Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-27T14:26:39.910Z Has data issue: false hasContentIssue false
  • English
  • Français

Factors related to sleep disturbances for individuals with Parkinson’s disease: a regional perspective

Published online by Cambridge University Press:  23 September 2019

Rachael Wade ,
Nancy A. Pachana ,
George Mellick  and
Nadeeka Dissanayaka
Rachael Wade
Affiliation:
School of Psychology, The University of Queensland, Brisbane, Australia UQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia
Nancy A. Pachana
Affiliation:
School of Psychology, The University of Queensland, Brisbane, Australia
George Mellick
Affiliation:
Eskitis Institute for Drug Discovery, Brisbane, Australia
Nadeeka Dissanayaka*
Affiliation:
School of Psychology, The University of Queensland, Brisbane, Australia UQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia Department of Neurology, Royal Brisbane & Women’s Hospital, Brisbane, Australia
*
Correspondence should be addressed to: Nadeeka Dissanayaka, University of Queensland Centre for Clinical Research, Royal Brisbane & Women’s Hospital Campus, Herston QLD 4029, Australia. Phone: + 61 7 33466026; Fax: +61 7 33465599. Email: n.dissanayaka@uq.edu.au.
Get access

Abstract

Objectives:

Sleep disturbances negatively impact the quality of life of patients with Parkinson’s disease (PD). While persons living in regional areas are at higher risk of PD, PD is poorly managed in regional communities. This study examined factors associated with sleep problems in PD in a regional context.

Design:

A mixed-methods cross-sectional design was used.

Participants:

Patients with PD were recruited from the Queensland Parkinson’s Project database.

Measurements:

Those who agreed to participate were sent a questionnaire assessing aspects of sleep, depression, anxiety, quality of life, and PD severity. Qualitative information was also gathered. Correlations between variables were examined; thematic analyses were performed for qualitative data.

Results:

All participants (n = 49) reported sleep disturbances, with 73% (n = 36) reporting sleep disturbance to be problematic. Global sleep dysfunction positively correlated with daytime napping (r = .34, p = .01), watching the clock when unable to sleep (r = .38, p = <.01), staying in bed when unable to sleep (r = .43, p = <.01), and going to bed hungry (r = .31, p = .03) and negatively correlated with daytime exercise (r = -.32, p = .02). Positive correlations were observed between global sleep dysfunction and depression (r = .55, p = <.01), anxiety (r = .31, p = .04), and dysfunctional sleep beliefs (r = .39, p = <.01).

Conclusion:

There is a clear need for identifying factors related to sleep disturbances in PD for effective management.

Keywords

agingfactorsdepressionanxietyquality of lifeinterventionsregionalrural
Type
Original Research Article
Information
International Psychogeriatrics , Volume 32 , Issue 7: Issue Theme: Sleep and Sleep Disorders in Older Adults , July 2020 , pp. 827 - 838
Copyright
© International Psychogeriatric Association 2019

