Catastrofização da cefaleia e associação com outras condições clínicas

2018 ◽  
pp. 35
Author(s):  
Erlene Roberta Ribeiro dos Santos
Keyword(s):  
Sleep Quality ◽  
Perceived Stress ◽  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
Beck Anxiety Inventory ◽  
Headache Disorders ◽  
Stress Scale ◽  
Headache Disability ◽  
Beta Version

A catastrofização é definida como um conjunto de pensamentos negativos com tendência ao exagero mental, mediante uma situação real ou antecipada de experiência dolorosa, associada à sensação de incapacidade para busca do alívio da dor. Objetivo: avaliar a catastrofização da cefaleia associada a condições clínicas como incapacidade funcional, depressão, ansiedade, estresse e qualidade do sono, em universitários. Material e Método: estudo observacional transversal com uma amostra de 340 universitários (179 mulheres), com idade de 25 ± 5 anos. Foi utilizado um formulário de cadastro para coletar informações pessoais e antropométricas. Os critérios da International Classification of Headache Disorders 3rd edition Beta version foram utilizados para classificar a cefaleia. A escala de pensamentos catastróficos sobre dor (EPCD) foi utilizada para rastrear a catastrofização. Para avaliar a incapacidade funcional gerada pela cefaleia foi utilizado o questionário Headache Disability Test – HIT-6. Sintomatologias de depressão e de ansiedade foram rastreadas pelo Beck Depression Inventory (BDI), e Beck Anxiety Inventory – BAI, respectivamente. O estresse percebido foi avaliado pela escala Perceived Stress Scale (PSS) e a qualidade do sono pelo questionário Pittsburgh Sleep Quality Index. A estatística descritiva foi aplicada para caracterização da amostra, analisadas as diferenças de médias por meio dos testes t de Student e χ2. Para a aplicação da estatística analítica foram utilizadas regressão linear simples e regressão linear logística multivariada generalizada. Resultados: 288/340 (84,7%) dos universitários referiram cefaleia; desses, 133/288 (46,1%) eram migranosos [96/133 (72,2%) mulheres e 37/133 (27,8%) homens; OR= 1,92] e 155/288 (53,9%) não migranosos. Dentre os migranosos, 44/133 (33,08) apresentaram catastrofização (OR 37.44). A regressão linear revelou um potencial maior de contribuição (β) das seguintes condições clínicas: estresse, qualidade do sono ruim e ansiedade para o grupo dos migranosos. A regressão logística multivariada também mostrou a catastrofização, fornecendo estimativa com maior impacto na mudança dos valores da probabilidade da ocorrência da migrânea, com acréscimo de 5,78 pontos percentuais, quando se mantém constante das outras variáveis preditoras. A regressão linear multivariada para a avaliação do impacto da cefaleia indica que a catastrofização é a variável que apresenta maior contribuição na incapacidade gerada pela dor de cabeça, com um valor de β de 5,564 e p<0,001, apresentando forte significância. Conclusão: a catastrofização na migrânea, associada a outras condições clínicas avaliadas neste estudo, como a depressão, ansiedade, estresse e qualidade do sono, exerce influência significativa para a incapacidade gerada pela dor.

Stressed and Not Sleeping: Poor Sleep and Psychological Stress in Elite Athletes Prior to the Rio 2016 Olympic Games

2021 ◽  
pp. 1-8
Author(s):  
Shona L. Halson ◽  
Renee N. Appaneal ◽  
Marijke Welvaert ◽  
Nirav Maniar ◽  
Michael K. Drew
Keyword(s):  
Sleep Quality ◽  
Psychological Stress ◽  
Perceived Stress ◽  
Quality Index ◽  
Sleep Disturbances ◽  
Olympic Games ◽  
Pittsburgh Sleep Quality Index ◽  
Elite Athletes ◽  
Poor Sleep ◽  
Stress Scale

