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Subjective sleep impairment in adults with type 1 or type 2 diabetes: results from Diabetes MILES - the Netherlands

Nefs, Giesje, Donga, Esther, van Someren, Eus, Bot, Mariska, Speight, Jane and Pouwer, Francois 2015, Subjective sleep impairment in adults with type 1 or type 2 diabetes: results from Diabetes MILES - the Netherlands, Diabetes research and clinical practice, vol. 109, no. 3, pp. 466-475, doi: 10.1016/j.diabres.2015.07.008.

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Title Subjective sleep impairment in adults with type 1 or type 2 diabetes: results from Diabetes MILES - the Netherlands
Author(s) Nefs, Giesje
Donga, Esther
van Someren, Eus
Bot, Mariska
Speight, JaneORCID iD for Speight, Jane orcid.org/0000-0002-1204-6896
Pouwer, Francois
Journal name Diabetes research and clinical practice
Volume number 109
Issue number 3
Start page 466
End page 475
Total pages 10
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2015-09
ISSN 1872-8227
Keyword(s) Diabetes
Emotional distress
Fatigue
Glycaemic control
Self-care
Sleep quality
Science & Technology
Life Sciences & Biomedicine
Endocrinology & Metabolism
NOCTURNAL HYPOGLYCEMIC EVENTS
EXCESSIVE DAYTIME SLEEPINESS
ASSESSMENT SCALE FAS
GLYCEMIC CONTROL
SAMPLE CHARACTERISTICS
NATIONAL-SURVEY
QUALITY INDEX
DURATION
IMPACT
POPULATION
Summary AIMS: Despite growing recognition of the impact of sleep on diabetes, a clear profile of people with diabetes regarding subjective sleep impairment has yet to be established. This study examines: (1) subjective sleep characteristics in adults with type 1 and type 2 diabetes; (2) the relationship of poor subjective sleep quality with glycaemic control, self-care and daytime functioning; (3) possible risk markers for poor sleep quality. METHODS: In a cross-sectional study, Dutch adults with type 1 (n=267) or type 2 diabetes (n=361) completed an online survey, including the Pittsburgh Sleep Quality Index (PSQI), socio-demographic, clinical, self-care and psychological measures. RESULTS: Poor sleep quality (PSQI-score >5) was reported by 31% of adults with type 1 and 42% of adults with type 2 diabetes. Participants with good and poor sleep quality did not differ in self-reported HbA1c or the frequency of meeting lifestyle recommendations. Poor sleep quality was related to a higher self-care burden and higher levels of daytime sleepiness, fatigue, depressive and anxiety symptoms, and diabetes-specific distress. In multivariable logistic regression analyses examining risk markers, poor sleep quality was associated with depressive symptoms in adults with type 1 (OR=1.39, 95% CI 1.25-1.54) and type 2 diabetes (OR=1.31, 1.16-1.47), and with being female in those with type 2 diabetes (OR=2.72, 1.42-5.20). CONCLUSIONS: Poor subjective sleep quality is prevalent both in adults with type 1 and type 2 diabetes, and is related to poor daytime functioning and higher self-care burden. The temporal relation with depression and merits of therapy should be explored.
Language eng
DOI 10.1016/j.diabres.2015.07.008
Field of Research 1103 Clinical Sciences
110306 Endocrinology
Socio Economic Objective 920401 Behaviour and Health
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Elsevier
Persistent URL http://hdl.handle.net/10536/DRO/DU:30080656

Document type: Journal Article
Collection: School of Psychology
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