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Social timing influences sleep quality in patients with sleep disorders

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Resumo:Objectives: We aimed to compare three variants of the Pittsburgh Sleep Quality Index (PSQI usual, work- and work-free days: PSQIu, PSQIw, PSQIf) and to assess whether chronotype (MSFsc)/social jetlag (SJL) are associated with sleep quality in patients with sleep disorders (SD). Methods: In sum, 431 SD patients and 338 subjects from the general population (GP) were included. Participants filled in three variants of the PSQI and the Munich ChronoType Questionnaire (MCTQ). We used Generalized Estimating Equations (GEE) to investigate effects of group (GP, SD), PSQI (usual, work or free) and their interaction (group∗PSQI) on scores. To investigate associations between MSFsc/SJL and the difference between PSQIw and PSQIf (PSQIdiff) in patients with SD we used linear regressions (N = 352). We used Sobel to test whether there was a mediation effect of SJL on the association between MSFsc and PSQIdiff. Results: PSQI scores differed between groups (p < 0.001). Post-hoc analysis revealed a significant difference between PSQIu vs. PSQIf and PSQIw vs. PSQIf with PSQIf presenting lower scores, while PSQIu vs. PSQIw did not differ in any group. In line with previous findings, SJL was associated to PSQIdiff in SD patients. Conclusions: PSQIu mainly represents sleep quality on workdays also in SD patients. Being a late chronotype seems to be associated with higher differences in sleep quality on work-vs. free days mostly when it coincides with societal time constraints. Since sleep quality is poorer on workdays even in SD patients, we suggest that treatment strategies should address social aspects affecting sleep, including ways of minimizing SJL.
Autores principais:Reis, Cátia
Outros Autores:Pilz, Luisa K.; Keller, Lena Katharina; Paiva, Teresa; Roenneberg, Till
Assunto:PSQI Sleep disorders Sleep quality Chronotype Social jetlag
Ano:2020
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso restrito
Instituição associada:Universidade de Lisboa
Idioma:inglês
Origem:Repositório da Universidade de Lisboa
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author Reis, Cátia
author2 Pilz, Luisa K.
Keller, Lena Katharina
Paiva, Teresa
Roenneberg, Till
author2_role author
author
author
author
author_facet Reis, Cátia
Pilz, Luisa K.
Keller, Lena Katharina
Paiva, Teresa
Roenneberg, Till
author_role author
contributor_name_str_mv Repositório Científico de Acesso Aberto da ULisboa
country_str PT
creators_json_txt [{\"Person.name\":\"Reis, Cátia\",\"Person.identifier.orcid\":\"0000-0001-6585-3993\"},{\"Person.name\":\"Pilz, Luisa K.\",\"Person.identifier.orcid\":\"0000-0001-7328-6204\"},{\"Person.name\":\"Keller, Lena Katharina\",\"Person.identifier.orcid\":\"0000-0002-2231-812X\"},{\"Person.name\":\"Paiva, Teresa\",\"Person.identifier.orcid\":\"0000-0002-7937-7841\"},{\"Person.name\":\"Roenneberg, Till\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Repositório Científico de Acesso Aberto da ULisboa
datacite.creators.creator.creatorName.fl_str_mv Reis, Cátia
Pilz, Luisa K.
Keller, Lena Katharina
Paiva, Teresa
Roenneberg, Till
datacite.date.Accepted.fl_str_mv 2020-01-01T00:00:00Z
datacite.date.available.fl_str_mv 2020-07-21T10:20:31Z
datacite.date.embargoed.fl_str_mv 2020-07-21T10:20:31Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_16ec
datacite.subjects.subject.fl_str_mv PSQI
Sleep disorders
Sleep quality
Chronotype
Social jetlag
datacite.titles.title.fl_str_mv Social timing influences sleep quality in patients with sleep disorders
dc.contributor.none.fl_str_mv Repositório Científico de Acesso Aberto da ULisboa
dc.creator.none.fl_str_mv Reis, Cátia
Pilz, Luisa K.
