Sleep disturbance in patients with mild‐moderate chronic obstructive pulmonary disease

Introduction Although sleep problems have an important impact on daily life and health outcome measures in patients with chronic obstructive pulmonary disease (COPD), patterns of sleep disturbance in patients with mild‐moderate COPD remain unknown. Objective The aim of this study was to investigate...

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Veröffentlicht in:The clinical respiratory journal 2019-12, Vol.13 (12), p.751-757
Hauptverfasser: Lee, Sang Hee, Kim, Ki Uk, Lee, Haejung, Park, Hye‐Kyung, Kim, Yun Seong, Lee, Min Ki
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container_issue 12
container_start_page 751
container_title The clinical respiratory journal
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creator Lee, Sang Hee
Kim, Ki Uk
Lee, Haejung
Park, Hye‐Kyung
Kim, Yun Seong
Lee, Min Ki
description Introduction Although sleep problems have an important impact on daily life and health outcome measures in patients with chronic obstructive pulmonary disease (COPD), patterns of sleep disturbance in patients with mild‐moderate COPD remain unknown. Objective The aim of this study was to investigate patterns of sleep disturbance and factors associated with sleep impairment in patients with mild‐moderate COPD. Methods This prospective cross‐sectional study enrolled 148 male patients with COPD. At enrolment, all patients completed a disease‐specific sleep measure, the COPD and Asthma Sleep Impact Scale (CASIS) to assess sleep impairment. Health‐related quality of life (HRQL) was measured using the St. George's Respiratory Questionnaire (SGRQ) and the 36‐item Short‐Form health survey (SF‐36). Anxiety and depression status were assessed using the Hospital Anxiety and Depression Scale (HADS). Self‐efficacy was measured by the COPD Self‐Efficacy Scale (CSES). Results The mean age of the subjects was 67 years [standard deviation (SD) = 8.11]. The proportion of patients who indicated that they had a bad night's sleep was 33.1%. Univariated analysis showed that CASIS score was significantly correlated with the modified Medical Research Council (mMRC) dyspnea scale, SGRQ, SF‐36 Physical Component Summary, SF‐36 Mental Component Summary, HADS‐anxiety, HADS‐depression and CSES scores (all P 
doi_str_mv 10.1111/crj.13085
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Objective The aim of this study was to investigate patterns of sleep disturbance and factors associated with sleep impairment in patients with mild‐moderate COPD. Methods This prospective cross‐sectional study enrolled 148 male patients with COPD. At enrolment, all patients completed a disease‐specific sleep measure, the COPD and Asthma Sleep Impact Scale (CASIS) to assess sleep impairment. Health‐related quality of life (HRQL) was measured using the St. George's Respiratory Questionnaire (SGRQ) and the 36‐item Short‐Form health survey (SF‐36). Anxiety and depression status were assessed using the Hospital Anxiety and Depression Scale (HADS). Self‐efficacy was measured by the COPD Self‐Efficacy Scale (CSES). Results The mean age of the subjects was 67 years [standard deviation (SD) = 8.11]. The proportion of patients who indicated that they had a bad night's sleep was 33.1%. Univariated analysis showed that CASIS score was significantly correlated with the modified Medical Research Council (mMRC) dyspnea scale, SGRQ, SF‐36 Physical Component Summary, SF‐36 Mental Component Summary, HADS‐anxiety, HADS‐depression and CSES scores (all P &lt; 0.05). In a multivariate analysis, SGRQ and CSES were independently associated with CASIS score. Conclusion Poorer HRQL and lower self‐efficacy are significantly associated with sleep disturbance and perhaps may be improved by better sleep quality. Future research is required to enhance sleep quality in patients with mild‐moderate COPD.