جستجوی مقالات مرتبط با کلیدواژه « اختلالات خواب » در نشریات گروه « پزشکی »

Sleep disorders can affect on different organs and increase the risk of cardiovascular disease, diabetes, depression, immunity disorders and decrease the bone density. Periodontitis includes inflammation of periodontium because of increased or decreased response of the host immunity to predisposing factors (it can be in presence of systemic diseases). The aim of this study was to evaluate the relationship between sleep disorders and periodontal diseases.

In this analytic-cross sectional study, 60 individuals clinically healthy that referring to Department of Periodontology of Isfahan Dental School at year 2018-19 categorized into 2 groups: with or without dyssomnias (with PSQI questionnaire). In this study, Sillness and Loe plaque index, Loe and Sillness gingival index and calculus index were investigated. Similarly assessed demographic factors, personal health behaviors and relation between the severity of periodontitis and dyssomnia and were assessed. Data analyzed by SPSS statistics 16 software using independent T-test, Mann-Whitney, Pearson and multinominal regression.

Severity of periodontitis had a significant relationship with age, BMI (Body Mass Index), calculus index, frequency of flossing and brushing as well as score of PSQI questionnaire (p<0.5). By controlling age, gender, mass and plaque index, there was a significant relationship between dyssomnias and severity of periodontal disease in the patients with moderate periodontitis (P>0.001) and severe periodontitis (P=0.006), but in the case of mild periodontitis, the relationship was close to the significant level (p=0.087).

It seems that dyssomnias is in relation to severity of periodontitis; therefore sleep hygiene may help controlling periodontal diseases. However more studies are needed in this field.

Pregnant women are susceptible to sleep disorders due to physiological and hormonal changes. Various demographic, socioeconomic and pregnancy-related factors affect the prevalence of disorders. Knowledge on prevalence of insomnia and related factors in Zahedan is lacking. Therefore, this study aimed to evaluate the prevalence of insomnia and its related factors in pregnant women.

This study was a cross sectional design in Zahedan, Iran during August 2021 and February 2022. Healthy pregnant women referred to urban comprehensive health centers were recruited. Through a researcher-made checklist, demographic, socioeconomic status (SES) and pregnancy-related features were measured. Insomnia was evaluated using Sleep Condition Indicator (SCI) screening tool. Linear regression analysis was used to analyze the data. The significance level of the statistical tests was considered as P <0.05.

A total, 240 pregnant women (26.30± 6.24 years old) were included. The prevalence rate of insomnia was 47%. Falling asleep and waking up during the night for >30 min were 56.3% and 72.0%, respectively. Daytime functioning impairment had a prevalence rate of 57.5%. Multivariable analysis showed that insomnia disorder is more common in women from the middle (β =6.22, P-value=0.002) and second richest economic status (4.26, 0.04), with a weight of more than 75 kg (4.55, 0.04) and in the third trimester of pregnancy (3.39, 0.01).

Insomnia symptoms are prevalent among pregnant women in Zahedan.  Pregnant women from the middle and second richest economic status, those who are overweight, and in the third trimester should be the target of intervention and educational programs to reduce and manage sleep disorders.

Sleep-disturbances in hospitalized school-aged children with Acute Lymphoblastic Leukemia(ALL) are a common complaint that leads to a decrease in the quality of life of these children. The aim of this study was to investigate the effectiveness of orange essential oil aromatherapy on sleep-disorders in children with ALL.

This quasi-experimental research was conducted with two groups of 30school-aged children with ALL hospitalized in Shafai-Hospital in Ahvaz city, by sampling using the available method and with a score of more than 41 from the Children’s Sleep Habits Questionnaire(CSHQ), in 2014 with obtaining written consent. Sampling and intervention in order to prevent the interference of the smell of essential oil was done first in the control group by inhaling 2drops of placebo, then in the test group by inhaling 2drops of orange essential oil for one week and at the end of the week, CSHQ was completed again. The obtained information was analyzed by SPSS statistical software and paired t and independent t tests.

The analysis of data after aromatherapy shows a statistically significant difference in most of the sleep-disorders of the experimental group, including sleep-duration(P=0.001). Sleep-anxiety(P=0.01) and insomnia(P=0.001) compared to sleep-disorders in the control group(P>0.05). The analysis of data before and after aromatherapy showed that the difference in the average scores of most sleep-disorders such as sleep-duration(1.53±0.44), sleep-anxiety (5/03±1/29) and insomnia(9/9±2/98) were significant in the test group(P<0.05) and not significant in the control group(P>0.05).

