQI) was used. The training protocol included a general warm-up, resistance and functional training sessions, followed by a cool-down phase, held twice a week, lasting an average of 60 minutes over the 12 weeks. Data analysis was performed using the Kolmogorov-Smirnov test, bootstrapping, t-tests and Pearson correlation, with a significance level of p &lt; 0.05. The results showed a significant reduction in sleep disturbance and total sleep quality score after the intervention. Men initially had lower stress and better sleep quality in some aspects compared to women, while older people between 60 and 69 years old had improvements in sleep quality in certain aspects before and after the intervention, compared to older people aged 70 and over. Furthermore, a positive correlation was observed between the perception of stress and several components of sleep quality, such as subjective quality, duration and total score. In short, the study demonstrated that the exercise program had varying impacts on sleep quality, but not on the perception of stress among the older people, highlighting a significant improvement in sleep quality after the intervention. Keywords: Aging. Exercise Therapy. Sleep Quality. Psychological stress. Physical education.

Investigation of the Relationship among Work Shift, Sleep Quality, and Work Ability Index in Pre-Hospital Emergency Personnel in Urmia City in 2023

Objectives: Nowadays, due to the increase in the volume of accidents, pre-hospital emergency personnel, as the frontline of treatment by providing relief and assistance to patients and victims of various incidents, have encountered various work-related challenges and problems, including cardiovascular diseases, digestive diseases, excessive fatigue, and reduced sleep quality. In this regard, the present research aimed to study the relationship among shift work, sleep quality, and work ability index in pre-hospital emergency personnel. Methods: This research was performed on 102 operational personnel of a pre-hospital emergency department in Urmia, Iran. After the collection of demographic information, the number of work shifts per week, the number of working hours per month, the quality of sleep, and the work ability of the personnel were measured by the Petersburg sleep quality questionnaire and work ability index questionnaire. The relationship between research variables was investigated using correlation coefficient, Fisher's exact test, and one-way analysis of variance tests. Results: Mean total sleep quality score of the personnel was 6.01 ± 2.38, which indicated poor and unfavorable sleep quality. Moreover, work ability index scores of 34.3%, 52%, and 13.7% of participants were at poor, moderate, good, and excellent levels, respectively. Regarding the comparison between the two variables of shift work and sleep quality, there was a significant difference, and a strong and significant relationship was observed between sleep quality and work ability index. Conclusion: Through the increase in the number of work shifts and working hours, the sleep quality of the personnel became unfavorable and weak which led to a decrease in the work ability index score and a reduction in the job performance of the personnel. Reduction of working hours, usage of young people with high work ability, management and control of the number of work shifts of the personnel by considering resting and closure time, consideration of morning-evening and night shifts in a balanced and equal manner, and prevention of people from working in monotonous shifts (activity only in the form of night work or only day work), and avoidance of working in consecutive work shifts without rest and vacation in order to improve the quality of sleep and work performance is recommended.

Sleep Quality and Mental Health in Students at a Jungle University in Peru: A Cross-sectional Study During COVID-19 Pandemic Confinement

ObjectiveThe objective was to evaluate the association between sleep quality and mental health in students at a jungle university in Peru. Materials and methodsAn analytical cross-sectional study was conducted on university students ≥18 years old during September and November 2020. Mental health status was measured with General Health Questionnaire (GHQ-12), and sleep quality with the Pittsburgh Sleep Quality Index (PSQI). The association was assessed using linear regression models, and crude (βc) and adjusted (βa) beta regression coefficients with their respective 95% confidence intervals (95%CI) were estimated. ResultsTwo hundred and seventy-nine students were evaluated, 35.1% were 20–21 years old and 56.6% were male. The mean PSQI was 7.9±3.2, and 75.3% presented sleep problems. The mean GHQ-12 was 14.0±6.6, and 57.7% showed suspected psychopathology. The total sleep quality score (βa=0.36; 95% CI: 0.11–0.61; p=0.005), as well as, higher component scores, subjective sleep quality (βa=1.57; 95% CI: 0.28–2.87; p=0.018), sleep duration (βa=1.25; 95% CI: 0.35–2.16; p=0.007), hypnotic medication use (βa=1.79; 95% CI: 0.43–3.15; p=0.010), and daytime dysfunction (βa=1.15; 95% CI: 0.10–2.19; p=0.032), were associated with worse mental health status score. ConclusionAfter 6 months of initiation of COVID-19 confinement, the frequency of sleep disturbance and mental health were elevated. Sleep quality disturbance was associated with worse mental health status.

