Poor Sleep Quality is Associated with Depressive Symptoms in Patients with Heart Disease.
Background: Depression in cardiac patients has gained importance due to increased mortality. Although sleep disturbances are a core symptom of depression, the prevalence and patterns of sleep disturbances in heart disease have hardly been examined regarding depression. Purpose: This cross-sectional...
| Publicado en: | International Journal of Behavioral Medicine Vol. 19; no. 4; pp. 526 - 535 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Dec2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104394925&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104394925 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10705503 7M2 jtl: International Journal of Behavioral Medicine issn: 10705503 maglogo: N pubinfo: dt: Dec2012 vid: 19 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104394925 83879521 10.1007/s12529-011-9205-2 NLM22125117 104394925 ppf: 526 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Poor Sleep Quality is Associated with Depressive Symptoms in Patients with Heart Disease. aug: au: Norra, Christine Kummer, Julia Boecker, Maren Skobel, Erik Schauerte, Patrick Wirtz, Markus Gauggel, Siegfried Forkmann, Thomas affil: Department of Psychiatry, Psychotherapy and Preventive Medicine, Ruhr University Bochum, Alexandrinenstrasse 1 44791 Bochum Germany sug: subj: Heart Diseases Complications Insomnia Depression Etiology Cardiac Patients Human Cross Sectional Studies Prevalence Inpatients Outpatients International Classification of Diseases Clinical Assessment Tools Psychological Tests Comorbidity Multiple Linear Regression DSM Record Review Questionnaires Male Female Analysis of Variance Effect Size Chi Square Test Step-Wise Multiple Regression Descriptive Statistics Male Female ab: Background: Depression in cardiac patients has gained importance due to increased mortality. Although sleep disturbances are a core symptom of depression, the prevalence and patterns of sleep disturbances in heart disease have hardly been examined regarding depression. Purpose: This cross-sectional study aims to examine sleep disturbances and depressive symptoms in consecutively admitted cardiac patients and depressed patients. Methods: Two hundred four inpatients (113 male, 91 female) were examined: 94 cardiac inpatients (mean age 49.3 ± 14.3 years) with different heart diseases and 110 psychiatric inpatients (mean age 41.6 ± 13.0 years) with depressive disorders (DP). A depressive episode according to International Classification of Diseases (ICD)-10 was also diagnosed in 14 of the cardiac patients (DCP). The Pittsburgh Sleep Quality Index (PSQI) and the Beck Depression Inventory (BDI) were used to assess subjective sleep quality and severity of depressive symptoms. Results: Poor sleep quality (PSQI > 5) was reported in all comorbid DCP (PSQI 12.00 ± 3.53, BDI 17.86 ± 4.28), in 60% of the 80 non-DCP (PSQI 5.59 ± 3.73, BDI 4.47 ± 3.07), and in 86.4% of the DP (PSQI 11.76 ± 4.77, BDI 27.11 ± 10.54). The cardiac inpatients showed a significant correlation between increased depressive symptoms and the PSQI components subjective sleep quality ( r = 0.40) and daytime dysfunction ( r = 0.34). Both sleep components were significant predictors of self-rated depression ( R² = 0.404). Conclusions: Most cardiac patients experience poor sleep quality. Self-reported sleep disturbances in heart disease could serve as predictors of clinical or subclinical comorbid depression outside of a psychiatric setting in cardiology and other fields, and such patients should be referred to consultation-liaison psychiatry or polysomnography where sleep disorders like sleep apnea are suspected. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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