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Martinez D, Yeh M, Oliveira L, Coimbra B, Mello AF, Poyares D, Tufik S, Mello MF. 1079 Is PTSD In Young Women Associated With Rem Sleep Abnormalities? Sleep 2020. [DOI: 10.1093/sleep/zsaa056.1075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
The increase in violence against young women has a high impact on the prevalence of Posttraumatic stress disorder (PTSD). The lifetime prevalence of PTSD is twice as high in women. However, most studies assessing sleep disturbances in PTSD were conducted predominantly in male samples and combat veterans. Objective: To analyze the sleep of young women with and without PTSD. Hypothesis: Women with PTSD have worse sleep quality, higher arousability, and higher muscle activity during REM sleep.
Methods
Case-controlled study with young women. Seventy-four women who suffered sexual assault and developed PTSD (DSM-5); and 64 women from the community without PTSD. Women were recruited from the PTSD outpatient clinic (Universidade Federal de São Paulo, Brazil).Clinician-Administered Posttraumatic Stress Scale (CAPS 5), Beck Depression and Anxiety Inventories (BDI) (BAI), full in-lab Polysomnography (PSG), Epworth Sleepiness Scale (ESS), Pittsburgh Sleep Quality Índex (PSQI), Fatigue Impact Scale (FIS), and Insomnia Severity Índex (ISI) were applied to all participants. Analysis of variance, regression models, and general linear modeling were used.
Results
Patients mean age was 28 vs 24 for the control group (p=0.004). CAPS mean score in PTSD-group was 42.5±9.1. BDI, BAI, FIS, PSQI, ISI scores were worse in PTSD-group (p<0.05, all). Pittsburgh Sleep Quality Index (PSQI) score was significantly associated with CAPS 5 independently of depression, fatigue, and sleep fragmentation.
The PTSD women had lower total sleep time (p= 0.01) and lower REM sleep percentage (p=0.04). However, the control group had higher arousal index (p=.0.01) and had higher muscle activity during REM sleep (p=0.03) than PTSD.
Conclusion
Women with PTSD had significantly worse score in PSQI, FIS, and ISI. PSQI score was associated with PTSD severity. However, when PSG results are concerned, we found higher sleep fragmentation in the control group. We speculate that women with PTSD may have felt safer and taken care of in the lab, which might explain the difference between objective and subjective measures of sleep quality in PTSD.
Support
Acknowledgments: FAPESP: Fundação de Apoio à pesquisa de São Paulo, AFIP: Associação Incentivo a Pesquisa
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Nasser R, Vervloet T, Eckley CA, Amade S, Dokkedal-Silva V, Pires GN, Andersen ML, Tufik S, Longui C, Xavier SD. 0881 Clinical Evaluation of Adeno-Tonsillar Hyperplasia in Non-Syndromic Children and Adolescents During Growth Hormone Treatment. Sleep 2020. [DOI: 10.1093/sleep/zsaa056.877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Introduction
Recombinant human Growth Hormone (rhGH) is an important pharmacological agent for linear growth stimulation and body composition in children with growth hormone deficiency (GHD). However, reports indicate that treatment with rhGH can be associated with adeno-tonsillar hyperplasia. This condition can lead to occurrence of obstructive sleep apnea (OSA) and worsening of sleep and life quality. Nonetheless, studies assessing this outcome in non-syndromic children are scarce.
Methods
We evaluated the difference in size of pharyngeal and palatine tonsils in patients aged between 5 and 17 being treated with recombinant human Growth Hormone (rhGH). We conducted a prospective longitudinal observational study. Twelve patients in treatment with rhGH were evaluated by otorhinolaryngological physical examination, nasofibrolaryngoscopy and obstructive sleep apnea (OSA)-18 questionnaire in two different time-points: when selected (T0) and after 6 months (T1).
Results
No significant associations were found regarding palatine and pharyngeal tonsil size with rhGH treatment. In relation to OSA 18 questionnaires, there was no statistically significant result in the absence of covariables for the general score as well as for the five domains that it comprises. When covariables were included in the analyses, controlled by the patients age, we observed statistically significant increases in the general score and in the domains relating to sleep disorders, emotional suffering, diurnal problems and the caretaker′s concerns.
