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Ibrahim FM, Fadila DE, Elshatarat RA, Ibrahim AM, Abd Elmawla DA. Effect of a Home-Based Simplified Tai Chi Exercise Program on Sleep Quality, Daytime Sleepiness, Quality of Life, and Psychological Well-Being in Egyptian Older Adults: A Quasi-Experimental Study. Biol Res Nurs 2024; 26:202-218. [PMID: 37797319 DOI: 10.1177/10998004231205014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/07/2023]
Abstract
Introduction: Sleep disturbances are common among older adults and can have detrimental effects on their overall well-being. Tai Chi exercise has shown promise in improving sleep quality, quality of life (QoL), and psychological well-being in various populations. Objective: To investigate the effect of a home-based simplified Tai Chi exercise program on sleep quality, daytime sleepiness, QoL, and psychological well-being in Egyptian older adults. Methods: A quasi-experimental design was employed, with 152 participants aged 60 years and above assigned to either an experimental group (n = 87) or a control group (n = 65). Thecontrol group received a health education program to improve their sleeping quality and life-style, while the experimental group received a similar health education program and Tai Chi exercise training program. The participants in the experimental group were instructed to perform 3 months Tai Chi exercise. Data on sleep quality, daytime sleepiness, QoL, generalized anxiety disorder (GAD), and depression symptoms were collected at baseline, and one month, and 3 months post-intervention using validated questionnaires. Repeated measures ANOVA was done to investigate the effectiveness of the intervention programsover 3 time periods. Results: The results showed significant improvements in sleep quality (p < .001), QoL (p < .005), GAD (p < .005), and depression symptoms (p < .005) post-interventions. Also, there were significant difference in the effectiveness of the intervention programs between both the experimental and control groups. The experimental group exhibited greater improvements compared to the control group. Conclusion: The findings support the beneficial effects of a home-based simplified Tai Chi exercise program on sleep quality, QoL, and psychological well-being in Egyptian older adults. These results have important implications for promoting healthy aging and improving overall well-being in this population. Further research is recommended to validate these findings and explore the underlying mechanisms of Tai Chi exercise on the outcomes of interest.
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Affiliation(s)
- Fatma M Ibrahim
- Gerontological Nursing Department, Faculty of Nursing, Mansoura University, Mansoura, Egypt
| | - Doaa E Fadila
- Gerontological Nursing Department, Faculty of Nursing, Mansoura University, Mansoura, Egypt
| | - Rami A Elshatarat
- Department of Medical and Surgical Nursing, College of Nursing, Taibah University, Madinah, Saudi Arabia
| | - Ateya M Ibrahim
- Nursing Department, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia
- Family and Community Health Nursing Department, Faculty of Nursing, Port Said University, Port Said, Egypt
| | - Doaa A Abd Elmawla
- Gerontological Nursing Department, Faculty of Nursing, Mansoura University, Mansoura, Egypt
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Zhu Y, Meng R, Jiang C, Yang N, Huang M, Wang X, Zou W, Lou C, Xiao R, Lu J, Xu J, Jiménez-Correa U, Ma H, Spruyt K, Dzierzewski JM. Sleep quality and subjective well-being in healthcare students: examining the role of anxiety and depression. Front Public Health 2023; 11:1281571. [PMID: 38213643 PMCID: PMC10784115 DOI: 10.3389/fpubh.2023.1281571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Accepted: 11/16/2023] [Indexed: 01/13/2024] Open
Abstract
Objective Sleep issues, negative emotions, and health conditions are commonly co-occurring, whereas their associations among healthcare students have yet to be elucidated. This study aimed to examine whether anxiety and depression mediate the relationship between sleep quality and subjective well-being in healthcare students. Methods A cross-sectional survey was conducted among Chinese healthcare students (N = 348). A battery of paper-and-pencil questionnaires-the Sleep Quality Questionnaire (SQQ), World Health Organization-Five Well-Being Index (WHO-5), and Patient Health Questionnaire-4 (PHQ-4) were applied. Descriptive analysis with means (standard deviations) and counts (proportions), Spearman correlation analysis between the SQQ, WHO-5, and PHQ-4, and mediation analysis via structural equation models were performed. Results Correlation analysis revealed statistically significant associations between sleep quality, anxiety and depression, and well-being among healthcare students. Mediation analysis identified that poor sleep quality produced relatively low levels of self-reported well-being, which were entirely attributable to anxiety and depression. Conclusion Sleep quality was associated with subjective well-being, and this interrelationship was fully mediated by anxiety and depression. Interventions aimed at promoting sleep quality of healthcare students may contribute to promoting their well-being by reducing anxiety and depression.