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abdolahi, A., Scoglio, N., Killoran, A., Dorsey, E.R. and Biglan, K.M. (2013). Potential reliability and validity of a modified version of the Unified Parkinson’s Disease Rating Scale that could be administered remotely. Parkinsonism & Related Disorders, 19, 218–221.CrossRefGoogle ScholarPubMed
Adams, R.J.et al. (2017). Sleep health of Australian adults in 2016: results of the 2016 Sleep Health Foundation national survey. Sleep Health, 3, 35–42.10.1016/j.sleh.2016.11.005CrossRefGoogle ScholarPubMed
Aitken, D., Naismith, S.L., Terpening, Z. and Lewis, S.J.G. (2014). Dysfunctional sleep beliefs in Parkinson’s disease: relationships with subjective and objective sleep. Journal of Clinical Neuroscience, 21, 1359–1363.CrossRefGoogle ScholarPubMed
Arber, S. and Venn, S. (2011). Caregiving at night: understanding the impact on carers. Journal of Aging Studies, 25, 155–165.CrossRefGoogle Scholar
Avidan, A.et al. (2013). Associations of sleep disturbance symptoms with health-related quality of life in Parkinson’s disease. Journal of Neuropsychiatry and Clinical Neurosciences, 25, 319–326.10.1176/appi.neuropsych.12070175CrossRefGoogle ScholarPubMed
Bhidayasiri, R.et al. (2014). Nocturnal journey of body and mind in Parkinson’s disease: the manifestations, risk factors and their relationship to daytime symptoms. Evidence from the NIGHT-PD study. Journal of Neural Transmission, 121, S59–S68.CrossRefGoogle ScholarPubMed
Bruin, V.M., Bittencourt, L.R. and Tufik, S. (2012). Sleep‐wake disturbances in Parkinson’s disease: current evidence regarding diagnostic and therapeutic decisions. European Neurology, 67, 257–267.10.1159/000335078CrossRefGoogle ScholarPubMed
Buysse, D.J., Reynolds, C.F., Monk, T.H., Berman, S.R. and Kupfer, D.J. (1989). The Pittsburgh sleep quality index ‐ a new instrument for psychiatric practice and research. Psychiatry Research, 28, 193–213.CrossRefGoogle ScholarPubMed
Chahine, L.M., Amara, A.W. and Videnovic, A. (2017). A systematic review of the literature on disorders of sleep and wakefulness in Parkinson’s disease from 2005 to 2015. Sleep Medicine Reviews, 35, 33–50.10.1016/j.smrv.2016.08.001CrossRefGoogle ScholarPubMed
Cho, S., Kim, G.S. and Lee, J.H. (2013). Psychometric evaluation of the sleep hygiene index: a sample of patients with chronic pain. Health and Quality of Life Outcomes, 11, 213.CrossRefGoogle ScholarPubMed
Claassen, D.O. and Kutscher, S.J. (2011). Sleep disturbances in Parkinson’s disease patients and management options. Nature and Science of Sleep, 3, 125–133.CrossRefGoogle ScholarPubMed
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.Google Scholar
Comella, C.L. (2007). Sleep disorders in Parkinson’s disease: an overview. Movement Disorders, 22 Suppl 17, S367–S373.CrossRefGoogle ScholarPubMed
Dissanayaka, N.N.et al. (2007). Validity of Hamilton depression inventory in Parkinson’s disease. Movement Disorders, 22, 399–403.CrossRefGoogle ScholarPubMed
Dissanayaka, N.N.W., Sellbach, A., Silburn, P.A., O’Sullivan, J.D., Marsh, R. and Mellick, G.D. (2011). Factors associated with depression in Parkinson’s disease. Journal of Affective Disorders, 132, 82–88.10.1016/j.jad.2011.01.021CrossRefGoogle ScholarPubMed
Duncan, G.F. and Rositano, P. (2011). Parkinson’s disease in regional Australia. Rural and Remote Health, 11, 1658.Google ScholarPubMed
GISCA (2006). Accessibility Remoteness Index of Australia 2006. Adelaide, SA: Australian Institute for Social Research, University of Adelaide.Google Scholar
Goetz, C.G.et al. (2008). Movement disorder society-sponsored revision of the unified Parkinson’s disease rating scale (MDS-UPDRS): scale presentation and clinimetric testing results. Movement Disorders, 23, 2129–2170.CrossRefGoogle ScholarPubMed
Gregory, P., Morgan, K. and Lynall, A. (2012). Improving sleep management in people with Parkinson’s. British Journal of Community Nursing, 17, 14–18, 20.CrossRefGoogle ScholarPubMed
Hogl, B.et al. (2010). Scales to assess sleep impairment in Parkinson’s disease: critique and recommendations. Movement Disorders, 25, 2704–2716.CrossRefGoogle ScholarPubMed
Humbert, M., Findley, J., Hernandez-Con, M. and Chahine, L.M. (2017). Cognitive behavioral therapy for insomnia in Parkinson’s disease: a case series. NPJ Parkinson’s Disease, 3, 25.10.1038/s41531-017-0027-zCrossRefGoogle ScholarPubMed
Jenkinson, C., Fitzpatrick, R., Peto, V., Greenhall, R. and Hyman, N. (1997). The PDQ-8: development and validation of a short-form Parkinson’s disease questionnaire. Psychology & Health, 12, 805–814.CrossRefGoogle Scholar
Kelly, D.H.et al. (2012). Health-related quality of life and strain in caregivers of Australians with Parkinson’s disease: an observational study. BMC Neurology, 12, 57.CrossRefGoogle ScholarPubMed
Kocoglu, D., Akin, B., Cingil, D. and Sari, E. (2013). Insomnıa in rural communities and dysfunctional beliefs and attitudes about sleep as a risk factor of insomnia. Journal of Cognitive and Behavioral Psychotherapies, 13, 211–224.Google Scholar