Unraveling the Nexus: Exploring the Relationship between Exercise Habits and Sleep Quality in Older Adults.

The objective of this study is to investigate the impact of exercise habits on enhancing the sleep quality of older adults. The Pittsburgh Sleep Quality Scale and other questionnaires were utilized to assess the sleep quality of older adults aged 60 years and above in the H district. The sampling method employed was stratified random sampling. To analyze the influencing factors of sleep quality, the average treatment effect was estimated, the robustness of the results was assessed and statistical methods such as Logit regression and propensity score matching were employed. The study revealed that exercise habits strongly correlated with improved sleep quality in the older adult (p < 0.05), with the average total sleep quality score being 6.22 (±3.53). It was observed that older adults who engaged in exercise habits experienced a significant 12.66% increase in the likelihood of achieving good sleep. This investigation highlights the positive association between exercise habits and enhanced sleep quality among older adults. Additionally, age, physical pain and self-rated health statuses were identified as significant factors influencing sleep quality in this population. To enhance the sleep quality of older adults, this article recommends promoting relevant exercise habits, thus contributing to their overall well-being and quality of life.

The Effect of Topical Application of Lavender Lipogel on Sleep Quality and Well-being in Patients Undergoing Maintenance Hemodialysis: A Randomized Clinical Trial

Background: Numerous studies have demonstrated the positive effects of lavender on the mental health of patients undergoing hemodialysis. Objectives: The present study aims to assess the effect of topical application of lipogel containing lavender essential oil on hemodialysis patients' sleep quality and well-being. Methods: The present randomized controlled clinical trial was conducted in a dialysis center in Iran. A total of 120 hemodialysis patients were assigned randomly to three groups (experimental, control, and placebo groups). In the experimental group, the lipogel containing lavender essential oil was applied on the back of the foot from the ankle to the toe. The same amount of lipogel without lavender essential oil was rubbed onto the patient’s feet in the same method in the placebo group. The control group received routine care. Yield Well-being Scale and Pittsburgh sleep quality index (PSQI) were used to assess the sense of well-being and sleep quality, respectively. Results: The statistical test showed no significant difference among the experimental, control, and placebo groups regarding the sense of well-being before (P = 0.421) and after the intervention (P = 0.378). The groups (experimental, control, and placebo) did not differ significantly before the intervention in terms of the total score of sleep quality (P = 0.527), but a significant difference was observed among them after the intervention (P = 0.017). Conclusions: The lipogel containing the lavender essential oil is a cost-effective and easy method that can improve the sleep quality of hemodialysis patients. To confirm the present findings, additional studies are warranted.

The effect of therapeutic touch on sleep quality and fatigue in menopausal women

Background and aimsThe management of well-known and common complaints such as insomnia and fatigue experienced in the menopausal period has the potential to affect many aspects of life in women during this period positively. This research was carried out to determine the effect of therapeutic touch on sleep quality and fatigue in menopausal women. MethodsThis randomized controlled experimental study was conducted with 48 (24 in the intervention group and 24 in the control group) women who sought treatment in the gynecological outpatient clinic of a public hospital. According to the study procedure, while the intervention group received therapeutic touch, the control group received SHAM therapeutic touch for 10 min a day for five consecutive days. Data were collected through the Personal Information Form, the Pittsburgh Sleep Quality Index, and the Piper Fatigue Scale. ResultsThe median post-test total sleep quality score was significantly lower in the intervention group than in the control group (p=0.010). However, the mean total fatigue scores did not differ significantly between the groups (p=0.917). ConclusionsThe results of this study showed that therapeutic touch was effective in improving sleep quality, but it did not affect fatigue in menopausal women.