Keller, Lena Katharina
Paiva, Teresa
Roenneberg, Till
dc.date.Accepted.fl_str_mv 2020-01-01T00:00:00Z
dc.date.available.fl_str_mv 2020-07-21T10:20:31Z
dc.date.embargoed.fl_str_mv 2020-07-21T10:20:31Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10451/44067
dc.language.none.fl_str_mv eng
dc.publisher.none.fl_str_mv Elsevier
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_16ec
dc.subject.none.fl_str_mv PSQI
Sleep disorders
Sleep quality
Chronotype
Social jetlag
dc.title.fl_str_mv Social timing influences sleep quality in patients with sleep disorders
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Objectives: We aimed to compare three variants of the Pittsburgh Sleep Quality Index (PSQI usual, work- and work-free days: PSQIu, PSQIw, PSQIf) and to assess whether chronotype (MSFsc)/social jetlag (SJL) are associated with sleep quality in patients with sleep disorders (SD). Methods: In sum, 431 SD patients and 338 subjects from the general population (GP) were included. Participants filled in three variants of the PSQI and the Munich ChronoType Questionnaire (MCTQ). We used Generalized Estimating Equations (GEE) to investigate effects of group (GP, SD), PSQI (usual, work or free) and their interaction (group∗PSQI) on scores. To investigate associations between MSFsc/SJL and the difference between PSQIw and PSQIf (PSQIdiff) in patients with SD we used linear regressions (N = 352). We used Sobel to test whether there was a mediation effect of SJL on the association between MSFsc and PSQIdiff. Results: PSQI scores differed between groups (p < 0.001). Post-hoc analysis revealed a significant difference between PSQIu vs. PSQIf and PSQIw vs. PSQIf with PSQIf presenting lower scores, while PSQIu vs. PSQIw did not differ in any group. In line with previous findings, SJL was associated to PSQIdiff in SD patients. Conclusions: PSQIu mainly represents sleep quality on workdays also in SD patients. Being a late chronotype seems to be associated with higher differences in sleep quality on work-vs. free days mostly when it coincides with societal time constraints. Since sleep quality is poorer on workdays even in SD patients, we suggest that treatment strategies should address social aspects affecting sleep, including ways of minimizing SJL.
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eu_rights_str_mv restrictedAccess
format article
fulltext.url.fl_str_mv https://repositorio.ulisboa.pt/bitstreams/645b0fe1-8d13-43b0-84c6-760e599a52ee/download
funding.funder.alternateName_str_mv FCT
funding.funder.identifier_str_mv http://doi.org/10.13039/501100001871
funding.funder.name_str_mv Fundação para a Ciência e a Tecnologia
id ul_6a56d2788cf3ad4dafdbbf64eb554abf
identifier.url.fl_str_mv http://hdl.handle.net/10451/44067
instacron_str ul
institution Universidade de Lisboa
instname_str Universidade de Lisboa
language eng
network_acronym_str ul
network_name_str Repositório da Universidade de Lisboa
oai_identifier_str oai:repositorio.ulisboa.pt:10451/44067
organization_str_mv urn:organizationAcronym:ul
person_str_mv Reis, Cátia
Reis, Cátia
https://www.ciencia-id.pt/C817-4B30-902F
C817-4B30-902F
http://orcid.org/0000-0001-6585-3993
0000-0001-6585-3993
Pilz, Luisa K.
Pilz, Luisa K.
https://www.ciencia-id.pt/6211-30AA-E94C
6211-30AA-E94C
http://orcid.org/0000-0001-7328-6204
0000-0001-7328-6204
Keller, Lena Katharina
Keller, Lena Katharina
http://orcid.org/0000-0002-2231-812X
0000-0002-2231-812X
Paiva, Teresa
Paiva, Teresa
https://www.ciencia-id.pt/7B10-224A-DB1D
7B10-224A-DB1D
http://orcid.org/0000-0002-7937-7841
0000-0002-7937-7841
Roenneberg, Till
publishDate 2020
publisher.none.fl_str_mv Elsevier
reponame_str Repositório da Universidade de Lisboa
repository_id_str urn:repositoryAcronym:ul
service_str_mv urn:repositoryAcronym:ul
