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5. Sleep in Parental Caregivers and Children with Type 1 Diabetes

Author

Feeley, Christine A., Sereika, Susan M., Chasens, Eileen R., Siminerio, Linda, Charron-Prochownik, Denise, Muzumdar, Radhika H., and Viswanathan, Pushpa

Abstract

The purpose of this cross-sectional, descriptive, pilot study was to examine the correlations in sleep between caregivers (=18 years) and young (6-12 years) children with type 1 diabetes. Sleep was measured in both parent and child over 7 days using actigraphy and a sleep diary. Parents completed questionnaires on sleep, stress, depressive symptoms, and demographics. Children completed pediatric anxiety and fatigue questionnaires, and A1C (Hemoglobin A1c) was documented at clinic. Descriptive statistics and Pearson correlations were used to analyze data. Parents (N = 18, mean age: 39.3 ± 5.4 years, 100% Caucasian, 83% mothers) and children (N = 18, mean age: 9.6 ± 2.4 years, diagnosed for mean 3.0 ± 2.4 years, 66% female, mean A1C: 7.5 ± 0.8%) were recruited. Strong to moderate correlations were found for several measures including sleep measures based on actigraphy: mean sleep duration (hours; 7.6 ± 0.7 for parents and 8.8 ± 0.8 for children; r = 0.638, p = 0.004), mean sleep efficiency (r = 0.823, p < 0.001), and mean daily wake after sleep onset (minutes; r = 0.530, p = 0.024).

Published
2021
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8. Sleep and Metabolic Syndrome

Author

Chasens, Eileen R., Imes, Christopher C., Kariuki, Jacob K., Luyster, Faith S., Morris, Jonna L., DiNardo, Monica M., Godzik, Cassandra M., Jeon, Bomin, and Yang, Kyeongra

Published
2021
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15. Wake-up Call

Author

Imes, Christopher C., primary, Tucker, Sharon J., additional, Trinkoff, Alison M., additional, Chasens, Eileen R., additional, Weinstein, Sharon M., additional, Dunbar-Jacob, Jacqueline, additional, Patrician, Patricia A., additional, Redeker, Nancy S., additional, and Baldwin, Carol M., additional

Published
2023
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22. Sleep Among Working Adults

Author

Luyster, PhD, Faith S., primary, Baniak, Lynn M., additional, Chasens, Eileen R., additional, Feeley, Christine A., additional, Imes, Christopher C., additional, and Morris, Jonna L., additional

Published
2019
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29. Comorbid obstructive sleep apnea and insomnia and its associations with mood and diabetes-related distress in type 2 diabetes mellitus

Author

Jeon, Bomin, Luyster, Faith S., Sereika, Susan M., DiNardo, Monica M., Callan, Judith A., and Chasens, Eileen R.

Subjects
Pulmonary and Respiratory Medicine, Affect, Sleep Apnea, Obstructive, Diabetes Mellitus, Type 2, Neurology, Sleep Initiation and Maintenance Disorders, Humans, Comorbidity, Neurology (clinical), Scientific Investigations
Abstract

STUDY OBJECTIVES: Previous research suggests that obstructive sleep apnea (OSA) and insomnia frequently coexist and are prevalent in persons with type 2 diabetes mellitus. This study compared mood and diabetes-related distress among OSA, insomnia, and comorbid OSA and insomnia groups in persons with type 2 diabetes mellitus. METHODS: A secondary analysis was conducted with baseline data from 2 independent randomized controlled trials evaluating the efficacy of OSA and insomnia treatment. The pooled sample (n = 224) included participants with OSA only (n = 68 [30.4%]), insomnia only (n = 107 [47.8%]), and OSA and insomnia (OSA+insomnia; n = 49 [21.9%]). OSA was defined as an apnea-hypopnea index ≥ 15 events/h; insomnia was defined as an Insomnia Severity Index score ≥ 15. Mood was measured by the Profile of Mood States total and subscale scores; diabetes-related distress was assessed by the Problem Areas in Diabetes questionnaire. One-way analysis of covariance and multivariate analysis of covariance were conducted, controlling for demographic characteristics and restless legs syndrome. RESULTS: The insomnia group had on average significantly higher scores for total mood disturbance (insomnia vs OSA = 45.32 vs 32.15, P = .049), tension-anxiety (insomnia vs OSA = 12.64 vs 9.47, P = .008), and confusion-bewilderment (insomnia vs OSA = 9.45 vs 7.46, P = .036) than the OSA group. The OSA+insomnia group had on average significantly greater diabetes-related distress than the OSA group (OSA+insomnia vs OSA = 40.61 vs 30.97, P = .036). CONCLUSIONS: Insomnia may have greater impact on mood disturbance and diabetes-related distress than OSA in persons with type 2 diabetes mellitus. In particular, comorbid insomnia may contribute to greater diabetes-related distress in persons with type 2 diabetes mellitus and OSA. CITATION: Jeon B, Luyster FS, Sereika SM, DiNardo MM, Callan JA, Chasens ER. Comorbid obstructive sleep apnea and insomnia and its associations with mood and diabetes-related distress in type 2 diabetes mellitus. J Clin Sleep Med. 2022;18(4):1103–1111.

Published
2022

32. Wake-up Call: Night Shifts Adversely Affect Nurse Health and Retention, Patient and Public Safety, and Costs.

Author

Imes, Christopher C., Tucker, Sharon J., Trinkoff, Alison M., Chasens, Eileen R., Weinstein, Sharon M., Dunbar-Jacob, Jacqueline, Patrician, Patricia A., Redeker, Nancy S., and Baldwin, Carol M.