Aromatherapy with orange essential oil can improve the sleep-disorders of hospitalized school-aged children with ALL and ultimately improve the quality of life of these children.

Any type of tumor is considered as an insidious risk to life, and its early diagnosis can be effective in the treatment and recovery process. Several factors challenge the early diagnosis of brain tumors. Since psychiatric symptoms do not reflect the pathogenomic characteristics of brain tumors, the underlying organic cause may be overlooked. The present study was conducted with the aim of determining mood and sleep disorders in patients with central nervous system hemangioblastoma after surgery.

This descriptive-cross-sectional study included 32 patients with hemangioblastoma who underwent surgical treatment between 2016 and 2016. Patient information was collected by checklists and standard questionnaires. Karnofsky's and ECOG functional status scales, Brunel's mood scale and short sleep questionnaire MSQ were used to evaluate the performance status.

The age of the patients was 44.28±15.15 years and 18 (56.3%) were male. The follow-up time of the patients was 6.71±3.57 years. Also, the average tumor size was 35.4±12.98 mm. 9 patients (28.1%) underwent radiotherapy in addition to surgery and 5 patients (15.6%) underwent chemotherapy. Functional status of Karnofsky and ECOG was optimal. Sleep disorders indicate moderate sleep and wakefulness problems, and all dimensions of mood disorders (tension, depression, anger, fatigue, vitality, and confusion) were more than average.

In the present study, as in other studies, depression and tension were important mood factors in brain tumor patients. In addition, they had a significant impact on the patients' functional status. In this regard, it is suggested to conduct more detailed and comprehensive studies on the psychological disorders of patients with any type of brain tumor and to consider psychological treatments as part of the treatment process for these patients.

Multiple sclerosis is one of the most common chronic diseases of the central nervous system, which is associated with demyelination of neurons. The disability caused by multiple sclerosis affects the efficiency and mental health of these patients. The current study was conducted with the aim of comparing the effect of schema therapy and mindfulness technique on sleep disorders of people with multiple sclerosis. Based on the purpose, the current research was of applied type.

The design of the current research was semi-experimental with a pre-test-post-test design with a control group. The subjects were randomly divided into two experimental groups and one control group. The statistical population of the study was all people with MS in Tehran. To form the experimental and control groups using the purposeful sampling method, people present in the MS Association were selected based on the pre-test score in each of the variables and randomly replaced in three groups including two experimental groups and one control group (each group of 15 people). The standard questionnaire of the Petersburg sleep quality index was used to measure the research variables. Mindfulness therapy training sessions according to the protocol of Bayer (2006), and schema therapy according to the protocol proposed by Yang et al. (2003) were conducted by the researcher in 8 consecutive weeks for the experimental groups in 8 sessions, one session each week and each session lasting 90 minutes.

The results of multivariate covariance analysis showed that the effect of schema therapy and mindfulness technique on the dimensions of sleep disorders (mental quality of sleep, delay in falling asleep, sleep duration, sleep efficiency, sleep disorders, use of sleeping pills, functional disorders ) is significant at the level (p<0.05).

Also, the results showed that there is a significant difference between the effectiveness of the two approaches of schema therapy and mindfulness technique in terms of the effect on sleep disorders of people with multiple sclerosis and mindfulness technique compared to schema therapy in people with the disease. Multiple sclerosis is more effective.

Introductin: 

Sleep is an essential biological function that has a pivotal role in the development of cognitive skills. Sleep disorders make people susceptible to various cognitive and psychological problems. Therefore, this study aimed to Investigate the executive functions in adolescents with sleep disorders.

The method of the present research was a causal-comparative. The research population consisted of all those who were referred to the health centers and the psychiatric clinic in Tabriz, Iran. 240 adolescents (120 adolescents with sleep disorders and 120 normal adolescents) were selected using available sampling. A sleep disorder checklist (SDS-CL-17) and executive skills questionnaire (ESQ-R) were used to collect data.

The results show that adolescents with sleep disorders have more deficiency in all components of executive functions than the healthy group.

Our data indicate that sleep disorders make adolescents more susceptible to executive function problems.

Sleep disorders increase many diseases and a decrease physiological function. This study aimed to compare the effect of the two methods of high-intensity interval training (HIIT) and sleep regulation program and a combination of the two on insulin resistance and sensitivity, body fat percentage, and reaction time in adolescents with sleep disorders.

