PMID- 22303998
OWN - NLM
STAT- MEDLINE
DCOM- 20120810
LR  - 20211021
IS  - 1540-8159 (Electronic)
IS  - 0147-8389 (Print)
IS  - 0147-8389 (Linking)
VI  - 35
IP  - 4
DP  - 2012 Apr
TI  - Sleep quality and sleepiness in persons with implantable cardioverter 
      defibrillators: outcome from a clinical randomized longitudinal trial.
PG  - 431-43
LID - 10.1111/j.1540-8159.2011.03328.x [doi]
AB  - BACKGROUND: Patients receiving an implantable cardioverter defibrillator (ICD) 
      report various types and degree of sleep disruptions, but little is known 
      regarding their characteristics, duration, and associated factors. The purposes 
      of this study were: (1) to describe the effect of a psychoeducational 
      intervention on sleep quality and daytime sleepiness, (2) to describe patterns of 
      sleep over time, and (3) to identify predictors of poor sleep in an ICD 
      population. METHODS: A randomized longitudinal intervention trial was designed to 
      test the effects of a psychoeducational intervention, which included a sleep 
      education and counseling session in patients receiving their initial ICD. 
      Patients (n=236; 75% men; mean age 58.4 [+/-11.2] from the PsychoEducationAl 
      Intervention for ICD PatiEnts (PEACE) trial comprised the study population. 
      Variables related to sleep were measured by the Pittsburgh Sleep Quality 
      Inventory (PSQI) and Epworth Sleepiness Scale (ESS). RESULTS: No 
      psychoeducational intervention effects on sleep outcomes were observed. However, 
      67.2% of the patients reported poor sleep quality at baseline, and 56.8% had low 
      sleep quality at 6 months based on PSQI scores>5; one-third (32.6%) were 
      excessively sleepy based on ESS scores>/=10 at 6 months. Anxiety, depression, 
      physical function, pain intensity, and pain severity were all highly correlated 
      to each other across time. Female gender was a significant covariate for the 
      PSQI. New York Heart Association (NYHA) class was a significant covariate for 
      sleepiness (Epworth). CONCLUSIONS: Low sleep quality and daytime sleepiness are 
      found at time of insertion and over time in patients with ICD. Female gender, 
      higher NYHA class, as well as two latent factors encompassing increased anxiety, 
      depressive symptoms, and decreased physical function and increased pain, were 
      significant predictors of poor sleep quality and sleepiness over time. These data 
      help identify those at higher risk for sleep problems after ICD.
CI  - (c)2012, The Authors. Journal compilation (c)2012 Wiley Periodicals, Inc.
FAU - Berg, Selina Kikkenborg
AU  - Berg SK
AD  - Copenhagen University Hospital, Rigshospitalet, The Heart Center, Copenhagen, 
      Denmark. selina@rh.dk
FAU - Higgins, Melinda
AU  - Higgins M
FAU - Reilly, Carolyn M
AU  - Reilly CM
FAU - Langberg, Jonathan J
AU  - Langberg JJ
FAU - Dunbar, Sandra B
AU  - Dunbar SB
LA  - eng
GR  - R01 NR005187/NR/NINR NIH HHS/United States
GR  - R01 5187/PHS HHS/United States
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
DEP - 20120203
PL  - United States
TA  - Pacing Clin Electrophysiol
JT  - Pacing and clinical electrophysiology : PACE
JID - 7803944
SB  - IM
MH  - Aged
MH  - Anxiety/complications
MH  - Defibrillators, Implantable/*adverse effects
MH  - Depression/complications
MH  - Disorders of Excessive Somnolence/*etiology
MH  - Female
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - Middle Aged
MH  - Pain/complications
MH  - Risk
MH  - Severity of Illness Index
MH  - Sex Factors
MH  - *Sleep
PMC - PMC3681948
MID - NIHMS473373
EDAT- 2012/02/07 06:00
MHDA- 2012/08/11 06:00
PMCR- 2013/06/13
CRDT- 2012/02/07 06:00
PHST- 2012/02/07 06:00 [entrez]
PHST- 2012/02/07 06:00 [pubmed]
PHST- 2012/08/11 06:00 [medline]
PHST- 2013/06/13 00:00 [pmc-release]
AID - 10.1111/j.1540-8159.2011.03328.x [doi]
PST - ppublish
SO  - Pacing Clin Electrophysiol. 2012 Apr;35(4):431-43. doi: 
      10.1111/j.1540-8159.2011.03328.x. Epub 2012 Feb 3.