The effects of vitamin D on sleep quality and pregnancy symptoms in pregnant women: a randomized, tripled-blinded and placebo-controlled clinical trial

PurposeBecause of the importance of having enough sleep in life and health, this study aims to determine the effect of vitamin D supplementation on sleep quality and pregnancy symptoms (primary outcomes) and side effects (secondary outcome).Design/methodology/approachIn this triple-blind randomized controlled clinical trial, 88 pregnant women with gestational age of 8–10 weeks and serum vitamin D concentration less than 30 ng/ml were allocated into vitamin D (n = 44) and control (n = 44) groups by blocked randomization method. The vitamin D group received a 4,000 IU vitamin D pill, and the control group received a placebo pill daily for 18 weeks. Independent t-, Mann–Whitney U and ANCOVA tests were used to analyze the data.FindingsThe post-intervention mean (SD: standard deviation) of total sleep quality score in the vitamin D and placebo group were 1.94 (2.1) and 4.62 (1.71), respectively. According to the Mann–Whitney U test, this difference between the two groups was statistically significant (p < 0.001). The mean (SD) of pregnancy symptoms in the vitamin D and placebo groups was 23.95 (16.07) and 26.62 (13.84), respectively, and there was no significant difference between the two groups based on ANCOVA test (p = 0.56). Considerable side effects were not observed in any groups.Originality/valueThis study was conducted due to the contradictory results of the effect of vitamin D on sleep quality and the high prevalence of sleep disorders and pregnancy symptoms.

Sleep Quality in the Survivors of COVID-19

Background: After being discharged from the hospital, some people recovering from COVID-19 may suffer complications and problems. This study was conducted to determine the sleep quality in the survivors of COVID-19 discharged from the hospital. Methods: This descriptive cross-sectional study was conducted in Imam Khomeini Sarab Hospital in East Azerbaijan Province, Iran, in 2022. The study sample was 222 survivors of COVID-19, discharged from the hospital for at least a month. The subjects were recruited by continuous sampling method. The data were collected by a demographic and disease-related questionnaire and the Pittsburgh sleep quality index (PSQI). The collected data were analyzed by the independent t-test, analysis of variance, and Scheffé post-hoc test in SPSS software, version 20. The significance level was set at P≥0.05. Results: Among the subjects, 94(42.3%) were men, and 128(57.7%) were women. The age of the respondents was 50.32±16.75 years. About 84.2% of the study subjects obtained a total sleep quality score of more than 5, which s poor sleep quality. Also the mean sleep quality score of the research subjects was 9.19±3.68, indicating poor sleep quality. Significant relationships existed between sleep quality and most demographic and disease characteristics (P&lt;0.001). Conclusion: Considering the poor quality of sleep of the survivors of COVID-19 after discharge from the hospital, it is suggested to give sufficient training to these patients before discharge to help them sleep comfortably, and if necessary, plan to refer them to a doctor.

IMPACT OF SLEEP QUALITY ON QUALITY OF LIFE IN PATIENTS WITH ANXIETY DISORDERS

Modern scientific sources point out a close connection between depression, anxiety, psychological distress and low quality of life. The purpose of this study is to assess the impact of sleep quality on the quality of life in patients with anxiety disorders of neurotic origin. Examination of 81 patients with anxiety disorders of neurotic origin and dyssomnic disorders was carried out using clinical-psychopathological, psychodiagnostic and statistical research methods. The psychodiagnostic method included determining the level of stress load according to the PSM-25 questionnaire, the level of anxiety and depression by the HADS scale, the severity of the mental and somatic component of anxiety according to the HAM-A scale, assessing the quality of life according to the "SF-36" scale, studying sleep quality disorders according to the PSQI questionnaire.&#x0D; Depending on the level of psychological stress based on the PSM-25 scale, 3 groups were formed: group 1 included 25 (30.7%) people with a low level of stress, group 2 included 29 (35.8%) individuals with an average stress level, and group 3 included 27 people (37.4%) with a high stress level. Analysis according to the HADS scale has shown that anxiety symptoms prevail over depressive symptoms in all examined subjects. According to the HAM-A scale, the average score of the somatic and mental components in the group 1 is significantly lower compared to the group 2 (p&lt;0.001) and the group 3 (p&lt;0.001).&#x0D; This study has demonstrated that as the level of stress increases, there is a tendency for quality of life indicators to decrease in all spheres of functioning. Significantly worse sleep quality scores were found in patients with anxiety disorder and high mental stress level compared to those with moderate or low levels. There is a strong negative correlation between indicators by the "vital activity" scale and such components of sleep quality as "daytime dysfunction", "sleep latency" and the total score of sleep quality, between indicators by the scales "role functioning due to physical condition" and "daytime dysfunction". It has been found out that with increasing pain intensity, all indicators of sleep quality decline. The data obtained should be taken into account in developing patient-centred treatment plan for this group of patients.

