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Perceived Stress, Subjective, and Objective Symptoms of Disturbed Sleep in Men and Women with Stable Heart Failure.

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Title: Perceived Stress, Subjective, and Objective Symptoms of Disturbed Sleep in Men and Women with Stable Heart Failure.
Authors: Gaffey, Allison E. (AUTHOR), Jeon, Sangchoon (AUTHOR), Conley, Samantha (AUTHOR), Jacoby, Daniel (AUTHOR), Ash, Garrett I. (AUTHOR), Yaggi, Henry K. (AUTHOR), O'Connell, Meghan (AUTHOR), Linsky, Sarah J. (AUTHOR), Redeker, Nancy S. (AUTHOR)
Source: Behavioral Sleep Medicine. May-Jun2021, Vol. 19 Issue 3, p363-377. 15p. 3 Charts, 1 Graph.
Subjects: Sleep interruptions, Heart failure, Heart disease related mortality, Perceived Stress Scale, Cognitive therapy, Sleep, Epworth Sleepiness Scale
Geographic Terms: New York (State)
Abstract: Objective/Background: Sleep disturbance is prevalent among patients with heart failure (HF) and is associated with increased morbidity and mortality. Stress also affects health and quality of life among patients with cardiovascular disease and likely plays a prominent role in HF. However, little is known about the associations between stress and sleep among HF patients. Participants: One hundred fifty-three stable New York Heart Association (NYHA) Classification I–IV HF patients with at least low symptoms of insomnia (Mage:63.0 ± 12.8, 42% Women). Methods: We examined baseline stress, sleep disturbance, and sleep-related characteristics from a randomized controlled trial of cognitive behavioral therapy for insomnia, including the Perceived Stress Scale, Insomnia Severity Index, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, Sleep Disturbance Questionnaire, Dysfunctional Beliefs about Sleep Scale, PROMIS Cognitive Ability, SF-36 Mental Health, and wrist actigraphy. We used Pearson correlations and general linear models to assess stress-sleep associations, including the potential moderating effects of sex and symptom severity (NYHA). Results: There were moderate-to-large correlations between stress and self-reported sleep disturbance, dysfunctional beliefs about sleep, cognitive ability, and mental health (p's < 0.01). High stress was associated with more objectively-measured (i.e., actigraph-assessed) awakenings and sleep fragmentation among women than men (β = − 0.04, p < 0.01; β = − 0.71, p = 0.04). Relationships between stress and objectively-measured sleep did not vary by symptom severity. Conclusions: Perceived stress is related to sleep disturbance among HF patients, and effects may be sex-dependent. Subsequent research should determine the temporal links between sleep and stress, and optimal opportunities for intervention among HF patients. [ABSTRACT FROM AUTHOR]
Copyright of Behavioral Sleep Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Perceived Stress, Subjective, and Objective Symptoms of Disturbed Sleep in Men and Women with Stable Heart Failure.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Gaffey%2C+Allison+E%2E%22&quot;&gt;Gaffey, Allison E.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Jeon%2C+Sangchoon%22&quot;&gt;Jeon, Sangchoon&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Conley%2C+Samantha%22&quot;&gt;Conley, Samantha&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Jacoby%2C+Daniel%22&quot;&gt;Jacoby, Daniel&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ash%2C+Garrett+I%2E%22&quot;&gt;Ash, Garrett I.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Yaggi%2C+Henry+K%2E%22&quot;&gt;Yaggi, Henry K.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22O&#39;Connell%2C+Meghan%22&quot;&gt;O&#39;Connell, Meghan&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Linsky%2C+Sarah+J%2E%22&quot;&gt;Linsky, Sarah J.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Redeker%2C+Nancy+S%2E%22&quot;&gt;Redeker, Nancy S.&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Behavioral+Sleep+Medicine%22&quot;&gt;Behavioral Sleep Medicine&lt;/searchLink&gt;. May-Jun2021, Vol. 19 Issue 3, p363-377. 15p. 3 Charts, 1 Graph.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Sleep+interruptions%22&quot;&gt;Sleep interruptions&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Heart+failure%22&quot;&gt;Heart failure&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Heart+disease+related+mortality%22&quot;&gt;Heart disease related mortality&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Perceived+Stress+Scale%22&quot;&gt;Perceived Stress Scale&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cognitive+therapy%22&quot;&gt;Cognitive therapy&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Sleep%22&quot;&gt;Sleep&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Epworth+Sleepiness+Scale%22&quot;&gt;Epworth Sleepiness Scale&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22New+York+%28State%29%22&quot;&gt;New York (State)&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective/Background: Sleep disturbance is prevalent among patients with heart failure (HF) and is associated with increased morbidity and mortality. Stress also affects health and quality of life among patients with cardiovascular disease and likely plays a prominent role in HF. However, little is known about the associations between stress and sleep among HF patients. Participants: One hundred fifty-three stable New York Heart Association (NYHA) Classification I–IV HF patients with at least low symptoms of insomnia (Mage:63.0 &#177; 12.8, 42% Women). Methods: We examined baseline stress, sleep disturbance, and sleep-related characteristics from a randomized controlled trial of cognitive behavioral therapy for insomnia, including the Perceived Stress Scale, Insomnia Severity Index, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, Sleep Disturbance Questionnaire, Dysfunctional Beliefs about Sleep Scale, PROMIS Cognitive Ability, SF-36 Mental Health, and wrist actigraphy. We used Pearson correlations and general linear models to assess stress-sleep associations, including the potential moderating effects of sex and symptom severity (NYHA). Results: There were moderate-to-large correlations between stress and self-reported sleep disturbance, dysfunctional beliefs about sleep, cognitive ability, and mental health (p&#39;s &lt; 0.01). High stress was associated with more objectively-measured (i.e., actigraph-assessed) awakenings and sleep fragmentation among women than men (β = − 0.04, p &lt; 0.01; β = − 0.71, p = 0.04). Relationships between stress and objectively-measured sleep did not vary by symptom severity. Conclusions: Perceived stress is related to sleep disturbance among HF patients, and effects may be sex-dependent. Subsequent research should determine the temporal links between sleep and stress, and optimal opportunities for intervention among HF patients. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Behavioral Sleep Medicine is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1080/15402002.2020.1762601
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        Text: English
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    Subjects:
      – SubjectFull: Sleep interruptions
        Type: general
      – SubjectFull: Heart failure
        Type: general
      – SubjectFull: Heart disease related mortality
        Type: general
      – SubjectFull: Perceived Stress Scale
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      – SubjectFull: Cognitive therapy
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      – SubjectFull: Sleep
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      – SubjectFull: Epworth Sleepiness Scale
        Type: general
      – SubjectFull: New York (State)
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      – TitleFull: Perceived Stress, Subjective, and Objective Symptoms of Disturbed Sleep in Men and Women with Stable Heart Failure.
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              Text: May-Jun2021
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              Y: 2021
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