Grupo: Psicofisiología Clínica y Promoción de la Salud (CTS261)https://hdl.handle.net/10481/445962024-03-29T04:35:21Z2024-03-29T04:35:21ZFibromyalgia: Gender differences and sleep-disordered breathingPrados García, GermánMiró Morales, María ElenaMartínez Narváez-Cabeza de Vaca, María del PilarSánchez Gómez, Ana IsabelLópez, SalvadorSáez, Germánhttps://hdl.handle.net/10481/889622024-02-12T07:46:45ZFibromyalgia: Gender differences and sleep-disordered breathing
Prados García, Germán; Miró Morales, María Elena; Martínez Narváez-Cabeza de Vaca, María del Pilar; Sánchez Gómez, Ana Isabel; López, Salvador; Sáez, Germán
Objective. The prevalence of fibromyalgia (FM) is much lower in men than in women. Therefore, current knowledge about this chronic pain syndrome emerged mainly from research on women. The aim of the present study was to compare clinical symptoms and sleep parameters between women and men FM patients.
Methods. Forty FM patients (18 men and 22 women) aged 48.00±8.45 years were evaluated with questionnaires on pain, sleep, fatigue, depression, anxiety and functional impact, and polysomnography (PSG).
Results. 61% of men FM patients had an apnea-hypopnea index (AHI) greater than 15, compared to 31.8% of women, and desaturation index (DI) above five was twice more prevalent in men than in women. In addition, men patients had lower sleep quality (16.05±2.92% vs. 13.08±3.88%; p= 0.01) and slow wave sleep (SWS) (stage 3 duration: 9.02±7.84% vs. 14.44±7.32%; p= 0.03) than women. No differences were found between the two groups in level of pain, emotional distress, or daily functioning. However, pain in men, fatigue in women, and functional impact in both sexes seemed to be related to worse sleep quality. Also in women, alterations in total sleep time (TST) and rapid eye movement (REM) sleep features appeared to be related to emotional status.
Conclusions. Alterations in sleep respiratory patterns were more highly prevalent in men than in women FM patients. More so in men FM patients, the alterations in sleep patterns, non-refreshing sleep, and other FM-related symptoms observed in this population might be part of a primary sleep-disordered breathing.
Psychometric properties of the Spanish version of the Sleep Hygiene IndexPrados García, GermánFlorian, ChouchouCarrión Pantoja, SaraFernández Puerta, LauraPérez Mármol, José Manuelhttps://hdl.handle.net/10481/879682024-02-02T08:02:46ZPsychometric properties of the Spanish version of the Sleep Hygiene Index
Prados García, Germán; Florian, Chouchou; Carrión Pantoja, Sara; Fernández Puerta, Laura; Pérez Mármol, José Manuel
The Sleep Hygiene Index (SHI) has shown adequate psychometric properties in samples from several countries but has not been validated in Spanish. The aims of the study were to translate the original (i.e., English) version of the SHI into Spanish and to evaluate the psychometric properties of this instrument (i.e., factor structure, internal consistency reliability, and concurrent, predictive and discriminant validity) in Spanish adults. The overall sample, comprising 548 university students, was divided into two groups based on their self-reported insomnia symptoms (Insomnia Severity Index) because sleep hygiene has been shown to be closely related to insomnia. The Pittsburgh Sleep Quality Index and Stanford Sleepiness Scale were used for testing concurrent validity. The Depression, Anxiety and Stress Scale was used for testing predictive validity. Three items were dropped from the original SHI scale due to their low factor loadings. A principal component analysis revealed a four-factor solution for the SHI, accounting for 65.58% of the total variance in the overall sample, for 65.34% in the non-insomnia group, and for 63.50% in the insomnia group. Factor 1 comprised items regarding sleep-disrupting behaviors; Factor 2 comprised items regarding cognitive activation; Factor 3 comprised items about bedroom comfort; and Factor 4 comprised items on sleep/wake time. Omega coefficient indices for the SHI ranged from .751 to .878 in the overall sample, from .734 to .822 in the non-insomnia group, and from .724 to .835 in the insomnia group. The Spanish version of the SHI can be regarded as a reliable tool with adequate concurrent and predictive validity for assessing sleep hygiene in Spanish people with or without insomnia symptoms.
Sleep quality, clinical and psychological manifestations in women with Systemic Lupus ErythematosusMoraleda, VirginiaPrados García, GermánMartínez Narváez-Cabeza de Vaca, María del PilarSánchez Gómez, Ana IsabelSabio, José MarioMiró Morales, María Elenahttps://hdl.handle.net/10481/879432024-02-01T13:00:07ZSleep quality, clinical and psychological manifestations in women with Systemic Lupus Erythematosus
Moraleda, Virginia; Prados García, Germán; Martínez Narváez-Cabeza de Vaca, María del Pilar; Sánchez Gómez, Ana Isabel; Sabio, José Mario; Miró Morales, María Elena
Aim: Sleep problems are a common complaint in Systemic Lupus Erythematosus (SLE) patients. We analyzed sleep quality with subjective and objective measures in a sample with SLE and its possible relationships with the main manifestations of the disease.
Method: 21 women with SLE and 20 healthy women participated in the study. All participants were evaluated with actigraphy for a week and they completed self-report instruments of sleep quality, quality of life, fatigue, anxiety, depression and perceived stress. Comparison analyses between the two groups were done using Chi-square and t-Student. The association between sleep quality and the remaining variables was explored using Pearson correlation coefficients.