Cross-sectional and longitudinal association of sleep and Alzheimer biomarkers in cognitively unimpaired adults.

Sleep abnormalities are prevalent in Alzheimer's disease, with sleep quality already impaired at its preclinical stage. Epidemiological and experimental data point to sleep abnormalities contributing to the risk of Alzheimer's disease. However, previous studies are limited by either a lack of Alzheimer's disease biomarkers, reduced sample size or cross-sectional design. Understanding if, when, and how poor sleep contributes to Alzheimer's disease progression is important so that therapies can be targeted to the right phase of the disease. Using the largest cohort to date, the European Prevention of Alzheimer's Dementia Longitudinal Cohort Study, we test the hypotheses that poor sleep is associated with core Alzheimer's disease CSF biomarkers cross-sectionally and predicts future increments of Alzheimer's disease pathology in people without identifiable symptoms of Alzheimer's disease at baseline. This study included 1168 adults aged over 50 years with CSF core Alzheimer's disease biomarkers (total tau, phosphorylated tau and amyloid-beta), cognitive performance, and sleep quality (Pittsburgh sleep quality index questionnaire) data. We used multivariate linear regressions to analyse associations between core Alzheimer's disease biomarkers and the following Pittsburgh sleep quality index measures: total score of sleep quality, binarized score (poor sleep categorized as Pittsburgh sleep quality index > 5), sleep latency, duration, efficiency and disturbance. On a subsample of 332 participants with CSF taken at baseline and after an average period of 1.5 years, we assessed the effect of baseline sleep quality on change in Alzheimer's disease biomarkers over time. Cross-sectional analyses revealed that poor sleep quality (Pittsburgh sleep quality index total > 5) was significantly associated with higher CSF t-tau; shorter sleep duration (<7 h) was associated with higher CSF p-tau and t-tau; and a higher degree of sleep disturbance (1-9 versus 0 and >9 versus 0) was associated with lower CSF amyloid-beta. Longitudinal analyses showed that greater sleep disturbances (1-9 versus 0 and >9 versus 0) were associated with a decrease in CSF Aβ42 over time. This study demonstrates that self-reported poor sleep quality is associated with greater Alzheimer's disease-related pathology in cognitively unimpaired individuals, with longitudinal results further strengthening the hypothesis that disrupted sleep may represent a risk factor for Alzheimer's disease. This highlights the need for future work to test the efficacy of preventive practices, designed to improve sleep at pre-symptomatic stages of disease, on reducing Alzheimer's disease pathology.

SLEEP QUALITY AND AFFECTING FACTORS AMONG ELDERLY LIVING IN A NURSING HOME AT EAST NUSA TENGGARA INDONESIA

Sleep is one of the processes that greatly affects aging, It essential for mental, physical, and maintenance of physical health. Kupang East Nusa Tenggara, Indonesia, a research study in a nursing home of the elderly experience have a bad quality of sleep. This study aimed to analyze the sleep quality and the factors affecting, among old age living in a nursing home at East Nusa Tenggara Indonesia. The research design was cross-sectional with primary data on 103 elderly living in nursing homes. There was a relationship between age, gender, marital status, spouse, education background, have a chronic diseases, living arrangement, anxiety, and depression with sleep quality (p&lt;0.05). The correlation showed that there was a strong and positive patterned relationship (&lt;0.05) between the total anxiety score and the total sleep quality score (r=0.608) and the total depression score with the total sleep quality score (r=0.561) meaning that the higher of the elderly felt anxiety and depression worsened for the quality of sleep. Old age who lives alone are more susceptible to stress or depression resulting from unconvenient environment where they live. High levels of anxiety and depression in the elderly are associated with poorer sleep quality.