This is a single-blind and quasi-experimental study was conducted based on an applied research method. In total, 80 female students with sleep disorders (13-17 years old) were selected by the available sampling method and randomly divided in four groups (n=20). All subjects participated in the pre-test and post-test sessions for measurements two days before and after the research process, respectively. The participants in the HIIT and combined groups followed the RAST (Running-Based Anaerobic Sprint Test) program for 4 weeks, three sessions a week, and the sleep regulation and combined groups followed the sleep schedule for 4 weeks, according to the necessary recommendations. Data were analyzed using SPSS software (version 26) and running paired t-test, and ANCOVA. Moreover, a P-value of ≤0.05 was considered significant.

The findings showed that 4 weeks of combined intervention of HIIT+sleep regulation could lead to a significant improvement in all research variables, including glucose, insulin, insulin resistance and sensitivity, pancreatic beta cell function, body fat percentage, and reaction time of girls (P=0.001). In addition, the HIIT group, compared to the sleep regulation and control groups, caused a significant improvement in glucose, insulin resistance and sensitivity, pancreatic beta cell function, body fat percentage, sleep quality, and reaction time (P=0.001), except for insulin (P=0.428).

According to the obtained results, HIIT combined with sleep regulation can be a valuable intervention in treatment programs to improve physiologic problems reduce the costs of treatment for adolescent girls with sleep disorders and their families.

Respiratory sleep disorder is one of the most common sleep disorders. The aim of this study was to investigate the factors affecting sleep apnea in workers working in one of the aluminum industries.

This descriptive-analytical study was conducted in one of the aluminum industries in the south of Iran in 2021. The lung capacity of the workers was assessed according to the guidelines of the American Association of Lung Specialists. Berlin questionnaires were used to assess obstructive sleep apnea. Data were analyzed using T-test, Pearson correlation coefficient, and multiple logistic regression.

In this study, 152 workers in the aluminum industry with an average age of 33.63 ± 6.34 years and a body mass index of 25.06 ± 3.07 participated. 34.9% of workers were at high risk for obstructive sleep apnea. Age (OR = 1.23, 95% CI = 1.08-1.37), body mass index (OR = 1.57, 95% CI = 1.18-2.08), and FEV1 / FVC (OR = 0.76, 95% CI = 0.59-0.98) were significantly associated with an increased risk of sleep apnea (P < 0.001)

Workers, in the aluminum industry, have a higher risk of developing obstructive sleep apnea. Age, body mass index, and FEV1 / FVC are the main predictors of sleep apnea. These variables should be considered in the screening tests and clinical trials.

Pregnancy is a very important period that is sometimes associated with various complications such as diabetes and poor sleep quality. Therefore, early identification of possible risk factors can play an important role in the health of pregnant women. The purpose of this study was to investigate the relationship of gestational anxiety with sleep quality and gestational diabetes in pregnant women.

The present study was a descriptive-analytical study. In this study, 359 pregnant women referred to health centers in Baneh during 24-28 weeks of pregnancy were included through the convenience sampling method. Data collection tools were the demographic information questionnaire, the Petersburg sleep quality questionnaire, the short form of pregnancy-related anxiety questionnaire (PRAQ-17), and gestational diabetes screening result recorded in each patient's health record.

The results revealed that 12.3% of pregnant women were anxious, of which 78.8% suffered from poor sleep quality and 10% had gestational diabetes. Statistical analysis showed that there was no statistically significant relationship between gestational anxiety and poor sleep quality, and gestational diabetes (P>0.05).

It seems that gestational anxiety is not related to sleep disorders and gestational diabetes. However, further research and prospective cohort studies are needed in this regard.

Many studies have investigated sleep disturbances among nurses worldwide, but few studies have investigated the psychological factors related to sleep problems in nurses; therefore, this study was conducted with the aim of investigating the predictive role of occupational stress, mindfulness, and self-compassion in nurses' sleep disturbances.

The research method was a correlational description. The statistical population of this study was all nurses working in hospitals and clinics in Tehran in 2023. Among them, 168 people were selected based on convenience sampling method. Nursing Job Stress Questionnaire (1981), mindfulness assessment scale (2003), self-compassion scale (2003) and sleep disorder questionnaire (1980) were used to collect research data. To analyze the research data, the statistical method of multiple regression was used in the statistical software SPSS version 24.