Results: SLE patients had higher fragmentation index in the actigraphic analysis and a perception of poorer sleep quality more fatigue, anxiety and depression than the control group. Bivariate analyses showed that the perception of more sleep disturbance and daytime dysfunction was associated with a lower health-related quality of life, more fatigue, emotional discomfort and more perceived stress. Also the fragmentation index in the actigraphy was significantly related to the perception of poorer quality of sleep.
Conclusion: SLE women had a poorer sleep quality (objective and subjective). These alterations could play a modulatory role in clinical and psychological manifestations of the disease and affect the quality of life in this population. More research is needed to clarify these relations and to determine the potential benefits of interventions directed to improve sleep in the clinical managing of the patients with SLE.
Interventions that Improve Sleep in Caregivers of Adult Care-Recipients: A Systematic ReviewPrados García, Germánhttps://hdl.handle.net/10481/879022024-02-01T10:26:58ZInterventions that Improve Sleep in Caregivers of Adult Care-Recipients: A Systematic Review
Prados García, Germán
The purpose of the present review was to compile and analyze all interventions aimed at improving the sleep-rest pattern of caregivers of adult care recipients. A database search was performed in PubMed, Embase, Scopus, CINAHL and PsycINFO. Twenty-four papers published between 1998 and 2020 met the inclusion criteria. Informal caregivers can benefit from various types of sleep interventions, including (a) cognitive-behavioral sleep interventions (CBIs), (b) caregiver health interventions (CHIs) and (c) exercise programs. Other types of interventions such as acupressure, back massage, reflexology, music and heart rate variability biofeedback sessions may have beneficial effects on the sleep of caregivers. Yet, studies on this topic are heterogeneous and often have considerable methodological shortcomings. Few clinical trials have explored sleep problems as a dyadic caregiver-patient relationship. It is necessary to conduct new clinical trials to determine the viability and level of evidence of the various strategies aimed at improving sleep of informal caregivers.
Conducta sexual y realización de la prueba del virus de la inmunodeficiencia humana en jóvenes que estudian en la universidad en Cuzco (Perú)Bermúdez Sánchez, María De La PazRamiro, María TeresaTeva Álvarez, Inmaculada MaríaRamiro Sánchez, TamaraBuela Casal, Gualbertohttps://hdl.handle.net/10481/557302021-06-15T12:44:29ZConducta sexual y realización de la prueba del virus de la inmunodeficiencia humana en jóvenes que estudian en la universidad en Cuzco (Perú)
Bermúdez Sánchez, María De La Paz; Ramiro, María Teresa; Teva Álvarez, Inmaculada María; Ramiro Sánchez, Tamara; Buela Casal, Gualberto
Objetivo: El objetivo era analizar la conducta sexual, la realización de la prueba del virus de la inmunodeficiencia
humana (VIH), las intenciones para hacérsela y los motivos para no realizársela en jóvenes
estudiantes en la universidad en Cuzco (Perú).
Métodos: Participaron 1377 estudiantes universitarios/as de diversas instituciones de educación superior
de Cuzco (Perú). El rango de edad era de 16 a 30 a˜nos. Se aplicó un cuestionario sobre conducta sexual y
realización de la prueba del VIH. El tama˜no de la muestra se estableció considerando un nivel de confianza
del 97% y un error de estimación del 3%. El cuestionario se cumplimentó en las aulas durante las horas
lectivas.
Resultados: Un mayor porcentaje de varones que de mujeres ha tenido sexo vaginal, anal y oral, un mayor
número de parejas sexuales y un inicio a una edad más temprana en el sexo vaginal y oral. Un mayor
porcentaje de mujeres que de varones no utilizó el preservativo en la primera relación sexual anal y tenía
un mayor índice de riesgo anal. La mayoría de los/las jóvenes no se había realizado nunca la prueba del
VIH. El principal motivo para no hacérsela era la seguridad de no estar infectados/as.
Conclusiones: Parece existir una baja percepción de riesgo frente al VIH en los/las jóvenes a pesar de implicarse
en conductas sexuales de riesgo. Es necesaria la realización de campa˜nas de prevención dirigidas
tanto a la población general como a las poblaciones clave, y considerar especialmente a la juventud.; Objective: To analyse sexual behaviour, HIV testing, HIV testing intentions and reasons for not testing for
HIV in university students from Cuzco (Peru).
Methods: The sample comprised 1,377 university students from several institutions from Cuzco (Peru).
The size of the sample was set according to a maximum 3% error estimation and a 97% confidence interval.
Ages ranged from 16 to 30 years old. The data were collected through a self-administered, anonymous
and voluntary questionnaire regarding sexual behaviour and HIV testing. The data were collected in
classrooms during teaching hours.
Results: A higher percentage of males than females reported having had vaginal, anal and oral sex, a
higher number of sexual partners and an earlier age at first vaginal and oral sex. A higher percentage
of females than males did not use condoms when they first had anal sex and had a higher anal sex-risk
index. Most of the participants had never been HIV tested. The main reason was that they were sure that
they were not HIV infected.
Conclusions: It seems that there was a low HIV risk perception in these participants despite the fact
that they had been involved in sexual risk behaviours. Prevention campaigns focused on the general
population as well as the at-risk populations and young people are needed.