The Effectiveness of Brainwave Entrainment by Binaural Beats on the Sleep Quality

Background and Objective: Binaural beats are important because these methods are non-invasive intervention methods on sleep. The aim of this study was to investigate the effectiveness of brainwave entrainment via binaural beats on the improvement of sleep disorders.&#x0D; Materials and Methods: An experimental method with pre-test and post-test design was adopted to fulfill the purpose of the present study. The population of the study included all the people aged 20 to 40 years who referred to psychiatric clinics due to insomnia in Tehran, Iran, in 2019. Among this population, a sample size of 24 people was selected using convenience sampling and randomly divided into experimental and control groups (12 people in each group). The Pittsburgh Sleep Quality Index (PSQI) and the Insomnia Severity Index (ISI) were used to collect the required data. An aural synchronizer was also used as an intervention in the experimental group. Analysis of covariance (ANCOVA) was used to analyze the hypotheses.&#x0D; Results: The mean age of the participants in the experimental and control groups was 29.5 and 33.0 years, respectively. The calculated effect size of this treatment was 0.46 for sleep quality and 0.43 for the insomnia. Further, the findings showed that synchronization through binaural beats had the greatest effect on the sleep latency component of PSQI.&#x0D; Conclusion: Synchronization of brain waves by binaural beats had a significant effect on improving the total score of sleep quality and insomnia.

Sleep quality, caregiver burden, and individual resilience among parents of children with epilepsy

PurposeParents caring for children with epilepsy have poor sleep quality and experience a certain level of caregiving burden. Individual resilience is a crucial psychological variable that contributes to health during extraordinary challenges. This study aimed to determine the relationships among individual resilience, caregiver burden, and sleep quality. MethodsThis was a descriptive cross-sectional study with a convenience sample, following the STROBE guidelines. One hundred and ninety-one parents of children with epilepsy were invited to participate in the study. Of these, 173 participants completed measures of sleep quality, caregiver burden, and individual resilience. Path analysis was performed to probe the indirect relationship between individual resilience and sleep quality via caregiver burden. ResultsCorrelation analysis revealed that individual resilience total scores were significantly and marginally negatively correlated with caregiver burden and sleep quality total scores (r = −0.215, P <.01; r = −0.250, P <.01). Moreover, there was a significant moderate positive correlation between the total caregiver burden scores and total sleep quality scores (r = 0.389, P <.001). The path model showed that individual resilience is indirectly associated with sleep quality via caregiver burden. ConclusionThe higher the level of individual resilience, the less the caregiver burden and the better the sleep quality for parents of children with epilepsy.

Sleep quality and urinary incontinence in elderly female exercise practitioners

ObjectivesOlder women with urinary incontinence (UI) commonly report sleep problems. However, little is known about sleep problems in older women with UI who exercise. We aimed to evaluate the relationship of sleep quality with the presence or absence of UI, urine loss, and nocturia episodes in elderly female practitioners of physical exercise.Material and MethodsWe conducted a cross-sectional study on older women participating in an extension program, southern Brazil. Data were collected in 2018. Sociodemographic and health characteristics were collected by interview. The International Consultation on Incontinence Questionnaire - short form was applied to evaluate the presence of UI, as well as the frequency and amount of urine loss. The International Consultation on Incontinence Questionnaire Overactive Bladder was used to analyze nocturia episodes. Sleep quality was assessed using the Pittsburgh sleep quality index.ResultsThe study group included 142 older women with a mean age of 68.8±6.8 years. The prevalence of UI was 33.8% (95% CI: 0.26-0.42). Women with UI had higher use of medication, daytime dysfunction, and total sleep quality scores than women without UI (p<0.05). Older women who leak urine several times a day exhibited worse sleep quality than those who lose urine once a week or less (p=0.036). Women with three or more episodes of nocturia also showed worse sleep quality than those without any episode (p=0.029). Conclusion: Exercising older women with UI have worse sleep quality than those without this dysfunction. Furthermore, participants who lose large amounts of urine and have more episodes of nocturia also exhibit worse sleep quality.