Martinez-Martin, P., Rodriguez-Blazquez, C., Forjaz, M.J. and Chaudhuri, K.R. (2014). Guide to Assessment Scales in Parkinson’s Disease. Tarporley: Springer Healthcare Ltd.10.1007/978-1-907673-88-7CrossRefGoogle Scholar
Matheson, S.F.et al. (2012). Validity and reliability of the geriatric anxiety inventory in Parkinson’s disease. Australasian Journal on Ageing, 31, 13–16.CrossRefGoogle ScholarPubMed
Monderer, R. and Thorpy, M. (2009). Sleep disorders and daytime sleepiness in Parkinson’s disease. Current Neurology and Neuroscience Reports, 9, 173–180.10.1007/s11910-009-0026-5CrossRefGoogle ScholarPubMed
Morin, C.M., Vallieres, A. and Ivers, H. (2007). Dysfunctional beliefs and attitudes about sleep (DBAS): validation of a brief version (DBAS-16). Sleep, 30, 1547–1554.CrossRefGoogle Scholar
Naismith, S.L., Hickie, I.B. and Lewis, S.J.G. (2010). The role of mild depression in sleep disturbance and quality of life in Parkinson’s disease. Journal of Neuropsychiatry and Clinical Neurosciences, 22, 384–389.10.1176/jnp.2010.22.4.384CrossRefGoogle ScholarPubMed
Neikrug, A.B.et al. (2013). Effects of sleep disorders on the non-motor symptoms of Parkinson disease. Journal of Clinical Sleep Medicine, 9, 1119–1129.10.5664/jcsm.3148CrossRefGoogle ScholarPubMed
Pachana, N.A., Byrne, G.J., Siddle, H., Koloski, N., Harley, E. and Arnold, E. (2007). Development and validation of the geriatric anxiety inventory. International Psychogeriatrics, 19, 103–114.CrossRefGoogle ScholarPubMed
Pal, P.K., Calne, S., Samii, A. and Fleming, J.A.E. (1999). A review of normal sleep and its disturbances in Parkinson’s disease. Parkinsonism & Related Disorders, 5, 1–17.CrossRefGoogle ScholarPubMed
Perlis, M., Jungquist, C., Smith, M. and Posner, D.N.Y.S. (2005). Cognitive Behavioural Treatment of Insomnia. New York: Springer.Google Scholar
Peters, C.M., Gartner, C.E., Silburn, P.A. and Mellick, G.D. (2006). Prevalence of Parkinson’s disease in metropolitan and rural Queensland: a general practice survey. Journal of Clinical Neuroscience, 13, 343–348.CrossRefGoogle ScholarPubMed
Roychowdhury, S. and Forsyth, D.R. (2012). Sleep disturbance in Parkinson disease. Journal of Clinical Gerontology and Geriatrics, 3, 53–61.10.1016/j.jcgg.2012.04.002CrossRefGoogle Scholar
Schuller, K.A., Vaughan, B. and Wright, I. (2017). Models of care delivery for patients with Parkinson disease living in rural areas. Fam Community Health, 40, 324–330.CrossRefGoogle ScholarPubMed
Schulte, E.C. and Winkelmann, J. (2011). When Parkinson’s disease patients go to sleep: specific sleep disturbances related to Parkinson’s disease. Journal of Neurology, 258, S328–S335.CrossRefGoogle ScholarPubMed
Soh, S.E., McGinley, J.L., Watts, J.J., Iansek, R. and Morris, M.E. (2012). Rural living and health-related quality of life in Australians with Parkinson’s disease. Rural and Remote Health, 12, 2158.Google ScholarPubMed
Spira, A.P.et al. (2012). Reliability and validity of the Pittsburgh sleep quality index and the Epworth sleepiness scale in older men. The Journals of Gerontology. Series A, Biological sciences and medical sciences, 67, 433–439.CrossRefGoogle ScholarPubMed
Suzuki, K., Miyamoto, M., Miyamoto, T., Iwanami, M. and Hirata, K. (2011). Sleep disturbances associated with Parkinson’s disease. Parkinson’s Disease, 2011, 219056.Google ScholarPubMed
Tholfsen, L.K., Larsen, J.P., Schulz, J., Tysnes, O.B. and Gjerstad, M.D. (2015). Development of excessive daytime sleepiness in early Parkinson disease. Neurology, 85, 162–168.10.1212/WNL.0000000000001737CrossRefGoogle ScholarPubMed
Trotti, L.M. and Bliwise, D.L. (2014). Treatment of the sleep disorders associated with Parkinson’s disease. Neurotherapeutics, 11, 68–77.CrossRefGoogle ScholarPubMed
Wade, R., Pachana, N.A. and Dissanayaka, N. (2018). Management of sleep disturbances in Parkinson’s disease patients, carers and the patient and carer dyadic relationship: a scoping review. Clinical Gerontologist, 13, 1–9. doi: 10.1080/07317115.2018.1539424CrossRefGoogle Scholar
Weintraub, D., Oehlberg, K.A., Katz, I.R. and Stern, M.B. (2006). Test characteristics of the 15-item geriatric depression scale and Hamilton Depression Rating Scale in Parkinson disease. American Journal of Geriatric Psychiatry, 14, 169–175.CrossRefGoogle ScholarPubMed
Yang, H. and Petrini, M. (2012). Effect of cognitive behavior therapy on sleep disorder in Parkinson’s disease in China: a pilot study. Nursing & Health Sciences, 14, 458–463.CrossRefGoogle ScholarPubMed
Yarnall, A., Archibald, N. and Burn, D. (2012). Parkinson’s disease. Medicine, 40, 529–535.10.1016/j.mpmed.2012.07.008CrossRefGoogle Scholar
Zea-Sevilla, M.A. and Martinez-Martin, P. (2014). Rating scales and questionnaires for assessment of sleep disorders in Parkinson’s disease: what they inform about? Journal of Neural Transmission, 121, S33–S40.10.1007/s00702-014-1217-zCrossRefGoogle Scholar