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Factors related to sleep disturbances for individuals with Parkinson’s disease: a regional perspective

Published online by Cambridge University Press:  23 September 2019

Rachael Wade ,
Nancy A. Pachana ,
George Mellick  and
Nadeeka Dissanayaka
Rachael Wade
Affiliation:
School of Psychology, The University of Queensland, Brisbane, Australia UQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia
Nancy A. Pachana
Affiliation:
School of Psychology, The University of Queensland, Brisbane, Australia
George Mellick
Affiliation:
Eskitis Institute for Drug Discovery, Brisbane, Australia
Nadeeka Dissanayaka*
Affiliation:
School of Psychology, The University of Queensland, Brisbane, Australia UQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia Department of Neurology, Royal Brisbane & Women’s Hospital, Brisbane, Australia
*
Correspondence should be addressed to: Nadeeka Dissanayaka, University of Queensland Centre for Clinical Research, Royal Brisbane & Women’s Hospital Campus, Herston QLD 4029, Australia. Phone: + 61 7 33466026; Fax: +61 7 33465599. Email: n.dissanayaka@uq.edu.au.
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Abstract

Objectives:

Sleep disturbances negatively impact the quality of life of patients with Parkinson’s disease (PD). While persons living in regional areas are at higher risk of PD, PD is poorly managed in regional communities. This study examined factors associated with sleep problems in PD in a regional context.

Design:

A mixed-methods cross-sectional design was used.

Participants:

Patients with PD were recruited from the Queensland Parkinson’s Project database.

Measurements:

Those who agreed to participate were sent a questionnaire assessing aspects of sleep, depression, anxiety, quality of life, and PD severity. Qualitative information was also gathered. Correlations between variables were examined; thematic analyses were performed for qualitative data.

Results:

All participants (n = 49) reported sleep disturbances, with 73% (n = 36) reporting sleep disturbance to be problematic. Global sleep dysfunction positively correlated with daytime napping (r = .34, p = .01), watching the clock when unable to sleep (r = .38, p = <.01), staying in bed when unable to sleep (r = .43, p = <.01), and going to bed hungry (r = .31, p = .03) and negatively correlated with daytime exercise (r = -.32, p = .02). Positive correlations were observed between global sleep dysfunction and depression (r = .55, p = <.01), anxiety (r = .31, p = .04), and dysfunctional sleep beliefs (r = .39, p = <.01).

Conclusion:

There is a clear need for identifying factors related to sleep disturbances in PD for effective management.

Keywords

agingfactorsdepressionanxietyquality of lifeinterventionsregionalrural
Type
Original Research Article
Information
International Psychogeriatrics , Volume 32 , Issue 7: Issue Theme: Sleep and Sleep Disorders in Older Adults , July 2020 , pp. 827 - 838
Copyright
© International Psychogeriatric Association 2019

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