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Affiliation(s)
- Yihong Zhu
- School of Clinical Medicine, Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Runtang Meng
- School of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, China
- Engineering Research Center of Mobile Health Management System, Ministry of Education, Hangzhou, Zhejiang, China
| | - Chen Jiang
- School of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Nongnong Yang
- School of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Mengyi Huang
- School of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Xiaowen Wang
- School of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Wenjing Zou
- School of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Chen Lou
- School of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Ruohan Xiao
- School of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Jingjing Lu
- School of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Jiale Xu
- School of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, China
| | - Ulises Jiménez-Correa
- Sleep Disorders Clinic, Research Division, Medicine Faculty, National Autonomous University of Mexico (UNAM), Mexico City, Mexico
| | - Haiyan Ma
- School of Public Health, Hangzhou Normal University, Hangzhou, Zhejiang, China
- Engineering Research Center of Mobile Health Management System, Ministry of Education, Hangzhou, Zhejiang, China
| | - Karen Spruyt
- Université Paris Cité, NeuroDiderot, INSERM, Paris, France
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Rakhimov A, Ong J, Realo A, Tang NKY. Being kind to self is being kind to sleep? A structural equation modelling approach evaluating the direct and indirect associations of self-compassion with sleep quality, emotional distress and mental well-being. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-021-02661-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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Okajima I, Tanizawa N, Harata M, Suh S, Yang CM, Li SX, Trockel MT. Can an E-Mail-Delivered CBT for Insomnia Validated in the West Be Effective in the East? A Randomized Controlled Trial. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 19:ijerph19010186. [PMID: 35010445 PMCID: PMC8751173 DOI: 10.3390/ijerph19010186] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Revised: 12/16/2021] [Accepted: 12/21/2021] [Indexed: 11/18/2022]
Abstract
This study examined the effects of an e-mail-delivered cognitive behavioral therapy for insomnia (CBT-I), validated in Western countries, on insomnia severity, anxiety, and depression in young adults with insomnia in Eastern countries, particularly Japan. This prospective parallel-group randomized clinical trial included college students with Insomnia Severity Index (ISI) scores of ten or higher. Participants were recruited via advertising on a university campus and randomized to an e-mail-delivered CBT-I (REFRESH) or self-monitoring (SM) with sleep diaries group. The primary outcomes were insomnia severity, anxiety, and depression; secondary outcomes were sleep hygiene practices, dysfunctional beliefs, sleep reactivity, and pre-sleep arousal. All measurements were assessed before and after the intervention. A total of 48 participants (mean (SD) age, 19.56 (1.86) years; 67% female) were randomized and included in the analysis. The results of the intent-to-treat analysis showed a significant interaction effect for insomnia severity, anxiety, depression, sleep hygiene practice, and pre-sleep arousal. Compared with the SM group, the REFRESH group was more effective in reducing insomnia severity (Hedges’ g = 1.50), anxiety (g = 0.97), and depression (g = 0.61) post-intervention. These findings suggest that an e-mail-delivered CBT-I may be an effective treatment for young adults with elevated insomnia symptoms living in Japan.
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Affiliation(s)
- Isa Okajima
- Department of Psychological Counseling, Tokyo Kasei University, Tokyo 173-8602, Japan
- Faculty of Human Sciences, Waseda University, Saitama 359-1192, Japan
- Correspondence:
| | - Noriko Tanizawa
- Department of Innovation Laboratories, NEC Solution Innovators, Ltd., Tokyo 136-8627, Japan;
| | - Megumi Harata
- Public Children Support Center at Adachi-ku, Tokyo 121-0816, Japan;
| | - Sooyeon Suh
- Department of Psychology, Sungshin Women’s University, Seoul 02844, Korea;
| | - Chien-Ming Yang
- The Research Center for Mind, Department of Psychology, Brain & Learning, National Chengchi University, Taipei 11605, Taiwan;
| | - Shirley Xin Li
- Department of Psychology, The University of Hong Kong, Hong Kong, China;