</description><identifier>ISSN: 1752-6981</identifier><identifier>EISSN: 1752-699X</identifier><identifier>DOI: 10.1111/crj.13085</identifier><identifier>PMID: 31449723</identifier><language>eng</language><publisher>England: John Wiley &amp; Sons, Inc</publisher><subject>Aged ; Anxiety ; Anxiety - epidemiology ; Anxiety - etiology ; Asthma - complications ; Chronic obstructive pulmonary disease ; COPD ; Cross-Sectional Studies ; Depression - epidemiology ; Depression - etiology ; Humans ; Male ; Middle Aged ; Prevalence ; Prospective Studies ; Pulmonary Disease, Chronic Obstructive - complications ; Pulmonary Disease, Chronic Obstructive - epidemiology ; Pulmonary Disease, Chronic Obstructive - physiopathology ; quality of life ; Quality of Life - psychology ; Self Efficacy ; Sleep ; Sleep Wake Disorders - diagnosis ; Sleep Wake Disorders - epidemiology ; Sleep Wake Disorders - psychology ; Smoking - adverse effects ; Smoking - epidemiology ; Surveys and Questionnaires</subject><ispartof>The clinical respiratory journal, 2019-12, Vol.13 (12), p.751-757</ispartof><rights>2019 John Wiley &amp; Sons Ltd</rights><rights>2019 John Wiley &amp; Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3535-117a9a838c5e3bac8fc97515eeb3a662261e903202ba756625b9d93038843b573</citedby><cites>FETCH-LOGICAL-c3535-117a9a838c5e3bac8fc97515eeb3a662261e903202ba756625b9d93038843b573</cites><orcidid>0000-0003-0874-9051 ; 0000-0002-0745-0675</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fcrj.13085$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fcrj.13085$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,11541,27901,27902,45550,45551,46027,46451</link.rule.ids><linktorsrc>$$Uhttps://onlinelibrary.wiley.com/doi/abs/10.1111%2Fcrj.13085$$EView_record_in_Wiley-Blackwell$$FView_record_in_$$GWiley-Blackwell</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31449723$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Sang Hee</creatorcontrib><creatorcontrib>Kim, Ki Uk</creatorcontrib><creatorcontrib>Lee, Haejung</creatorcontrib><creatorcontrib>Park, Hye‐Kyung</creatorcontrib><creatorcontrib>Kim, Yun Seong</creatorcontrib><creatorcontrib>Lee, Min Ki</creatorcontrib><title>Sleep disturbance in patients with mild‐moderate chronic obstructive pulmonary disease</title><title>The clinical respiratory journal</title><addtitle>Clin Respir J</addtitle><description>Introduction Although sleep problems have an important impact on daily life and health outcome measures in patients with chronic obstructive pulmonary disease (COPD), patterns of sleep disturbance in patients with mild‐moderate COPD remain unknown. Objective The aim of this study was to investigate patterns of sleep disturbance and factors associated with sleep impairment in patients with mild‐moderate COPD. Methods This prospective cross‐sectional study enrolled 148 male patients with COPD. At enrolment, all patients completed a disease‐specific sleep measure, the COPD and Asthma Sleep Impact Scale (CASIS) to assess sleep impairment. Health‐related quality of life (HRQL) was measured using the St. George's Respiratory Questionnaire (SGRQ) and the 36‐item Short‐Form health survey (SF‐36). Anxiety and depression status were assessed using the Hospital Anxiety and Depression Scale (HADS). Self‐efficacy was measured by the COPD Self‐Efficacy Scale (CSES). Results The mean age of the subjects was 67 years [standard deviation (SD) = 8.11]. The proportion of patients who indicated that they had a bad night's sleep was 33.1%. Univariated analysis showed that CASIS score was significantly correlated with the modified Medical Research Council (mMRC) dyspnea scale, SGRQ, SF‐36 Physical Component Summary, SF‐36 Mental Component Summary, HADS‐anxiety, HADS‐depression and CSES scores (all P &lt; 0.05). In a multivariate analysis, SGRQ and CSES were independently associated with CASIS score. Conclusion Poorer HRQL and lower self‐efficacy are significantly associated with sleep disturbance and perhaps may be improved by better sleep quality. Future research is required to enhance sleep quality in patients with mild‐moderate COPD.</description><subject>Aged</subject><subject>Anxiety</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety - etiology</subject><subject>Asthma - complications</subject><subject>Chronic obstructive pulmonary disease</subject><subject>COPD</subject><subject>Cross-Sectional Studies</subject><subject>Depression - epidemiology</subject><subject>Depression - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Pulmonary Disease, Chronic Obstructive - complications</subject><subject>Pulmonary Disease, Chronic Obstructive - epidemiology</subject><subject>Pulmonary Disease, Chronic Obstructive - physiopathology</subject><subject>quality of life</subject><subject>Quality of Life - psychology</subject><subject>Self Efficacy</subject><subject>Sleep</subject><subject>Sleep Wake Disorders - diagnosis</subject><subject>Sleep Wake Disorders - epidemiology</subject><subject>Sleep Wake Disorders - psychology</subject><subject>Smoking - adverse effects</subject><subject>Smoking - epidemiology</subject><subject>Surveys and Questionnaires</subject><issn>1752-6981</issn><issn>1752-699X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMtKAzEUhoMotlYXvoAMuNHFtJNkMpMspXilIHiB7kImc0pT5mYyY-nOR_AZfRJTW7sQzOaEw8d3zvkROsXREPs30nYxxDTibA_1ccpImAgx3d_9Oe6hI-cWUcR4Stkh6lEcxyIltI-mzwVAE-TGtZ3NVKUhMFXQqNZA1bpgadp5UJoi__r4LOscrGoh0HNbV0YHdeZa2-nWvEPQdEVZV8qu1ipQDo7RwUwVDk62dYBeb65fxnfh5PH2fnw1CTVllIUYp0ooTrlmQDOl-UyLlGEGkFGVJIQkGERESUQylTLfYJnIBY0o5zHNWEoH6GLjbWz91oFrZWmchqJQFdSdk4RwjAmJqfDo-R90UXe28ttJ4icInMRp4qnLDaVt7ZyFmWysKf1lEkdyHbf0ccufuD17tjV2WQn5jvzN1wOjDbA0Baz-N8nx08NG-Q3gNonU</recordid><startdate>201912</startdate><enddate>201912</enddate><creator>Lee, Sang Hee</creator><creator>Kim, Ki Uk</creator><creator>Lee, Haejung</creator><creator>Park, Hye‐Kyung</creator><creator>Kim, Yun Seong</creator><creator>Lee, Min Ki</creator><general>John Wiley &amp; 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Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The clinical respiratory journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Lee, Sang Hee</au><au>Kim, Ki Uk</au><au>Lee, Haejung</au><au>Park, Hye‐Kyung</au><au>Kim, Yun Seong</au><au>Lee, Min Ki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sleep disturbance in patients with mild‐moderate chronic obstructive pulmonary disease</atitle><jtitle>The clinical respiratory journal</jtitle><addtitle>Clin Respir J</addtitle><date>2019-12</date><risdate>2019</risdate><volume>13</volume><issue>12</issue><spage>751</spage><epage>757</epage><pages>751-757</pages><issn>1752-6981</issn><eissn>1752-699X</eissn><abstract>Introduction Although sleep problems have an important impact on daily life and health outcome measures in patients with chronic obstructive pulmonary disease (COPD), patterns of sleep disturbance in patients with mild‐moderate COPD remain unknown. Objective The aim of this study was to investigate patterns of sleep disturbance and factors associated with sleep impairment in patients with mild‐moderate COPD. Methods This prospective cross‐sectional study enrolled 148 male patients with COPD. At enrolment, all patients completed a disease‐specific sleep measure, the COPD and Asthma Sleep Impact Scale (CASIS) to assess sleep impairment. Health‐related quality of life (HRQL) was measured using the St. George's Respiratory Questionnaire (SGRQ) and the 36‐item Short‐Form health survey (SF‐36). Anxiety and depression status were assessed using the Hospital Anxiety and Depression Scale (HADS). Self‐efficacy was measured by the COPD Self‐Efficacy Scale (CSES). Results The mean age of the subjects was 67 years [standard deviation (SD) = 8.11]. The proportion of patients who indicated that they had a bad night's sleep was 33.1%. Univariated analysis showed that CASIS score was significantly correlated with the modified Medical Research Council (mMRC) dyspnea scale, SGRQ, SF‐36 Physical Component Summary, SF‐36 Mental Component Summary, HADS‐anxiety, HADS‐depression and CSES scores (all P &lt; 0.05). In a multivariate analysis, SGRQ and CSES were independently associated with CASIS score. Conclusion Poorer HRQL and lower self‐efficacy are significantly associated with sleep disturbance and perhaps may be improved by better sleep quality. Future research is required to enhance sleep quality in patients with mild‐moderate COPD.</abstract><cop>England</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>31449723</pmid><doi>10.1111/crj.13085</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-0874-9051</orcidid><orcidid>https://orcid.org/0000-0002-0745-0675</orcidid></addata></record>
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subjects Aged
Anxiety
Anxiety - epidemiology
Anxiety - etiology
Asthma - complications
Chronic obstructive pulmonary disease
COPD
Cross-Sectional Studies
Depression - epidemiology
Depression - etiology
Humans
Male
Middle Aged
Prevalence
Prospective Studies
Pulmonary Disease, Chronic Obstructive - complications
Pulmonary Disease, Chronic Obstructive - epidemiology
Pulmonary Disease, Chronic Obstructive - physiopathology
quality of life
Quality of Life - psychology
Self Efficacy
Sleep
Sleep Wake Disorders - diagnosis
Sleep Wake Disorders - epidemiology
Sleep Wake Disorders - psychology
Smoking - adverse effects
Smoking - epidemiology
Surveys and Questionnaires
title Sleep disturbance in patients with mild‐moderate chronic obstructive pulmonary disease
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