spelling engElsevierpt_PTObjectives: We aimed to compare three variants of the Pittsburgh Sleep Quality Index (PSQI usual, work- and work-free days: PSQIu, PSQIw, PSQIf) and to assess whether chronotype (MSFsc)/social jetlag (SJL) are associated with sleep quality in patients with sleep disorders (SD). Methods: In sum, 431 SD patients and 338 subjects from the general population (GP) were included. Participants filled in three variants of the PSQI and the Munich ChronoType Questionnaire (MCTQ). We used Generalized Estimating Equations (GEE) to investigate effects of group (GP, SD), PSQI (usual, work or free) and their interaction (group∗PSQI) on scores. To investigate associations between MSFsc/SJL and the difference between PSQIw and PSQIf (PSQIdiff) in patients with SD we used linear regressions (N = 352). We used Sobel to test whether there was a mediation effect of SJL on the association between MSFsc and PSQIdiff. Results: PSQI scores differed between groups (p < 0.001). Post-hoc analysis revealed a significant difference between PSQIu vs. PSQIf and PSQIw vs. PSQIf with PSQIf presenting lower scores, while PSQIu vs. PSQIw did not differ in any group. In line with previous findings, SJL was associated to PSQIdiff in SD patients. Conclusions: PSQIu mainly represents sleep quality on workdays also in SD patients. Being a late chronotype seems to be associated with higher differences in sleep quality on work-vs. free days mostly when it coincides with societal time constraints. Since sleep quality is poorer on workdays even in SD patients, we suggest that treatment strategies should address social aspects affecting sleep, including ways of minimizing SJL.application/pdfpt_PTSocial timing influences sleep quality in patients with sleep disordersPersonalReis, CátiaDSpacehttp://dspace.org/items/39014fe9-c831-4a22-ae3c-e464f35592ccDSpacehttp://dspace.org/items/39014fe9-c831-4a22-ae3c-e464f35592ccPeixinho ReisCátia CristinaCiência IDhttps://www.ciencia-id.ptC817-4B30-902FORCIDhttp://orcid.org0000-0001-6585-3993PersonalPilz, Luisa K.DSpacehttp://dspace.org/items/fbe7ae24-a57f-41a4-9ea7-f59d2162f18aDSpacehttp://dspace.org/items/fbe7ae24-a57f-41a4-9ea7-f59d2162f18aPilzLuisa K.Ciência IDhttps://www.ciencia-id.pt6211-30AA-E94CORCIDhttp://orcid.org0000-0001-7328-6204Scopus Author IDhttps://www.scopus.com54967029600PersonalKeller, Lena KatharinaDSpacehttp://dspace.org/items/059c7c9f-23ed-4673-99e3-e013be71c900DSpacehttp://dspace.org/items/059c7c9f-23ed-4673-99e3-e013be71c900KellerLena KatharinaORCIDhttp://orcid.org0000-0002-2231-812XPersonalPaiva, TeresaDSpacehttp://dspace.org/items/c720c5dd-a926-4737-938d-a90e782dd837DSpacehttp://dspace.org/items/c720c5dd-a926-4737-938d-a90e782dd837PaivaMaria Teresa Aguiar dos SantosCiência IDhttps://www.ciencia-id.pt7B10-224A-DB1DORCIDhttp://orcid.org0000-0002-7937-7841Scopus Author IDhttps://www.scopus.com7005950248Roenneberg, TillHostingInstitutionOrganizationalRepositório Científico de Acesso Aberto da ULisboae-mailmailto:repositorio@reitoria.ulisboa.ptrepositorio@reitoria.ulisboa.ptISSNIsPartOf1389-9457DOIIsPartOf10.1016/j.sleep.2020.02.0192020-07-21T10:20:31Z20202020-01-01T00:00:00ZHandlehttp://hdl.handle.net/10451/44067http://purl.org/coar/access_right/c_16ecrestricted accessPSQISleep disordersSleep qualityChronotypeSocial jetlag649833 bytesFundação para a Ciência e a TecnologiaDelayed Sleep/Wake Phae Disorder DSWPD: shifts and synchronisation in phase analysisCrossref Funder IDhttp://doi.org/10.13039/501100001871literaturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_16ecapplication/pdffulltexthttps://repositorio.ulisboa.pt/bitstreams/645b0fe1-8d13-43b0-84c6-760e599a52ee/downloadSleep Medicine71817
spellingShingle Social timing influences sleep quality in patients with sleep disorders
Reis, Cátia
PSQI
Sleep disorders
Sleep quality
Chronotype
Social jetlag
status SINGLETON
subject.fl_str_mv PSQI
Sleep disorders
Sleep quality
Chronotype
Social jetlag
title Social timing influences sleep quality in patients with sleep disorders
title_full Social timing influences sleep quality in patients with sleep disorders
title_fullStr Social timing influences sleep quality in patients with sleep disorders
title_full_unstemmed Social timing influences sleep quality in patients with sleep disorders
title_short Social timing influences sleep quality in patients with sleep disorders
title_sort Social timing influences sleep quality in patients with sleep disorders
topic PSQI
Sleep disorders
Sleep quality
Chronotype
Social jetlag
topic_facet PSQI
Sleep disorders
Sleep quality
Chronotype
Social jetlag
url http://hdl.handle.net/10451/44067
visible 1

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