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Symptom Cluster Profiles Among Adults with Insomnia and Heart Failure.

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Title: Symptom Cluster Profiles Among Adults with Insomnia and Heart Failure.
Authors: Conley, Samantha (AUTHOR), Jeon, Sangchoon (AUTHOR), Breazeale, Stephen (AUTHOR), O'Connell, Meghan (AUTHOR), Hollenbeak, Christopher S. (AUTHOR), Jacoby, Daniel (AUTHOR), Linsky, Sarah (AUTHOR), Yaggi, Henry Klar (AUTHOR), Redeker, Nancy S (AUTHOR)
Source: Behavioral Sleep Medicine. Mar/Apr2023, Vol. 21 Issue 2, p150-161. 12p. 6 Charts.
Subjects: Drowsiness, Heart failure, Cognitive therapy, Sleep quality, Symptoms, Cardiac pacing, Insomnia
Abstract: Both heart failure (HF) and insomnia are associated with high symptom burden that may be manifested in clustered symptoms. To date, studies of insomnia have focused only on its association with single symptoms. The purposes of this study were to: (1) describe daytime symptom cluster profiles in adults with insomnia and chronic HF; and (2) determine the associations between demographic and clinical characteristics, insomnia and sleep characteristics and membership in symptom cluster profiles. One hundred and ninety-five participants [M age 63.0 (SD12.8); 84 (43.1%) male; 148 (75.9%) New York Heart Association Class I/II] from the HeartSleep study (NCT0266038), a randomized controlled trial of the sustained effects of cognitive behavioral therapy for insomnia (CBT-I). We analyzed baseline data, including daytime symptoms (fatigue, pain, anxiety, depression, dyspnea, sleepiness) and insomnia (Insomnia Severity Index), and sleep characteristics (Pittsburgh Sleep Quality Index, wrist actigraphy). We conducted latent class analysis to identify symptom cluster profiles, bivariate associations, and multinomial regression. We identified three daytime symptom cluster profiles, physical (N = 73 participants; 37.4%), emotional (N = 12; 5.6%), and all-high symptoms (N = 111; 56.4%). Body mass index, beta blockers, and insomnia severity were independently associated with membership in the all-high symptom profile, compared with the other symptom profile groups. Higher symptom burden is associated with more severe insomnia in people with stable HF. There is a need to understand whether treatment of insomnia improves symptom burden as reflected in transition from symptom cluster profiles reflecting higher to lower symptom burden. [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.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Symptom Cluster Profiles Among Adults with Insomnia and Heart Failure.
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  Data: <searchLink fieldCode="AR" term="%22Conley%2C+Samantha%22">Conley, Samantha</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jeon%2C+Sangchoon%22">Jeon, Sangchoon</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Breazeale%2C+Stephen%22">Breazeale, Stephen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22O'Connell%2C+Meghan%22">O'Connell, Meghan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hollenbeak%2C+Christopher+S%2E%22">Hollenbeak, Christopher S.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jacoby%2C+Daniel%22">Jacoby, Daniel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Linsky%2C+Sarah%22">Linsky, Sarah</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Yaggi%2C+Henry+Klar%22">Yaggi, Henry Klar</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Redeker%2C+Nancy+S%22">Redeker, Nancy S</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Behavioral+Sleep+Medicine%22">Behavioral Sleep Medicine</searchLink>. Mar/Apr2023, Vol. 21 Issue 2, p150-161. 12p. 6 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Drowsiness%22">Drowsiness</searchLink><br /><searchLink fieldCode="DE" term="%22Heart+failure%22">Heart failure</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+quality%22">Sleep quality</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink><br /><searchLink fieldCode="DE" term="%22Cardiac+pacing%22">Cardiac pacing</searchLink><br /><searchLink fieldCode="DE" term="%22Insomnia%22">Insomnia</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Both heart failure (HF) and insomnia are associated with high symptom burden that may be manifested in clustered symptoms. To date, studies of insomnia have focused only on its association with single symptoms. The purposes of this study were to: (1) describe daytime symptom cluster profiles in adults with insomnia and chronic HF; and (2) determine the associations between demographic and clinical characteristics, insomnia and sleep characteristics and membership in symptom cluster profiles. One hundred and ninety-five participants [M age 63.0 (SD12.8); 84 (43.1%) male; 148 (75.9%) New York Heart Association Class I/II] from the HeartSleep study (NCT0266038), a randomized controlled trial of the sustained effects of cognitive behavioral therapy for insomnia (CBT-I). We analyzed baseline data, including daytime symptoms (fatigue, pain, anxiety, depression, dyspnea, sleepiness) and insomnia (Insomnia Severity Index), and sleep characteristics (Pittsburgh Sleep Quality Index, wrist actigraphy). We conducted latent class analysis to identify symptom cluster profiles, bivariate associations, and multinomial regression. We identified three daytime symptom cluster profiles, physical (N = 73 participants; 37.4%), emotional (N = 12; 5.6%), and all-high symptoms (N = 111; 56.4%). Body mass index, beta blockers, and insomnia severity were independently associated with membership in the all-high symptom profile, compared with the other symptom profile groups. Higher symptom burden is associated with more severe insomnia in people with stable HF. There is a need to understand whether treatment of insomnia improves symptom burden as reflected in transition from symptom cluster profiles reflecting higher to lower symptom burden. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>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.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/15402002.2022.2060226
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      – Code: eng
        Text: English
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        PageCount: 12
        StartPage: 150
    Subjects:
      – SubjectFull: Drowsiness
        Type: general
      – SubjectFull: Heart failure
        Type: general
      – SubjectFull: Cognitive therapy
        Type: general
      – SubjectFull: Sleep quality
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      – SubjectFull: Symptoms
        Type: general
      – SubjectFull: Cardiac pacing
        Type: general
      – SubjectFull: Insomnia
        Type: general
    Titles:
      – TitleFull: Symptom Cluster Profiles Among Adults with Insomnia and Heart Failure.
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              Text: Mar/Apr2023
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              Y: 2023
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