Purpose: Psychological stress is reported to be an important contributor to reduced sleep quality and quantity observed in elite athletes. The purpose of this study was to explore the association between psychological stress and sleep and to identify if specific aspects of sleep are disturbed. Methods: One hundred thirty-one elite athletes (mean [SD], male: n = 46, age 25.8 [4.1] y; female: n = 85, age 24.3 [3.9] y) from a range of sports completed a series of questionnaires in a 1-month period approximately 4 months before the 2016 Rio Olympic Games. Questionnaires included the Pittsburgh Sleep Quality Index; Recovery-Stress Questionnaire; Depression, Anxiety, and Stress Scale (DASS 21); and Perceived Stress Scale (PSS). Results: Regression analysis identified the PSS and DASS stress as the main variables associated with sleep. A PSS score of 6.5 or higher was associated with poor sleep. In addition, a PSS score lower than 6.5 combined with a DASS stress score higher than 4.5 was also associated with poor sleep. Univariate analyses on subcomponents of the Pittsburgh Sleep Quality Index confirmed that PSS is associated with lower sleep quality (t99 = 2.40, P = .018), increased sleep disturbances (t99 = 3.37, P = .001), and increased daytime dysfunction (t99 = 2.93, P = .004). DASS stress was associated with increased sleep latency (t94 = 2.73, P = .008), increased sleep disturbances (t94 = 2.25, P = .027), and increased daytime dysfunction (t94 = 3.58, P = .001). Conclusions: A higher stress state and higher perceived stress were associated with poorer sleep, in particular increased sleep disturbances and increased daytime dysfunction. Data suggest that relatively low levels of psychological stress are associated with poor sleep in elite athletes.

scholarly journals Quality of Sleep among Portuguese Anaesthesiologists: A Cross-Sectional Study

2019 ◽  
Vol 32 (10) ◽  
pp. 641
Author(s):  
Francisco Valente ◽  
Catarina Batista ◽  
Vânia Simões ◽  
Inês Tomé ◽  
Alexandre Carrilho
Keyword(s):  
Sleep Quality ◽  
Perceived Stress ◽  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
Cross Sectional Study ◽  
Quality Of Sleep ◽  
Cross Sectional ◽  
Stress Scale ◽  
Factors Associated

Introduction: Sleeping is essential to maintain proper relationships with others, keep alertness, and execute responsibilities, among many other functions. In the medical profession, there are several studies linking sleep deprivation with a decrease in responsiveness, cognition and attention. With this study we intended to characterize the sleep pattern of Portuguese anaesthesiologists and identify independent factors associated with sleep quality in this population.Material and Methods: An observational, cross-sectional study of senior and resident anesthesiologists working in Portugal was carried out through an online questionnaire. Individuals working exclusively in intensive care units, emergency departments or with previously diagnosed sleep disorders were excluded. Socio-demographic data, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale and Perceived Stress Scale were applied. Statistical significance was assessed using the Mann-Whitney test and the chi-square test. A multivariable analysis was performed to examine the association between the Pittsburgh Sleep Quality Index and certain variables.Results: Among 256 respondents, 46.1% reported “poor” quality of sleep (Pittsburgh Sleep Quality Index > 5). Within these individuals, 77.1% slept less than 7 hours per night (p < 0.001). Excessive daytime sleepiness (Epworth Sleepiness Scale > 10) was present in 41.0% of the sample, and the median Perceived Stress Scale score was 17.0. The independent factors associated with worse quality ofsleep were the number of working hours/week (OR 1.03, 95% CI 1,01 to 1,06), perceived stress (OR 1.18, 95% CI 1.11 to 1.26), taking sleep medication (OR 14.72, 95% CI 5.55 to 39.08), and sleep hours/night (OR 0.25, 95% CI 0.15 to 0.42).Discussion: This fraction of Portuguese anaesthesiologists presented a poorer quality of sleep, with excessive daytime somnolence, perceived stress and higher sedative use compared to previously studied populations.Conclusion: Our study characterizes sleep patterns and identifies potential risk factors linked to sleep disturbances in a sample of Portuguese anaesthesiologists. Government and institutional policies can endorse sleep hygiene practices and habits, promoting healthier working environments.