The results showed that there is a positive and significant correlation between occupational stress (r=0.636, P<0.01) and sleep disorders in nurses. There is a negative and significant correlation between mindfulness (r=0.353, P<0.01) and self-compassion (r=0.442, P<0.01) with sleep disorders in nurses. The results of multiple regression analysis also revealed that 40.5% of the variance of sleep disturbances is explained by occupational stress, mindfulness and self-compassion.

The results showed that occupational stress, mindfulness and self-compassion can predict sleep disturbances in nurses. The findings of this study contribute to the existing knowledge about sleep disturbances among nurses and to increase the quality of work and well-being of nurses. In addition, based on the results, it is recommended that training courses based on mindfulness and self-compassion be held to improve nurses' sleep.

The present study aimed to compare the effect of high-intensity interval training (HIIT), sleep regulation, and the combined method on interleukin-6 (IL-6), high-sensitivity reactive protein (hs-CRP), anaerobic capacity, and body mass index (BMI) of adolescent girls with sleep disorders.

Eighty teenage girls with sleep disorders were randomly assigned to HIIT, sleep regulation, a combination of the two (HIIT+ sleep regulation), and control groups. All girls participated in pre-test and post-test sessions for the measurements two days before and after the research process. The participants in the HIIT and combined groups underwent a HIIT training program for four weeks, three sessions per week, and the subjects in the sleep regulation and combined groups performed the sleep regulation program by extending the sleep time duration by five minutes every night.

The findings showed a significant difference between groups for the serum levels of IL-6 and hs-CRP, BMI, and anaerobic power (P<0.001). Bonferroni's post hoc test showed a significant decrease in BMI and serum levels of IL-6 and hs-CRP and a significant increase in the minimum power in the combined group compared to the other three groups (P<0.001). In addition, a significant increase in anaerobic power (peak and average power) was respectively observed in the combined and HIIT groups, compared to the sleep regulation and control groups (P<0.001).

The HIIT+ sleep regulation combined intervention can be a valuable interventional treatment to improve the care of sleep disorders in adolescent girls and, consequently, reduce the problems and costs of treatment for these individuals and their families

Migraine headache is a common, painful, severe and debilitating in chronic conditions which can be characterized by recurrent and unilateral moderate to severe attacks.

The aim of this study was to determine the effectiveness of transdiagnostic treatment on pain anxiety, distress intolerance and sleep disorders in psychosomatic patients who suffer from migraine.

The present study was a quasi-experimental study that benefited from a pretest-posttest design with a control group. The statistical population included patients with migraine referred to a psychiatrist in Urmia in the second half of 2020, who were randomly divided into control and experimental groups with 15 patients in each group. Measurement tools included Distress Intolerance Questionnaire (Simmons & Gaher, 2005), Pain Anxiety Scale (McCracken & et al, 1992) and Sleep Disorders Questionnaire (Mohammadi & et al, 2009). Data were analyzed using multivariate analysis of covariance in SPSS-26 software.

The results showed that considering ETA squares, there was a statistically significant difference between the control and experimental groups (p<0.001). Therefore; it can be claimed that changes and improvements in about 92% of pain anxiety, 91.6% of distress intolerance and 82.1% of sleep disorders have been due to the effectiveness of transdiagnostic treatment intervention.

The results showed that transdiagnostic treatment can be used in conjunction with drug interventions for migraine patients who can also be effective in reducing emotional symptoms, pain anxiety, distress intolerance and sleep disorders in these individuals.

The present study was conducted with the aim of investigating the epidemiology of sleep disorders and clinical symptoms in patients with celiac disease in Razavi Khorasan province. This descriptive research is causal-comparative.

In this study, 260 patients with celiac disease were selected according to Morgan's table among those who referred to Imam Reza Hospital in Mashhad, who were diagnosed by a gastroenterologist and underwent intestinal biopsy. 260 healthy people were selected by available sampling method and in one step they were asked the Epworth Sleepiness Status (ESS), Insomnia Severity Index (ISI), Restless Leg Syndrome (RLS) and Obstructive Sleep Apnea (OSA) questionnaires. Berlin), Sleep Quality Index (PSQI) and Depression, Anxiety and Stress Questionnaire (DASS). Analysis of variance was used by spss22 software to analyze the data.

