Physiological and Psychological Correlates of Sleep in HIV Infection

School of Public Health, Department of Exercise Science, University of South Carolina, USA.
Clinical Nursing Research (Impact Factor: 1.28). 03/2004; 13(1):33-52. DOI: 10.1177/1054773803259655
Source: PubMed


Insomnia, a common problem associated with HIV disease, is most likely caused by a multitude of factors. This study investigated the correlations between a selected group of physiological and psychological factors and sleep quality in an HIV-infected population. A convenience sample of 79 ethnically diverse HIV-positive adults, ages 24 to 63, completed a number of questionnaires and released their laboratory records for CD4+ cell count and viral load information. Variables significantly related to sleep quality were HIV-related symptoms, total pain, fatigue, depression, state anxiety, and the number of adults in the household. Findings support the need for health care providers to consider factors that contribute to impaired sleep when developing effective care for HIV-infected individuals with sleep disturbance.

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Available from: Kenneth D Phillips, Oct 09, 2015
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    • "and others indicate that perceived stress is a significant psychological determinant of fatigue (Robbins et al., 2004). A common symptom of HIV that is highly related to fatigue is increased daytime sleepiness secondary to night time sleep disturbance (Hand et al., 2003; Phillips et al., 2004). "
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    ABSTRACT: The purpose of this study was to determine the correlation of perceived stress with selected physiological and psychological factors in an HIV-infected, predominantly African American population and to assess the multivariable effects on perceived stress. The variables that correlated significantly with perceived stress were entered into a backward stepwise regression model. Pearson's r analysis showed significant correlations between perceived stress and state and trait anxiety, depression, HIV-related symptoms, sleep quality, daytime sleepiness and fatigue. State and trait anxiety, depression and fatigue retained significance (p<0.1) in the final regression model. These factors explained approximately 80% of the variance in perceived stress. The significant interactions of multiple physiological and psychological correlates suggest that perceived stress is a complex outcome with a multifactorial etiology. Further, the model suggests that psychological factors may contribute to perceived stress in this population more than physiological factors such as HIV-related symptomatology or stage of disease.
    AIDS Care 11/2006; 18(8):1011-7. DOI:10.1080/09540120600568376 · 1.60 Impact Factor
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