The Effect of Sleep Disorders on Sexual Function in Bipolar Disorder in the Remission Period

IntroductionBipolar Disorder(BD) is a common,severe and recurrent disease with significant effects on functionality. Residual symptoms such as sleep disturbance and sexual dysfunction are defined as predictors of poor functioning in remission.ObjectivesThe aim of this study was to investigate the correlation between sleep disorder and severity of sexual dysfunction in patients with BD in remission.MethodsThe study was conducted with 100 female and 100 male BD patients in remission. The sociodemographic and clinical characteristics were recorded by interview with the patients and the patients were given the Young Mania Rating Scale(YMRS),Hamilton Depression Rating Scale(HAM-D),Pittsburg Sleep Quality Index(PSQI),Epworth Sleepiness Scale(ESS),Female Sexual Function Scale(FSFI) and International Index of Erectile Function(IIFF-15)for the assesment of symptom severity.ResultsThe frequency of “sleep disorder” was 45.5% and the frequency of ’’daytime sleepiness’’ was 5.5%.In women the mean FSFI score was 26.06±5.14 and sexual dysfunction frequency was 48%.In men,the mean IIEF score was 59.63±8.34 and erectile dysfunction frequency was 56%. There was a statistically significant negative correlation between total FSFI score with HAM-D(r=-0.592, p &lt;0.001),ESS (r=-0.330, p=0.001)and PSQI(r=-0.557, p&lt;0.001)and between total IIEF score with HAM-D(r=-0.509, p&lt;0.001),ESS(r=-0.361, p&lt;0.001)and PSQI(r=-0.511,p&lt;0.001). Sexual function scores in both women and men with sleep problems were significantly lower than those without sleep problems(23.56±4.71vs.28.56±4.31and53.88±7.10vs.63.80±6.56 respectively). Multiple linear regression analysis also showed that total sleep quality scores were an effective factor on sexual function in women(OR:2.74,%95CI[0,799-0,127];p=0,007) and men(OR:2.45, %95CI[1.577-0.164];p=0,016) with BD.ConclusionsThere was an increased incidence of sexual dysfunction in bipolar patients with sleep disorders.Treatment of sleep disorders is important for improving sexual function in bipolar patients for both genders.DisclosureNo significant relationships.

The Relationship Between Sleep Quality and Quality of Life Among Patients With Asthma

Background and objectiveAsthma is a chronic recurring respiratory disease, and its prevalence is on the rise. A drop in the quality of life (QoL), as well as sleep problems, has been reported in asthmatic patients in the literature. This study was conducted to determine the relationship between QoL and sleep quality in asthmatic patients.MethodsThis cross-sectional study recruited 76 diagnosed asthmatic outpatients from our university clinic. The subjects completed the self-administered 36-Item Short-Form Health Survey QoL questionnaire (SF-36) and the Pittsburgh Sleep Quality Index (PSQI) assessment.ResultsThe study results revealed poor sleep quality in 55 (72.4%) of the subjects. The total sleep quality scores significantly and negatively correlated with the physical and mental components of QoL (moderate, p=0.00). All QoL subscales were significantly higher in patients with good sleep quality (PSQI: <5, p<0.00). Logistic regression analysis showed that good sleep quality (modified) could predict a mental component score (MCS) of more than 64.ConclusionPoor sleep quality can bring down the scores of all QoL components in asthma patients and is the best predictor of their QoL. Therefore, sleep quality and QoL indicators could be applied as part of a better approach to classification, management, and control of asthma.

Abstract 038: Comparative Effects Of Aerobic, Resistance, And Combined Exercise On Sleep

