Selina Kikkenborg Berg 1 , Melinda Higgins , Carolyn M Reilly , Jonathan J Langberg , Sandra B Dunbar Show Affiliations »
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BACKGROUND: Patients receiving an implantable cardioverter defibrillator (ICD ) report various types and degree of sleep disruptions, but little is known regarding their characteristics, duration, and associated factors. The purposes of this study were: (1) to describe the effect of a psychoeducational intervention on sleep quality and daytime sleepiness , (2) to describe patterns of sleep over time, and (3) to identify predictors of poor sleep in an ICD population. METHODS: A randomized longitudinal intervention trial was designed to test the effects of a psychoeducational intervention , which included a sleep education and counseling session in patients receiving their initial ICD . Patients (n=236; 75% men; mean age 58.4 [±11.2] from the PsychoEducationAl Intervention for ICD PatiEnts (PEACE) trial comprised the study population . Variables related to sleep were measured by the Pittsburgh Sleep Quality Inventory (PSQI) and Epworth Sleepiness Scale (ESS ). RESULTS: No psychoeducational intervention effects on sleep outcomes were observed. However, 67.2% of the patients reported poor sleep quality at baseline, and 56.8% had low sleep quality at 6 months based on PSQI scores>5; one-third (32.6%) were excessively sleepy based on ESS scores≥10 at 6 months. Anxiety, depression, physical function, pain intensity, and pain severity were all highly correlated to each other across time. Female gender was a significant covariate for the PSQI. New York Heart Association (NYHA) class was a significant covariate for sleepiness (Epworth). CONCLUSIONS: Low sleep quality and daytime sleepiness are found at time of insertion and over time in patients with ICD . Female gender, higher NYHA class, as well as two latent factors encompassing increased anxiety, depressive symptoms, and decreased physical function and increased pain , were significant predictors of poor sleep quality and sleepiness over time . These data help identify those at higher risk for sleep problems after ICD. ©2012, The Authors. Journal compilation ©2012 Wiley Periodicals, Inc.
RCT Entities: Population
Interventions
Outcomes
BACKGROUND: Patients receiving an implantable cardioverter defibrillator (ICD ) report various types and degree of sleep disruptions , but little is known regarding their characteristics, duration, and associated factors. The purposes of this study were: (1) to describe the effect of a psychoeducational intervention on sleep quality and daytime sleepiness , (2) to describe patterns of sleep over time, and (3) to identify predictors of poor sleep in an ICD population. METHODS: A randomized longitudinal intervention trial was designed to test the effects of a psychoeducational intervention, which included a sleep education and counseling session in patients receiving their initial ICD . Patients (n=236; 75% men ; mean age 58.4 [±11.2] from the PsychoEducationAl Intervention for ICD PatiEnts (PEACE) trial comprised the study population. Variables related to sleep were measured by the Pittsburgh Sleep Quality Inventory (PSQI) and Epworth Sleepiness Scale (ESS ). RESULTS: No psychoeducational intervention effects on sleep outcomes were observed. However, 67.2% of the patients reported poor sleep quality at baseline, and 56.8% had low sleep quality at 6 months based on PSQI scores>5; one-third (32.6%) were excessively sleepy based on ESS scores≥10 at 6 months. Anxiety, depression , physical function, pain intensity, and pain severity were all highly correlated to each other across time. Female gender was a significant covariate for the PSQI. New York Heart Association (NYHA) class was a significant covariate for sleepiness (Epworth). CONCLUSIONS: Low sleep quality and daytime sleepiness are found at time of insertion and over time in patients with ICD . Female gender, higher NYHA class, as well as two latent factors encompassing increased anxiety , depressive symptoms , and decreased physical function and increased pain , were significant predictors of poor sleep quality and sleepiness over time. These data help identify those at higher risk for sleep problems after ICD . ©2012, The Authors. Journal compilation ©2012 Wiley Periodicals, Inc.
Entities: Chemical
Disease
Gene
Species
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Year: 2012
PMID： 22303998 PMCID： PMC3681948 DOI： 10.1111/j.1540-8159.2011.03328.x
Source DB: PubMed Journal: Pacing Clin Electrophysiol ISSN： 0147-8389 Impact factor: 1.976