scholarly journals Association of Work Stress Level with Sleep Quality in Nurses and Medical Social Workers at a Tertiary Care Hospital of Wardha District

2021 ◽  
Vol 10 (28) ◽  
pp. 2061-2065
Author(s):  
Vikram Singh ◽  
Pramita Muntode ◽  
Sonal Singh ◽  
Rutuj Waghmare ◽  
Sumit Kishore ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Patient Care ◽  
Social Workers ◽  
Work Stress ◽  
Perceived Stress ◽  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
Tertiary Care ◽  
Work Shift ◽  
Tertiary Care Hospitals

BACKGROUND Nurses and medical social workers’ (MSW’s) stress has an impact on health, which ultimately has an effect on quality care of the patients. Stress problems are one of the leading causes of sleep disturbance. We wanted to evaluate the association of quality and pattern of sleep with work stress levels in nurses and medico-social workers in this study. METHODS A cross-sectional study was conducted on nurses and MSW’s of Tertiary Care Hospitals of Wardha city using questionnaire, containing 24 questions. A total of 513 Nurses and 36 MSW’s of Tertiary Care Hospitals were taken in this study, sampling was done by simple random sampling method. The stress was evaluated using 10 items “Global perceived stress scale” (GPSS) and for sleep quality “Pittsburgh Sleep Quality Index” (PSQI) of total 14 items was used. The variables were compared in unpaired t test and Pearson correlation test to know the level of significance of determinacy which was set at less than 0.05. RESULTS The overall PSS scores in nurses (12.57 ± 3.7) and MSWs (12.87 ± 3.1) were almost similar and were statistically significant. Subjective sleep quality score of MSWs (2.19 ± 0.66) was higher than that of nurses (2.00 ± 0.19) and was statistically insignificant according to the specialization. The statistically relevant sleep duration was greater in MSWs (13.50 ± 03.56) than in nurses (12.16 ± 02.73). Moderate positive correlation between perceived stress severity and Pittsburgh Sleep Quality Index was observed. CONCLUSIONS Certain characteristics of work shift among nurses and MSW’s is directly affected by the stress and sleep quality and indirectly affects the patient care and treatment. The study indicates that work characteristics may influence sleep quality and stress among nurses and MSW’s. We needed to improve work shift schedule in order to provide good health and well-being of nurses and MSW’s which would further improve the quality of patient care. KEY WORDS Nurses, MSW’s, Sleep Quality, Stress

scholarly journals HUBUNGAN KUALITAS TIDUR DENGAN JENIS NYERI KEPALA PRIMER PADA SISWA-SISWI SMA NEGERI 1 PADANG

2020 ◽  
Vol 5 (2) ◽  
pp. 560
Author(s):  
Priyanka Prima Putri ◽  
Restu Susanti ◽  
Gusti Revilla
Keyword(s):  
Sleep Quality ◽  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
Primary Headache ◽  
Headache Disorder ◽  
Tension Type Headache ◽  
Chi Square ◽  
Cross Sectional ◽  
Type Headache