- The State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong, China
| | - Mickey T. Trockel
- Department of Psychiatry, Stanford University, Palo Alto, CA 94305, USA;
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Vaingankar JA, Müller-Riemenschneider F, Chu AHY, Subramaniam M, Tan LWL, Chong SA, van Dam RM. Sleep Duration, Sleep Quality and Physical Activity, but Not Sedentary Behaviour, Are Associated with Positive Mental Health in a Multi-Ethnic Asian Population: A Cross-Sectional Evaluation. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17228489. [PMID: 33207763 PMCID: PMC7697582 DOI: 10.3390/ijerph17228489] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 11/10/2020] [Accepted: 11/14/2020] [Indexed: 12/13/2022]
Abstract
BACKGROUND We assessed the associations of sleep, physical activity and sedentary behaviour with positive mental health (PMH) in the multi-ethnic population of Singapore. METHODS The Singapore Health 2 study is a nationally representative cross-sectional survey among residents aged 18-79 years. A PMH instrument was administered to 1925 participants to obtain total PMH and six sub-component scores. Self-rated sleep duration, sleep quality, sedentary behaviour and physical activity were assessed. Multivariable linear regression analyses were conducted. RESULTS The mean age of the participants was 40.1 (SD 14.3) years. Sleep duration (≥8 h/night: β = 0.17,95% CI: 0.02-0.32; 7-< 8 h/night: β = 0.17,95% CI: 0.03-0.30 versus <6 h/night, p = 0.002), sleep quality (very good: β = 0.45,95% CI: 0.29-0.60; fairly good: β = 0.20,95% CI: 0.06-0.33 versus very/fairly bad; ptrend < 0.001) and physical activity (high: β = 0.19,95% CI: 0.05-0.32; moderate: β = 0.15, 95% CI: 0.03-0.27 versus low; ptrend < 0.001) were directly associated with total PMH. Sedentary behaviour was not significantly associated with PMH. Sleep duration, sleep quality and physical activity were directly associated with the PMH sub-components 'emotional support' and 'personal growth and autonomy'. CONCLUSIONS Duration and quality of sleep and physical activity were directly associated with PMH in an urban Asian population. These findings support incorporating sleep and physical activity interventions to improve population mental health.
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Affiliation(s)
- Janhavi Ajit Vaingankar
- Research Division, Institute of Mental Health, 10, Buangkok View, Singapore 539747, Singapore; (M.S.); (S.A.C.)
- Correspondence:
| | - Falk Müller-Riemenschneider
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, #10-01, Singapore 117549, Singapore; (F.M.-R.); (A.H.Y.C.); (L.W.L.T.); (R.M.v.D.)
- Yong Loo Lin School of Medicine, National University of Singapore, 10 Medical Drive, Singapore 117597, Singapore
| | - Anne Hin Yee Chu
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, #10-01, Singapore 117549, Singapore; (F.M.-R.); (A.H.Y.C.); (L.W.L.T.); (R.M.v.D.)
| | - Mythily Subramaniam
- Research Division, Institute of Mental Health, 10, Buangkok View, Singapore 539747, Singapore; (M.S.); (S.A.C.)
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, #10-01, Singapore 117549, Singapore; (F.M.-R.); (A.H.Y.C.); (L.W.L.T.); (R.M.v.D.)
| | - Linda Wei Lin Tan
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, #10-01, Singapore 117549, Singapore; (F.M.-R.); (A.H.Y.C.); (L.W.L.T.); (R.M.v.D.)
| | - Siow Ann Chong
- Research Division, Institute of Mental Health, 10, Buangkok View, Singapore 539747, Singapore; (M.S.); (S.A.C.)
| | - Rob M. van Dam
- Saw Swee Hock School of Public Health, National University of Singapore, 12 Science Drive 2, #10-01, Singapore 117549, Singapore; (F.M.-R.); (A.H.Y.C.); (L.W.L.T.); (R.M.v.D.)
- Yong Loo Lin School of Medicine, National University of Singapore, 10 Medical Drive, Singapore 117597, Singapore
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Nakamura S, Fukuma K, Wada K, Ueda M, Hayashi M. Intervention for regulating sleep–wake rhythms to prevent sleepiness in Japanese train drivers. Sleep Biol Rhythms 2018. [DOI: 10.1007/s41105-018-0164-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Tamura N, Tanaka H. Effects of sleep management with self-help treatment for the Japanese elderly with chronic insomnia: a quasi-experimental study. J Behav Med 2017; 40:659-668. [PMID: 28220343 DOI: 10.1007/s10865-017-9836-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2016] [Accepted: 02/10/2017] [Indexed: 11/30/2022]
Affiliation(s)
- Norihisa Tamura
- Department of Psychology, Faculty of Psychology, Hiroshima International University, 555-36 Gakuendai, Kurose, Higashi-Hiroshima, Hiroshima, 739-2631, Japan.
