Journal of the Association of Nurses in AIDS Care · 2012 · 32 citations · 22 references
MedicinePharmacologyPharmacotherapyBehavioral MedicinePhysical ActivitySleep MedicineSleep AssessmentSleep BehaviorSleep DisturbanceSleep HealthSleep ManagementSleep PhysiologyDiurnal Activity PatternsSleepSleep Disturbance SeveritySleep Onset TimingSleep QualitySleep Quality AssessmentSleep Timing AssessmentSubjective Sleep Quality
As much as 73% of persons living with HIV (PLWH) experience sleep disturbances. It has been more than 10 years since the last study that objectively measured sleep behaviors in persons with HIV. The purpose of this pilot study was to explore sleep quality and rest-activity patterns in PLWH. Eight participants completed a sleep diary and 24-hour actigraphy for 1 week. Compared to accepted norms for "good sleepers," sleep diaries described moderate sleep disturbance, and actigraphy revealed severe sleep disturbance. Bedtime was variable from day to day. Analysis of 24-hour rest-activity patterns from actigraphy also indicated disorganization of sleep timing across days. Results of this pilot study suggest that sleep disturbance remains problematic in PLWH despite advancements in the disease management. Pharmacological interventions are effective but generally recommended for short-term use. Behavioral treatments may be useful for longer-term management of sleep patterns in PLWH, but further research is needed.
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John L. Falk · Contemporary Psychology · 1973 · 2.3K citations
Efficacy of Brief Behavioral Treatment for Chronic Insomnia in Older Adults
Daniel J. Buysse, Anne Germain, Douglas E. Moul et al. · Archives of Internal Medicine · 2011 · 551 citations · Full text
Age-associated difference in circadian sleep–wake and rest–activity rhythms
Yonglu Huang, Rong‐Yu Liu, Qingsong Wang et al. · Physiology & Behavior · 2002 · 295 citations