<p align="center"><strong><em>Abstract</em></strong></p><p><em>Primary headache is the most common complain</em><em>t</em><em> found in adolescents. Primary headache can be triggered by several factors, one of them is bad sleep quality. Both are the most experienced problems in adolescents </em><em>which</em><em> can decrease  academic</em><em> </em><em>and non-academic</em><em> productivity</em><em> in schools. The aim of this study was to detemine the </em><em>association</em><em> between sleep quality and primary headache in students of SMA Negeri 1 Padang. This study was analytic study with cross sectional design. The sampling was done by purposive sampling technique and obtained 90 sampels. The diagnosis of primary headache </em><em>was</em><em> based on the headahe consensus of PERDOSSI 2018 which </em><em>was </em><em>corresponding with 3rd Edition of International Classification of Headache Disorder (Beta version). The data of sleep quality was collected by using The Pittsburgh Sleep Quality Index questionnaire. The data was analyzed by using Chi-Square test. The results showed that the majority of respondents were women (70%). The most common sleep quality was poor (67,8%). The most common type of headache </em><em>was</em><em> tension-type headache (78,9%). There was a significant relationship between sleep quality and the type of primary headache</em><em>, which</em><em> is tension type headache with moderate correlation (p &lt;0.001 and r = 0.454)</em><em> </em><em>and migraine with low correlation (p=0,022 and r=0,311). </em><em>I</em><em>t can be concluded </em><em>from</em><em> this study</em><em> </em><em>that bad sleep quality will increase the probability of suffering primary headache</em></p><p><strong><em>Keywords: </em></strong><em>Sleep quality, primary headache, adolescents</em></p><p align="left"><em> </em></p><p align="center"><strong>Abstrak</strong><strong></strong></p><p>Nyeri kepala primer merupakan keluhan yang sering dijumpai pada remaja. Nyeri kepala primer dipicu oleh beberapa faktor, salah satunya adalah kualitas tidur yang buruk. Keduanya merupakan masalah yang sering dialami remaja yang dapat menurunkan produktivitas akademik dan non-akademik di sekolah. Tujuan dari penelitian  ini  adalah untuk mengetahui apakah terdapat hubungan antara kualitas tidur dengan nyeri kepala primer pada siswa-siswi SMA Negeri 1 Padang. Jenis penelitian ini adalah penelitian analitik dengan desain cross sectional. Pengambilan sampel dilakukan dengan  teknik purposive sampling dan didapatkan sampel sebanyak 90 sampel. Diagnosis nyeri kepala primer berdasarkan konsensus nyeri kepala PERDOSSI tahun 2018 yang sesuai dengan International Classification of Headache Disorder Edisi 3 (versi beta). Data kualitas tidur dikumpulkan menggunakan kuesioner The Pittsburgh Sleep Quality Index. Analisis data menggunakan uji Chi-Square. Hasil penelitian menunjukkan sebagian besar responden adalah perempuan (70%). Kualitas tidur terbanyak yaitu buruk (67,8%). Jenis nyeri kepala primer terbanyak adalah nyeri kepala tipe tegang (78,9%). Terdapat hubungan yang bermakna antara kualitas tidur dengan jenis nyeri kepala primer yaitu nyeri kepala tipe tegang dengan korelasi sedang (p&lt;0,001 dan r= 0,454) dan migrain dengan korelasi lemah (p=0,022 dan r=0,311). Berdasarkan penelitian ini dapat disimpulkan bahwa kualitas tidur buruk akan meningkatkan kemungkinan mengalami nyeri kepala primer.</p><p><strong>K</strong><strong>ata kunci</strong><strong>: </strong>Kualitas tidur, nyeri kepala primer, remaja</p>

scholarly journals Pengaruh Intervensi Senam Hamil dalam Menurunkan Stres dan Meningkatkan Kualitas Tidur Ibu Hamil Trimester III

2020 ◽  
Vol 7 (2) ◽  
pp. 174-182
Author(s):  
Ni Nyoman Deni Witari
Keyword(s):  
Sleep Quality ◽  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
Purposive Sampling ◽  
Stress Scale

