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A gender perspective on sleeplessness behavior, effects of sleep loss, and coping resources in patients with stable coronary artery disease
Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Care, Nursing Science.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Neuroscience and Locomotion, Clinical Neurophysiology. Östergötlands Läns Landsting, Reconstruction Centre, Department of Neurophysiology UHL.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Care, Cardiology. Östergötlands Läns Landsting, Heart Centre, Department of Cardiology.ORCID iD: 0000-0002-2608-2062
2006 (English)In: Heart & Lung, ISSN 0147-9563, E-ISSN 1527-3288, Vol. 35, no 2, 75-89 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: The primary aim of this study was to systematically compare perceived sleep quality, sleeplessness behavior, sense of mastery, self-esteem, depression, subjective health, and effects of sleep loss in men and women with stable coronary artery disease (CAD). Further aims were to determine possible predictors of poor sleep quality and sense of mastery, as well as the consequences of too little sleep. METHODS: Comparative-correlation and predictive design were used. Patients with a history of stable angina pectoris scheduled to undergo coronary angiography at Linköping University Hospital in Sweden were included. There were 47 women and 88 men (mean age 62.4 years) with CAD. Structured interviews using validated questionnaires covered sleep quality and sleep habits, effects of sleep loss, psychologic resources, and depression. RESULTS: Multiple stepwise regression analysis showed that sleeplessness behavior, depressed mood, female gender, and pharmacologic treatments with inflammation inhibitors significantly (P < .0001) accounted for the variance of poorer sleep quality. The analysis also showed that the following factors in descending order significantly accounted (P < .0001) for the outcome of sleep quality: inability to feel refreshed by sleep, difficulty in maintaining sleep, gastrointestinal problems, too little sleep, final morning awakening time, sleep onset latency, lying down because of daytime tiredness, and daytime physical tiredness. CONCLUSIONS: Compared with men, women with stable CAD may be especially at risk of experiencing poor sleep quality, even when sleeplessness behavior and pharmacologic treatments with inflammation inhibitors are controlled. It is also possible that they may be more at risk of depressed mood. Copyright © 2006 by Mosby, Inc.

Place, publisher, year, edition, pages
2006. Vol. 35, no 2, 75-89 p.
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Medical and Health Sciences
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URN: urn:nbn:se:liu:diva-33455DOI: 10.1016/j.hrtlng.2005.09.008Local ID: 19476OAI: oai:DiVA.org:liu-33455DiVA: diva2:254278
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2017-12-13

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Edell-Gustafsson, UllaSvanborg, EvaSwahn, Eva

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Faculty of Health SciencesNursing ScienceClinical NeurophysiologyDepartment of Neurophysiology UHLCardiologyDepartment of Cardiology
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