Prevalence and Predictors of Sleep Disturbance, Anxiety and Depression among Patients with Chronic Respiratory Diseases
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Setting
2.2. Power Calculation
2.3. Data Collection Questionnaire and Procedure
2.4. Ethical Considerations
2.5. Statistical Analysis
3. Results
3.1. Prevalence of Sleep Quality, Depression and Anxiety among Patients with CRDs
3.2. Correlation between Global PSQI Score, Total Anxiety, and Total Depression
3.3. Predictors of Poor Sleep Quality among Patients with CRDs
3.4. Predictors of Depression and Anxiety among Patients with CRDs
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Characteristics | N (%) Mean SD | |
---|---|---|
Age | 41.51 ± 11.85 | |
Gender | ||
Male | 162 | 41.5 |
Female | 228 | 58.5 |
Marital status | ||
Single | 165 | 42.3 |
Married | 225 | 57.7 |
Education level | ||
Pre-university | 284 | 72.8 |
University level | 106 | 27.2 |
BMI | ||
Underweight | 4 | 1.0 |
Normal weight | 105 | 26.9 |
Overweight | 179 | 45.9 |
Obese | 102 | 26.2 |
Family history of respiratory diseases | ||
Yes | 48 | 12.3 |
No | 342 | 87.7 |
Smoking (lifetime) | ||
Yes | 165 | 42.3 |
No | 225 | 57.7 |
Diagnosis | ||
COPD | 190 | 48.7 |
Asthma | 200 | 51.3 |
Previous hospital admission for exacerbation | ||
Yes | 63 | 16.2 |
No | 327 | 83.8 |
Comorbid Illness | ||
None | 294 | 75.4 |
Anemia | 23 | 5.9 |
Hypertension | 46 | 11.8 |
Diabetes Mellitus | 24 | 6.2 |
Dysrhythmia | 3 | 0.8 |
Sleep Quality Assessment (PSQI) | |
---|---|
Component Scores | N (%) |
Subjective sleep quality | |
| 100 (25.6) |
| 233 (59.7) |
| 42 (10.8) |
▪ Very bad | 15 (3.8) |
Sleep latency | |
| 46 (11.8) |
| 128 (32.8) |
| 125 (32.1) |
▪ >60 min | 91 (23.3) |
Sleep duration | |
| 97 (24.9) |
| 113 (29.0) |
| 92 (23.6) |
▪ <5 h | 88 (22.6) |
Sleep efficiency | |
| 227 (58.2) |
| 87 (22.3) |
| 38 (9.7) |
▪ <65% | 38 (9.7) |
Sleep disturbance | |
| 0 (0) |
| 254 (65.1) |
| 136 (34.9) |
▪ Three or more times a week | 0 (0) |
Use of sleep medication | |
| 297 (76.2) |
| 52 (13.3) |
| 34 (8.7) |
▪ Three or more times a week | 7 (1.8) |
Daytime dysfunction | |
| 164 (42.1) |
| 105 (26.9) |
| 105 (26.9) |
| 16 (4.1) |
Global PSQI | |
| 97(24.9) |
| 293(75.1) |
Variables | N (%) |
---|---|
Depression (Total Score) | |
| 198 (50.8) |
| 192 (49.2) |
Anxiety (Total Score) | |
| 248 (63.6) |
| 142 (36.4) |
Independent Variables | Model 1: β (95% CI) | p Value | Model 2: β (95% CI) | p Value |
---|---|---|---|---|
Age | −0.035 (−0.061, −0.009) | 0.008 | −0.036 (−0.066, −0.007) | 0.016 |
Gender (Male) | 1.338 (0.721, 1.956) | 0.001 | 1.244 (0.488, 2.000) | 0.001 |
Marital status (Married) | 0.566 (−0.062, 1.194) | 0.077 | 0.358 (−0.261, 0.976) | 0.256 |
BMI | −0.006 (−0.083, 0.072) | 0.884 | −0.014 (−0.042, 0.013) | 0.302 |
Family history of CRDs (No) | −1.649 (−2.582, −0.716) | 0.001 | −1.789(−2.720, −0.858) | <0.001 |
Smoking(lifetime) (Yes) | 0.965 (0.342, 1.588) | 0.002 | 0.291 (−0.540, 1.121) | 0.492 |
Education level (Pre-university level) | −0.916 (−1.607, −0.224) | 0.010 | −1.009 (−1.704, −0.314) | 0.005 |
Diagnosis (Yes) | 0.727 (0.111, 1.342) | 0.021 | −0.660 (−1.494, 0.175) | 0.121 |
Previous hospital admission (No) | −0.542 (−1.386, 0.303) | 0.208 | −0.033 (−0.932, 0.866) | 0.942 |
Comorbid illness (Yes) | 0.076 (−0.244, 0.395) | 0.642 | 0.247 (−0.077, 0.571) | 0.135 |
Dyspnea last month (Yes) | 1.117 (−1.729, −0.504) | 0.001 | 0.028 (−0.653, 0.709) | 0.936 |
Depression (Yes) | 0.218 (0.087, 0.348) | 0.001 | 0.084 (−0.003, 0.171) | 0.058 |