Subjects
SHIFT systems, COGNITION disorders, WORK environment, INDUSTRIAL safety, JOB stress, MEDICAL care costs, MENTAL health, SLEEP disorders, MEDICAL errors, NURSES, QUALITY of life, ALCOHOL drinking, INDUSTRIAL hygiene, EMPLOYEE retention, PATIENT safety, EATING disorders
Abstract

The purpose of this mini review is to (1) summarize the findings on the impact of night shift on nurses' health and wellness, patient and public safety, and implications on organizational costs and (2) provide strategies to promote night shift nurses' health and improve organizational costs. The night shift, compared with day shift, results in poorer physical and mental health through its adverse effects on sleep, circadian rhythms, and dietary and beverage consumption, along with impaired cognitive function that increases nurse errors. Nurse administrators and health care organizations have opportunities to improve nurse and patient safety on night shifts. Low-, moderate-, and higher-cost measures that promote night nurses' health and well-being can help mitigate these negative outcomes. The provided individual and organizational recommendations and innovations support night shift nurses' health, patient and public safety, and organizational success. [ABSTRACT FROM AUTHOR]

Published
2023
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35. Psychometric Evaluation of the Social Problem-Solving Inventory-Revised among Overweight or Obese Adults

Author

Wang, Jing, Matthews, Judith T., Sereika, Susan M., Chasens, Eileen R., Ewing, Linda J., and Burke, Lora E.

Abstract

Problem solving is a key component of weight loss programs. The Social Problem Solving Inventory-Revised (SPSI-R) has not been evaluated in weight loss studies. The purpose of this study was to evaluate the psychometrics of the SPSI-R. Cronbach's a (0.95 for total score; 0.67-0.92 for subscales) confirmed internal consistency reliability. The SPSI-R score was significantly associated ("ps" < 0.05) with decreased eating barriers and binge eating, increased self-efficacy in following a cholesterol-lowering diet, consumption of fewer calories and fat grams, more frequent exercise, lower psychological distress, and higher mental quality of life; all suggesting concurrent validity with other instruments used in weight loss studies. However, confirmatory factor analysis of the hypothesized five-factor structure did not fit the data well (?[superscript 2] = 350, "p" < 0.001).

Published
2013
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40. Sleep problems and associations with cardiovascular disease and all-cause mortality in asthma-chronic obstructive pulmonary disease overlap: analysis of the National Health and Nutrition Examination Survey (2007–2012)

Author

Baniak, Lynn M., primary, Scott, Paul W., additional, Chasens, Eileen R., additional, Imes, Christopher C., additional, Jeon, Bomin, additional, Shi, Xiaojun, additional, Strollo, Patrick J., additional, and Luyster, Faith S., additional

Published
2022
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47. Research priorities to reduce risks from work hours and fatigue in the healthcare and social assistance sector

Author

Caruso, Claire C., primary, Arbour, Megan W., additional, Berger, Ann M., additional, Hittle, Beverly M., additional, Tucker, Sharon, additional, Patrician, Patricia A., additional, Trinkoff, Alison M., additional, Rogers, Ann E., additional, Barger, Laura K., additional, Edmonson, J. Cole, additional, Landrigan, Christopher P., additional, Redeker, Nancy S., additional, and Chasens, Eileen R., additional

Published
2022
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49. Obstructive Sleep Apnea Risk is Associated with Severity of Metabolic Syndrome: NHANES 2015–2018

Author

Kariuki, Jacob K., Yang, Kyeongra, Scott, Paul W., Chasens, Eileen R., Godzik, Cassandra, Luyster, Faith S., and Imes, Christopher C.

Subjects
Adult, Male, Metabolic Syndrome, Sleep Apnea, Obstructive, Young Adult, Risk Factors, Humans, Female, Overweight, Nutrition Surveys, Article, Body Mass Index
Abstract

Metabolic syndrome (MetS) and obstructive sleep apnea (OSA) are associated with increased risk of cardiometabolic disease. The co-occurrence of OSA with MetS is common, but there are limited data on how OSA risk exacerbates the metabolic impairments present in MetS. The purpose of this analysis was to examine in a representative sample of participants in the National Health and Nutrition Examination Survey 2015-2018 cohorts (1) the association of modifiable cardiometabolic risk factors with OSA risk and MetS severity and (2) the influence of OSA risk and lifestyle behaviors on MetS severity.Metabolic syndrome severity was assessed using MetS Z score, whereas the risk of OSA was measured via multivariable apnea prediction index. Data analyses were conducted using the sample weights provided by the National Health and Nutrition Examination Survey.The sample (N = 11 288) included adults (20 years old) who were overweight (mean body mass index, 29.6 ± 0.2 kg/m 2 ), representative by race (36.9% non-White) and gender (51.9% female). Overall, 19.3% of the sample had elevated MetS severity (MetS Z score ≥ 1), and 38.4% were at a high risk of OSA (multivariable apnea prediction score of ≥0.50). High OSA risk was associated with having elevated MetS severity (odds ratio [OR], 4.94; 95% confidence interval [CI], 3.68-6.65). Obstructive sleep apnea risk predicted increased MetS severity (adjusted: B = 0.06, SE = 0.02, P = .013). Physical activity provided the highest protection from increased MetS severity (OR, 0.52; 95% CI, 0.39-0.70) and OSA risk (OR, 0.59; 95% CI, 0.53-0.66).Our findings suggest that increased OSA risk exacerbates MetS severity and that greater physical activity may mitigate the risk.

Published
2021

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