Self-Reported Sleep Quality and Fatigue Correlates With Actigraphy in Midlife Women With Fibromyalgia

BACKGROUNDLimited data are available on the relationship between self-reported sleep quality, fatigue, and behavioral sleep patterns in women with fibromyalgia (FM). OBJECTIVESTo compare self-reported sleep quality, fatigue, and behavioral sleep indicators obtained by actigraphy between women with F...

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Veröffentlicht in:Nursing research (New York) 2003-05, Vol.52 (3), p.140-147
Hauptverfasser: Landis, Carol A, Frey, Christine A, Lentz, Martha J, Rothermel, James, Buchwald, Dedra, Shaver, Joan L.F
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container_end_page 147
container_issue 3
container_start_page 140
container_title Nursing research (New York)
container_volume 52
creator Landis, Carol A
Frey, Christine A
Lentz, Martha J
Rothermel, James
Buchwald, Dedra
Shaver, Joan L.F
description BACKGROUNDLimited data are available on the relationship between self-reported sleep quality, fatigue, and behavioral sleep patterns in women with fibromyalgia (FM). OBJECTIVESTo compare self-reported sleep quality, fatigue, and behavioral sleep indicators obtained by actigraphy between women with FM and sedentary women without pain, and to examine relationships among these variables. METHODSTwenty-three women with FM (M = 47.3, ± 6.7 years) and 22 control women (M = 43.5, ± 8.2 years) wore an actigraph on the nondominant wrist for 3 consecutive days at home. Each day women reported bedtimes, rise times, and ratings of sleep quality and fatigue in a diary. Self-reported sleep quality, fatigue, and indicators of sleep quality obtained from actigraphy (e.g., total sleep time, sleep efficiency, sleep latency, wake after sleep onset, and fragmentation index) were averaged. The Mann Whitney U test was used to assess group differences. Pearson Product Moment Correlation was used to evaluate relationships between sleep quality and fatigue, and among sleep quality, fatigue, and actigraphy sleep indicators. RESULTSWomen with FM reported poorer sleep quality and more fatigue compared to controls (both p < .001). Actigraphy sleep indicators were not different between groups. In women with FM but not in controls, self-reported sleep quality was directly related to actigraphy indicators of total sleep time (r = .635, p < .01) and inversely related to sleep fragmentation (r = − .46, p < .05). Fatigue in women with FM was directly related to actigraphy indicators of wake after sleep onset (r = .57, p < .01), and inversely related to sleep efficiency (r = − .545, p < .01). DISCUSSIONSelf-reported sleep quality and fatigue are associated with behavioral indicators of sleep quality at home in women with FM. Actigraphy is a useful objective measure of improved sleep outcomes in intervention studies.
doi_str_mv 10.1097/00006199-200305000-00002
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OBJECTIVESTo compare self-reported sleep quality, fatigue, and behavioral sleep indicators obtained by actigraphy between women with FM and sedentary women without pain, and to examine relationships among these variables. METHODSTwenty-three women with FM (M = 47.3, ± 6.7 years) and 22 control women (M = 43.5, ± 8.2 years) wore an actigraph on the nondominant wrist for 3 consecutive days at home. Each day women reported bedtimes, rise times, and ratings of sleep quality and fatigue in a diary. Self-reported sleep quality, fatigue, and indicators of sleep quality obtained from actigraphy (e.g., total sleep time, sleep efficiency, sleep latency, wake after sleep onset, and fragmentation index) were averaged. The Mann Whitney U test was used to assess group differences. Pearson Product Moment Correlation was used to evaluate relationships between sleep quality and fatigue, and among sleep quality, fatigue, and actigraphy sleep indicators. RESULTSWomen with FM reported poorer sleep quality and more fatigue compared to controls (both p &lt; .001). Actigraphy sleep indicators were not different between groups. In women with FM but not in controls, self-reported sleep quality was directly related to actigraphy indicators of total sleep time (r = .635, p &lt; .01) and inversely related to sleep fragmentation (r = − .46, p &lt; .05). Fatigue in women with FM was directly related to actigraphy indicators of wake after sleep onset (r = .57, p &lt; .01), and inversely related to sleep efficiency (r = − .545, p &lt; .01). DISCUSSIONSelf-reported sleep quality and fatigue are associated with behavioral indicators of sleep quality at home in women with FM. 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RESULTSWomen with FM reported poorer sleep quality and more fatigue compared to controls (both p &lt; .001). Actigraphy sleep indicators were not different between groups. In women with FM but not in controls, self-reported sleep quality was directly related to actigraphy indicators of total sleep time (r = .635, p &lt; .01) and inversely related to sleep fragmentation (r = − .46, p &lt; .05). Fatigue in women with FM was directly related to actigraphy indicators of wake after sleep onset (r = .57, p &lt; .01), and inversely related to sleep efficiency (r = − .545, p &lt; .01). DISCUSSIONSelf-reported sleep quality and fatigue are associated with behavioral indicators of sleep quality at home in women with FM. 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RESULTSWomen with FM reported poorer sleep quality and more fatigue compared to controls (both p &lt; .001). Actigraphy sleep indicators were not different between groups. In women with FM but not in controls, self-reported sleep quality was directly related to actigraphy indicators of total sleep time (r = .635, p &lt; .01) and inversely related to sleep fragmentation (r = − .46, p &lt; .05). Fatigue in women with FM was directly related to actigraphy indicators of wake after sleep onset (r = .57, p &lt; .01), and inversely related to sleep efficiency (r = − .545, p &lt; .01). DISCUSSIONSelf-reported sleep quality and fatigue are associated with behavioral indicators of sleep quality at home in women with FM. Actigraphy is a useful objective measure of improved sleep outcomes in intervention studies.</abstract><cop>United States</cop><pub>Lippincott Williams &amp; Wilkins, Inc</pub><pmid>12792254</pmid><doi>10.1097/00006199-200305000-00002</doi><tpages>8</tpages></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Journals@Ovid Complete
subjects Actigraphy
Activities of Daily Living
Adult
Arm - physiopathology
Case-Control Studies
Correlates
Fatigue
Fatigue - etiology
Female
Fibromyalgia
Fibromyalgia - complications
Humans
Middle Aged
Middle aged women
Movement
Nursing
Polysomnography - methods
Polysomnography - standards
Quality
Selfreport
Sensitivity and Specificity
Severity of Illness Index
Sleep
Sleep Wake Disorders - diagnosis
Sleep Wake Disorders - etiology
Sleep Wake Disorders - physiopathology
Surveys and Questionnaires
USA
Wakefulness
Women's Health
title Self-Reported Sleep Quality and Fatigue Correlates With Actigraphy in Midlife Women With Fibromyalgia
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