Senam hamil merupakan salah satu olahraga untuk menyiapkan mental dan jasmani ibu hamil dalam menghadapi kehamilnnya. Selama kehamilan ibu hamil sering mengalami ketidaknyamanan seperti sering berkemih, kram tungkai, sulit tidur dan cemas. Tujuan dari penelitian ini untuk mengetahui pengaruh invervensi senam hamil terhadap tingkat stress dan kualitas tidur ibu hamil. Penelitian ini adalah penelitian analitik dengan one group pretest -posttest design. Sampel pada penelitian ini sebanyak 50 orang dimana tehnik sampling yang digunakan dengan purposive sampling berdasarkan kriteria inklusi dan eksklusi. Instrument pengumpulan data primer dengan pengisian kuesioner Depression Anxiety and Stress Scale (DASS) dan The Pittsburgh Sleep Quality Index (PSQI). Uji analisis perbedaan sebelum dan sesudah intervensi dengan uji Wilcoxon dan untuk analisis hubungan dengan uji Spearman. Hasil penelitian ada perbedaan bermakna (p=0.000) tingkat stress dan ada perbedaan kualitas tidur (p=0.000) sebelum dan sesudah intervensi senam hamil. Tidak ada hubungan (p=0.088) tingkat stress dengan kualitas tidur.

scholarly journals AVALIAÇÃO DA QUALIDADE DO SONO, DOR, ESTRESSE E NÍVEL DE ATIVIDADE FÍSICA DE PROFISSIONAIS DE SAÚDE EM UM HOSPITAL UNIVERSITÁRIO

2021 ◽  
pp. 1
Author(s):  
Gabriela Brito Marcelino ◽  
Bárbara Araújo Roriz ◽  
Paulo Adriano Schwingel ◽  
Tarcísio Fulgêncio Alves da Silva ◽  
Paula Andreatta Maduro ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sleep Quality ◽  
Quality Index ◽  
International Physical Activity Questionnaire ◽  
Pittsburgh Sleep Quality Index ◽  
Short Form ◽  
Physical Activity Questionnaire ◽  
Stress Scale ◽  
Nordic Musculoskeletal Questionnaire ◽  
Activity Questionnaire

O Objetivos: o presente estudo debruça-se sobre a perspectiva de compreender e descrever a qualidade do sono, dor, estresse e nível de atividade física de profissionais enfermeiros, técnicos em enfermagem e fisioterapeutas empregados em um hospital universitário de atenção terciária localizado no Nordeste brasileiro. Métodos: Trata-se de um estudo epidemiológico descritivo e analítico do tipo transversal. Foram aplicados os seguintes questionários: Índice de Qualidade de Sono de Pittsburgh (Pittsburgh Sleep Quality Index- IQSP), Questionário Nórdico de Sintomas Osteomusculares (Nordic Musculoskeletal Questionnaire - QNSO), Depression Anxiety and Stress Scale – Short Form (DASS-21) e Questionário Internacional de Atividade Física (International Physical Activity Questionnaire - IPAQ). Resultados: Os segmentos mais acometidos por sintomas osteomioarticulares foram as costas e a região do pescoço. Diferentemente dos plantonistas diurnos, percebe-se que 100% dos profissionais plantonistas noturnos apresentam um grau normal/mínimo de estresse. Conclusão: profissionais da área da saúde apresentam uma prevalência maior de dor musculoesquelética. As regiões anatômicas mais acometidas são o pescoço, a parte superior das costas e a parte inferior das costas. Os profissionais não apresentaram escores elevados que os caracterizem com algum transtorno do sono ou com uma qualidade de sono ruim, tendo em sua maioria uma qualidade de sono regular.

scholarly journals Availability of a Flavored Beverage and Impact on Children’s Hydration Status, Sleep, and Mood

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1757
Author(s):  
Michael R. Szymanski ◽  
Gabrielle E. W. Giersch ◽  
Margaret C. Morrissey ◽  
Courteney L. Benjamin ◽  
Yasuki Sekiguchi ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
Intervention Group ◽  
Urine Osmolality ◽  
Urine Specific Gravity ◽  
Hydration Status ◽  
Control Group ◽  
Profile Of Mood States ◽  
Urine Color