There is a significant difference between celiac disease patients and healthy people in sleepiness, insomnia severity, restless leg syndrome, obstructive sleep apnea and clinical symptoms (p<0.001). The effect size index showed that 12% of sleep disorders and clinical symptoms are related to the effect of celiac disease, and the group of patients with celiac disease has a higher average Ttg1 status than Ttg2.

Sleep problems cause a series of inflammatory factors in the body, and according to this research, it can be concluded that gluten-free diet has an effect on controlling these factors and thus reducing sleep disorders in celiac patients.

One of the most common complaints in menopause is sleep disorders. Today people are more likely to use complementary and alternative medicine for their treatment. The present study was performed aimed to evaluate the clinical trials on the use of medicinal herbs in the treatment of menopausal sleep disorders in Iran.

In this narrative review study, databases of SID, Irandoc, Magiran, Google Scholar, PubMed, Scopus, Cochrane Library and Cumulative Index to Nursing and Allied Health Literature were searched using the keywords of Clinical trials, Medicinal plants, Menopause, Menopause symptom and Sleep disorder. The full text of 32 articles from 2000 to 2020 has been used to write this article. 

In this study, 9 clinical trials were evaluated to improve sleep disorders in postmenopausal women by herbal remedies. The evaluated plants included Valerian (three studies), Lemon balm (two studies), Chamomile (one study), herbaceous (one study), Melis (one study), and Lavender (one study). The Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep disorders. The data suggest improved sleep disturbances in postmenopausal women caused by medicinal plants.

Medicinal herbs can be effective in menopausal sleep disorders, and due to the side effects of hormone therapies, these herbs can be used as a hormone therapy replacement in menopausal women, especially those who are contraindicated in hormone therapy.

Sleep is one of the important physiologic needs in daily life cycle, and a part of quality of life. Sleep disorders are considered as one of the most common health problems in work communities that can affect physical, mental performance and ability to work. Therefore, this study aimed at investigating the relationship between sleep disorders and work ability in construction workers.

This study is descriptive-analytical and cross-sectional. Samples of 220 people were selected by random sampling method from construction workers and personnel. Data collection tools in this study included sleep quality questionnaire, insomnia severity questionnaire and work ability questionnaire. Data were analyzed using SPSS software (version 19) and, considering the objectives, descriptive statistics and analytical tests including paired t-test, Pearson’s correlation, Kruskal-Wallis, multiple linear regression and logistic regression were used.

Average age, body mass index, working hours and work experience were calculated as 34.2 ± 8.5 years old, 55.58 ± 2.78, 10.5 ± 1.25 hours and 12.7 ± 6.5 years, respectively. The mean indices of insomnia severity, Petersburg quality of sleep index and work ability were 6.6 ± 5.35, 4.95 ± 2.43 and 42.5 ± 5.13, respectively. The relationship between the work ability with sleep disorders was statistically significant. Variables of marital status, types of employment and smoking, independent of the variables of insomnia severity and sleep quality, significantly affected the work ability index, so that the R2 of these variables were 0.246 and 0.242 of the changes in work ability index, respectively.

Any disturbance in sleep and resting can cause poor sleep quality. As a result, it severely reduces the ability of employees to work. Therefore, it is suggested that, in order to increase the index of work ability and, thus, the efficiency of an organization, special attention be paid to sleep-resting programs of employees.

Sleep is one of the important elements in circadian cycles that is associated with the restoration of physical and mental strength and has a great impact on quality of life. Sports activities are among the interfering factors in improving the quality of sleep and quality of life; Therefore, this study was conducted with the aim of the effect of aerobic exercise on improving the mental quality of sleep and quality of life of the elderly.

This is a quasi-experimental study and the subjects of this study were 40 elderly people in 1399. For data analysis, a researcher-made demographic questionnaire was used and the standard questionnaires for measuring Petersburg quality of sleep (PSQI) and quality of life (SF-36) were used. An appropriate training protocol was used for the intervention and data were analyzed. Shapiro-Wilk, dependent parametric t-test and non-parametric Wilcoxon tests were used and statistical calculations were used by SPSS software.

After aerobic exercise, the average score of sleep quality decreased from 8.1 to 6, ie 26% improvement in sleep quality and the average score of quality of life increased from 78.63 to 81.73, ie 4% improvement in quality of life was observed (p≤ 0.05).

It seems that the intervention has a significant effect on the studied variables and sports activities improve the level of sleep quality and quality of life of the elderly.