Anxiety (Yes) | 0.354 (3.245, 5.040) | 0.001 | 0.177 (0.084, 0.270) | <0.001 |
Independent Variables | Model 1: β (95% CI) | p Value | Model 2: β (95% CI) | p Value |
---|---|---|---|---|
Depression score | ||||
Age | 0.008 (−0.027, 0.043) | 0.670 | 0.043 (0.009, 0.077) | 0.014 |
Gender (Male) | −1.202 (−2.034, −0.371) | 0.005 | −2.129 (−2.983, −1.275) | <0.001 |
Marital status (Married) | 1.223 (0.394, 2.051) | 0.004 | 1.005 (0.291, 1.719) | 0.006 |
BMI | 0.028 (−0.067, 0.138) | 0.110 | −0.012 (−0.044, 0.020) | 0.454 |
Family history of CRDs (Yes) | 0.036 (−0.803, 1.715) | 0.498 | 1.666 (0.594, 2.738) | 0.002 |
Smoking(lifetime) (Yes) | 0.122 (−0.960, 0.716) | 0.775 | 0.093 (−0.876, 1.061) | 0.851 |
Education level (Pre-university level) | −098 (−1.026, 0.831) | 0.836 | −0.059 (−0.870, 0.751) | 0.885 |
Diagnosis (Yes) | 0.956 (0.130, 1.783) | 0.023 | 1.361 (0.398, 2.324) | 0.006 |
Previous hospital admission (Yes) | 0.457 (−4.672, −2.541) | 0.098 | −0.272 (−4.040, −2.096) | <0.001 |
Comorbid illness (No) | −3.607 (−0.705, 0.144) | 0.001 | −2.751 (−3.762, −1.740) | <0.001 |
Dyspnea last month (No) | −0.281 (−3.583, −2.025) | 0.194 | −1.452 (−2.232, −0.672) | <0.001 |
Anxiety (Yes) | 0.506 (0.405, 0.607) | <0.001 | 0.394 (0.293, 0.496) | <0.001 |
Anxiety Score | ||||
Age | −0.037 (−0.067, −0.006) | 0.020 | −0.041 (−0.073, −0.010) | 0.011 |
Gender (Male) | −0.005 (−0.748, 0.738) | 0.990 | −0.442 (−1.261, 0.377) | 0.289 |
Marital status (Married) | 0.471 (−0.269, 1.210) | 0.212 | −0.430 (−1.100, 0.240) | 0.208 |
BMI | 0.059 (−0.032, 0.150) | 0.203 | −0.041 (−0.071, −0.012) | 0.006 |
Family history of CRDs (No) | −0.848 (−1.959, 0.263) | 0.134 | −1.177 (−2.180, −0.173) | 0.022 |
Smoking(lifetime) (Yes) | 0.397 (−0.343, 1.137) | 0.292 | 0.023 (−0.925, 0.878) | 0.959 |
Education level (Pre-university level) | −0.713 (−1.529, 0.103) | 0.086 | −0.747 (−1.498, 0.003) | 0.051 |
Diagnosis (Yes) | 0.970 (0.244, 1.696) | 0.009 | 0.462 (−0.443, 1.366) | 0.316 |
Previous hospital admission (No) | −1.048 (−2.037, −0.059) | 0.038 | 1.055 (0.085, 2.025) | 0.033 |
Comorbid illness (Yes) | 0.088 (−0.288, 0.464) | 0.646 | 0.445 (0.096, 0.794) | 0.013 |
Dyspnea last month (No) | −2.659 (−3.341, −1.977) | <0.001 | −1.967 (−2.679, −1.256) | <0.001 |
Depression (Yes) | 0.506 (0.405, 0.607) | <0.001 | 0.342 (0.254, 0.429) | <0.001 |
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Aldabayan, Y.S.; Alqahtani, J.S.; Al Rajeh, A.M.; Abdelhafez, A.I.; Siraj, R.A.; Thirunavukkarasu, V.; Aldhahir, A.M. Prevalence and Predictors of Sleep Disturbance, Anxiety and Depression among Patients with Chronic Respiratory Diseases. Int. J. Environ. Res. Public Health 2022, 19, 12819. https://doi.org/10.3390/ijerph191912819
Aldabayan YS, Alqahtani JS, Al Rajeh AM, Abdelhafez AI, Siraj RA, Thirunavukkarasu V, Aldhahir AM. Prevalence and Predictors of Sleep Disturbance, Anxiety and Depression among Patients with Chronic Respiratory Diseases. International Journal of Environmental Research and Public Health. 2022; 19(19):12819. https://doi.org/10.3390/ijerph191912819
Chicago/Turabian StyleAldabayan, Yousef S., Jaber S. Alqahtani, Ahmed M. Al Rajeh, Amal Ismael Abdelhafez, Rayan A. Siraj, Vidhya Thirunavukkarasu, and Abdulelah M. Aldhahir. 2022. "Prevalence and Predictors of Sleep Disturbance, Anxiety and Depression among Patients with Chronic Respiratory Diseases" International Journal of Environmental Research and Public Health 19, no. 19: 12819. https://doi.org/10.3390/ijerph191912819