- Department of Somnology, Tokyo Medical University, 6-1-1 Shinjuku-ku, Tokyo, 160-8402, Japan.
| | - Hideki Tanaka
- Department of Psychology, Faculty of Psychology, Hiroshima International University, 555-36 Gakuendai, Kurose, Higashi-Hiroshima, Hiroshima, 739-2631, Japan
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Guo G, Fu T, Yin R, Zhang L, Zhang Q, Xia Y, Li L, Gu Z. Sleep quality in Chinese patients with rheumatoid arthritis: contributing factors and effects on health-related quality of life. Health Qual Life Outcomes 2016; 14:151. [PMID: 27852301 PMCID: PMC5111274 DOI: 10.1186/s12955-016-0550-3] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2016] [Accepted: 10/12/2016] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND Poor sleep quality is common in rheumatoid arthritis (RA) patients and may lead to disease aggravation and decreased health-related quality of life (HRQoL). The increasing prevalence of poor sleep in RA patients is associated with adverse demographic, clinical, and psychological characteristics. However, there are currently no known reported studies related to the effects of sleep quality on HRQoL in RA patients from China. This cross-sectional study aims to evaluate the contributors of poor sleep and the effects of sleep quality on HRQoL in Chinese RA patients. METHODS A self-report survey was administered to 131 RA patients and 104 healthy individuals using the Pittsburgh Sleep Quality Index (PSQI) for sleep quality. RA patients completed the Hospital Anxiety and Depression Scale for anxiety and depression, the 28-joint Disease Activity Score for disease activity, the 10 cm Visual Analog Scale for pain, the Health Assessment Questionnaire-Disability Index for functional capacity and the Short Form 36 health survey for HRQoL. Blood samples were taken to gain some biochemical indicators (e.g., erythrocyte sedimentation rate, C-reactive protein, rheumatoid factor, and anti-cyclic citrullinated peptide). Independent samples t-tests, Chi square analysis, logistic regression modeling and linear regression were used to analyze these data. RESULTS Our results found that the prevalence of poor sleep (PSQI ≥ 5) was 78.6% and the mean global score of PSQI was 7.93 (SD 3.98) in patients, which were significantly higher than the controls (18.7% and 3.88 (SD 1.89), respectively). There were significant correlations among synthetic disease-modifying antirheumatic drugs, erythrocyte sedimentation rate, pain, disease activity, functional capacity, anxiety/depression and sleep quality in RA patients. Meanwhile, logistic regression models identified disease activity and depression as predictors of poor sleep quality. Poor RA sleepers had impaired HRQoL than good RA sleepers, and sleep quality was independently and significantly associated with social function and mental components summary. CONCLUSIONS The majority of Chinese RA patients suffered from poor sleep, which significantly impairs their HRQoL. The data suggested the need for holistic assessment and management of RA patients and the importance of objective interventions to improve their sleep quality and finally to improve their HRQoL.
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Affiliation(s)
- Genkai Guo
- Department of Rheumatology, Affiliated Hospital of Nantong University, 20th Xisi Road, 226001 Nantong, People’s Republic of China
| | - Ting Fu
- Department of Rheumatology, Affiliated Hospital of Nantong University, 20th Xisi Road, 226001 Nantong, People’s Republic of China
- School of Nursing, Nantong University, 19th Qixiu Road, 226001 Nantong, People’s Republic of China
| | - Rulan Yin
- Department of Rheumatology, Affiliated Hospital of Nantong University, 20th Xisi Road, 226001 Nantong, People’s Republic of China
- School of Nursing, Nantong University, 19th Qixiu Road, 226001 Nantong, People’s Republic of China
| | - Lijuan Zhang
- Department of Rheumatology, Affiliated Hospital of Nantong University, 20th Xisi Road, 226001 Nantong, People’s Republic of China
- School of Nursing, Nantong University, 19th Qixiu Road, 226001 Nantong, People’s Republic of China
| | - Qiuxiang Zhang
- Department of Rheumatology, Affiliated Hospital of Nantong University, 20th Xisi Road, 226001 Nantong, People’s Republic of China
- School of Nursing, Nantong University, 19th Qixiu Road, 226001 Nantong, People’s Republic of China
| | - Yunfei Xia
- Department of Rheumatology, Affiliated Hospital of Nantong University, 20th Xisi Road, 226001 Nantong, People’s Republic of China
| | - Liren Li
- School of Nursing, Nantong University, 19th Qixiu Road, 226001 Nantong, People’s Republic of China
| | - Zhifeng Gu
- Department of Rheumatology, Affiliated Hospital of Nantong University, 20th Xisi Road, 226001 Nantong, People’s Republic of China
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