A pilot study of sleep quality and rest-activity patterns in persons living with HIV.

As much as 73% of persons living with HIV (PLWH) experience sleep disturbances. It has been more than 10 years since the last study that objectively measured sleep behaviors in persons with HIV. The purpose of this pilot study was to explore sleep quality and rest-activity patterns in PLWH. Eight participants completed a sleep diary and 24-hour actigraphy for 1 week. Compared to accepted norms for "good sleepers," sleep diaries described moderate sleep disturbance, and actigraphy revealed severe sleep disturbance. Bedtime was variable from day to day. Analysis of 24-hour rest-activity patterns from actigraphy also indicated disorganization of sleep timing across days. Results of this pilot study suggest that sleep disturbance remains problematic in PLWH despite advancements in the disease management. Pharmacological interventions are effective but generally recommended for short-term use. Behavioral treatments may be useful for longer-term management of sleep patterns in PLWH, but further research is needed.