Relationship Between Sleep and Depression in Individuals with Post-Stroke AphasiaZarbis, Kaitlin (2023) Relationship Between Sleep and Depression in Individuals with Post-Stroke Aphasia. Master's Thesis, University of Pittsburgh. (Unpublished)
AbstractBackground: Many stroke survivors experience issues with their sleep following their stroke, such as difficulty falling asleep and staying asleep, or decreased sleep quality. Difficulties with sleep can also be related to and cause mental health obstacles, such as depression; at the same time, poor mental health can exacerbate and cause difficulties with sleep. It is very likely that people with Procedures: This study includes an analysis of 72 PWA who completed measures of aphasia severity, depression, and sleep. Furthermore, this study includes seven PWA that were administered subtests of the Comprehensive Aphasia Test; the Patient Reported Outcomes Measurement Information System (PROMIS) – Sleep Disturbance (SD), – Sleep Related Impairment (SRI), and – Fatigue; and the Patient Health Questionnaire – 8 (PHQ-8). Results: The only statistically significant and meaningful predictor of PHQ-8 responses in the multiple regression model was PROMIS-SD Short Form 8a responses. Furthermore, positive correlations were revealed between self-reported sleep disturbance and depression (though modest), self-reported sleep related impairment and depression, self-reported fatigue and sleep disturbance, self-reported fatigue and sleep related impairment, and self-reported sleep disturbance and sleep related impairment. There was a weak negative correlation found between self-reported fatigue and depression. Conclusions: Given this preliminary data, it is important to consider sleep, fatigue, and depression as potential factors impacting rehabilitation and overall quality of life in the post-stroke aphasia population. Share
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