Introduction: Poor sleep quality is associated with high blood pressure and elevated cholesterol, and regular short sleep (&lt;7 hours) has been found to increase the risk of cardiovascular events. The American Heart Association recommends aerobic physical activity to improve sleep, although there are limited data on the effects of other popular types of physical activity, such as resistance exercise, on sleep. Hypothesis: We hypothesized that 1 year of aerobic, resistance, and combined aerobic and resistance exercise would significantly improve sleep compared to a no-exercise control group. Methods: Participants were 406 inactive adults (53% women, 35-70 years) with overweight/obesity and elevated/stage 1 hypertension at high risk of cardiovascular disease. They were randomly assigned to 1 of 4 groups: aerobic exercise (AE) only (n=101), resistance exercise (RE) only (n=102), combined AE and RE (CE) (n=101), and no-exercise control group (CON) (n=102) for 1 year. All exercise participants performed time-matched supervised exercise 3 times/week, 60 min/session (CE performed 30 min of each AE and RE), at 50-80% of their maximum intensity. Participants completed the Pittsburgh Sleep Quality Index (PSQI) at baseline and 12 months, and only participants with complete baseline data on all PSQI subscales were included (n=386). Primary outcomes were the PSQI total sleep quality score (lower scores = better sleep), sleep duration (hours), sleep efficiency (time asleep/time in bed), sleep latency (time to fall asleep), and sleep disturbances (a combination of the number and frequency of disturbances). Linear mixed effects models following the intention-to-treat principle were used to determine the effects of exercise groups on 12-month changes in sleep outcomes while adjusting for age, sex, and the baseline values of each outcome. Results: Overall, 94% of participants completed the intervention with an 83% exercise adherence rate. The PSQI total score and sleep disturbances decreased significantly in all groups, including the control group. Within groups, sleep duration increased significantly by 17 minutes in RE (p=0.005), but not in AE (p=0.73; -2 min), CE (p=0.77; -2 min), or CON (p=0.13; -11 min), among participants getting less than 7 hours of sleep at baseline (p=0.02 for between-within groups interaction). Within groups, sleep efficiency increased in RE (p=0.0005) and CE (0.03), but not in AE (p=0.97) or CON (p=0.86; p=0.04 for between-within groups interaction). Sleep latency also decreased by 3 minutes in RE (p=0.003), although the overall between-within groups interaction effect was not significant (p=0.14). Conclusions: These results indicate that resistance exercise may have superior benefits on sleep compared to aerobic exercise, which could provide a novel pathway for the role of resistance exercise in promoting cardiovascular health.

Effect of acceptance and commitment therapy on mood, sleep quality and quality of life in menopausal women: a randomized controlled trial

BackgroundOne of the most critical periods in a woman’s life is menopause. During menopause, depression and anxiety are among the most common mood changes. Sleep disorders also increase during menopause, which leads to quality of life disorders. Different methods such as medication, psychotherapy, or a combination of them are used to treat these disorders. Acceptance and commitment-based therapy is one of the newest methods in psychotherapy that recently has been used a lot. Therefore, this study was conducted to determine the effect of acceptance and commitment therapy (ACT) on mood (primary outcome), sleep quality, and quality of life (secondary outcomes) of menopausal women.MethodsThis randomized controlled trial was performed on 86 menopausal women in Tabriz, Iran in 2021. Using the blocking method, participants were randomly assigned into the intervention and control groups. The intervention group received counseling based on ACT approach in 8 sessions of 60 to 90 min. The control group received only routine health care. Depression, Anxiety, Stress Scale-21 (DASS 21), Menopause Quality of Life (MENQOL), and Pittsburgh Sleep Quality Index (PSQI) questionnaires were completed before intervention and immediately after the intervention. Independent t-test and Mann-Whitney U test were used to compare the outcomes between the two groups.ResultsIn terms of sociodemographic characteristics and baseline values of the studied variables, there was no statistically significant difference between the study groups before the intervention. At the end of the intervention, the mean (SD: standard deviation) scores of anxiety, stress, and depression in the counseling group were 2.66 (1.28), 2.91 (1.62), and 1.98 (1.59) and in the control group were 4.19 (1.85), 5.61 (1.49) and 3.59 (1.91). In the intervention group, the mean score of all three variables was significantly lower than the control group (P < 0.001). After the intervention, the mean (SD) of the total sleep quality score was 4.04 (2.52) in the counseling group and 4.13 (2.63) in the control group. In addition, the mean (SD) of the total quality of life score was 23.47 (20.13) in the counseling group and 23.14 (17.76) in the control group. Between the study groups, there were no statistically significant differences in the mean of the overall score of sleep quality (P = 0.867) and the overall score of quality of life (P = 0.759).ConclusionUsing ACT-based counseling can improve the mood of menopausal women. However, further randomized clinical trials are needed before making a definitive conclusions.Trial registrationIranian Registry of Clinical Trials (IRCT): IRCT20120718010324N65. Date of registration: 2/19/2021. Date of first registration: 2/19/2021. URL: https://en.irct.ir/user/trial/53544/view; Date of recruitment start date: 2/22/2021.