Euhydration remains a challenge in children due to lack of access and unpalatability of water and to other reasons. The purpose of this study was to determine if the availability/access to a beverage (Creative Roots®) influences hydration in children and, therefore, sleep quality and mood. Using a crossover investigation, 46 participants were randomly assigned to a control group (CON) or an intervention group and received Creative Roots® (INT) for two-week periods. We recorded daily first morning and afternoon urine color (Ucol), thirst perception, and bodyweight of the two groups. Participants reported to the lab once per week and provided first morning urine samples to assess Ucol, urine specific gravity (USG), and urine osmolality (Uosmo). Participants also completed the questionnaires Profile of Mood States-Adolescents (POMS-a) and Pittsburgh Sleep Quality Index (PSQI). Dependent t-tests were used to assess the effects of the intervention on hydration, mood, and sleep quality. Uosmo was greater and Ucol was darker in the control group (mean ± SD) [Uosmo: INT = 828 ± 177 mOsm·kg−1, CON = 879 ± 184 mOsm·kg−1, (p = 0.037], [Ucol:INT = 5 ± 1, CON = 5 ± 1, p = 0.024]. USG, POMS-a, and PSQI were not significant between the groups. At-home daily afternoon Ucol was darker in the control group [INT = 3 ± 1, CON = 3 ± 1, p = 0.022]. Access to Creative Roots® provides a small, potentially meaningful hydration benefit in children. However, children still demonstrated consistent mild dehydration based on Uosmo, despite consuming the beverage.

scholarly journals Clinical Efficacy of a New Robot-assisted Gait Training System for Acute Stroke Patients

2021 ◽  
Author(s):  
Andy Chien ◽  
Fei-Chun Chang ◽  
Nai-Hsin Meng ◽  
Pei-Yu Yang ◽  
Ching Huang ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Acute Stroke ◽  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
Gait Training ◽  
Training System ◽  
Control Group ◽  
Stroke Patients ◽  
Robot Assisted ◽  
Significant Difference

Abstract Purpose Robot-assisted gait rehabilitation has been proposed as a plausible supplementary rehabilitation strategy in stroke rehabilitation in the last decade. However, its exact benefit over traditional rehabilitation remain sparse and unclear. It is therefore the purpose of the current study to comparatively investigate the clinical benefits of the additional robot-assisted training in acute stroke patients compared to standard hospital rehabilitation alone. Methods Ninety acute stroke patients (< 3 month) were recruited. All participants received the standard hospital neurorehabilitation comprises 45–60 min sessions daily for 3 weeks. Sixty patients also received an additional 30 min of robot-assisted gait training with the HIWIN MRG-P100 gait training system after each of the standard neurorehabilitation session. Outcome measures included: 1. Berg Balance Scale (BBS); 2. Brunnstrom Stage; 3. Pittsburgh Sleep Quality Index and 4. Taiwanese Depression Questionnaire (TDQ) which were assessed pre-treatment and then after every five training sessions. Results Both groups demonstrated significant improvement pre- and post-treatment for the BBS (robotic group p = 0.023; control group p = 0.033) but no significant difference (p > 0.1) between the groups were found. However, the robotic training group had more participants demonstrating larger BBS points of improvement as well as greater Brunnstrom stage of improvement, when compared to the control group. No significant within and between group statistical differences (p > 0.3) were found for Pittsburgh Sleep Quality Index and Taiwanese Depression Questionnaire. Conclusion The addition of robotic gait training on top of standard hospital neurorehabilitation for acute stroke patients appear to produce a slightly greater improvement in clinical functional outcomes, which is not transferred to psychological status.

Reliability and validity of the Hungarian version of the Pittsburgh Sleep Quality Index (PSQI-HUN): comparing psychiatric patients with control subjects

2016 ◽  
Vol 20 (3) ◽  
pp. 1045-1051 ◽  
Author(s):  
Johanna Takács ◽  
Róbert Bódizs ◽  
Péter Przemyslaw Ujma ◽  
Klára Horváth ◽  
Péter Rajna ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Quality Index ◽  
Pittsburgh Sleep Quality Index ◽  
Psychiatric Patients ◽  
Reliability And Validity ◽  
Control Subjects ◽  
Hungarian Version
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