Conclusion
In the present study, pharyngeal or palatine tonsils hyperplasia were infrequent during treatment with rhGH in the non-syndromic children and adolescents. However, the impact on sleep and quality of life that may arise warrant careful monitoring during therapy.
Support
Associação Fundo de Incentivo à Pesquisa (AFIP).
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Rodrigues LD, Oliveira LF, Scorza CA, Andersen ML, Tufik S, Finsterer J, Scorza FA. We never speak about sudden unexpected death in Parkinson's disease. Eur J Neurol 2020; 27:e30. [PMID: 32170982 DOI: 10.1111/ene.14217] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2020] [Accepted: 03/12/2020] [Indexed: 12/20/2022]
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29
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Medina M, Tufik S, Andersen ML. Sleep disturbances and residual neuromuscular blockade: future research possibilities. Anaesthesia 2020; 75:552. [PMID: 32128796 DOI: 10.1111/anae.14912] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
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30
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Xerfan EMS, Tomimori J, Andersen ML, Tufik S, Facina AS. Sleep disturbance and atopic dermatitis: A bidirectional relationship? Med Hypotheses 2020; 140:109637. [PMID: 32097844 DOI: 10.1016/j.mehy.2020.109637] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2020] [Accepted: 02/17/2020] [Indexed: 11/23/2022]
Abstract
Atopic dermatitis (AD) is one of the most common pediatric dermatologic disorders and is associated with an increased risk of recurrent bacterial and viral cutaneous infections, such as impetigo, the most common bacterial infection in children. AD may impair patient quality of life in a number of ways, one of which is its impact on sleep. The way that the condition affects sleep has not yet been fully elucidated; it is clear that the symptoms of the disease such as pruritus and scratching can affect sleep but other factors, such as changes in the immunological system related to the disease can also have an effect. We argue that this relationship may be bi-directional, with changes to the skin barrier (barrier dysfunction, alterations in its microbiome and oxidative stress) and immunological function caused by the condition impairing sleep and leading to imbalanced inflammatory pathways that exacerbate AD and other associated conditions such as impetigo. We highlight the need for further studies to investigate this correlation between AD and sleep to make the role of this relationship clearer.
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31
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de Sá Souza H, Piovezan R, Miranda R, Tufik S, Poyares D, D'Almeida V. Effects of resistance training on n3 sleep and muscular function in older adults with sarcopenia: a randomized controlled trial. Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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32
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Morelhão PK, Pinto RZ, Gobbi C, Franco MR, Frange C, Damato T, Grande G, Christofaro D, Tufik S, Andersen M. Can sleep quality predict low back pain intensity over time? A longitudinal study with older adults. Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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33
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Bezerra A, Andersen M, Pires G, Banzoli C, Polesel D, Tufik S, Hachul H. Progestagen-based contraceptives and subjective sleep reports in premenopausal women. Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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34
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GODOY L, Palombini L, Andersen M, Poyares D, Tufik S. Inspiratory flow limitation in normal and uars patients in a general population sample. Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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35
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Fabbro CD, Rompré P, Kato T, Maluly M, Haraki S, Toyota R, Shiraishi Y, Andersen M, Tufik S, Montplaisir J, Lavigne G. Rhythmic masticatory muscle activity (RMMA) index does not decrease with age, conversely to self reports of sleep bruxism: data from sleep laboratories of 3 Continents. Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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36
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Maluly-Filho M, Dal-Fabbro C, Lavigne G, Tufik S. Prediction of sleep bruxism diagnosis with concomitant insomnia complaints in a mid-age sub-group: general population observed at 8 years interval. Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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37
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Piovezan R, Hirotsu C, Moizinho R, de Sá Souza H, D'Almeida V, Tufik S, Poyares D. Sarcopenic obesity is associated with obstructive sleep apnea: a population-based study. Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.848] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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38
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Huebra L, Frange C, Tufik S, Coelho FMS. Clinical profile of a type 1 narcoleptic population from a Brazilian tertiary outpatient clinic. Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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39
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Niyama A, Andersen M, Tufik S, Pires G. Overview on the use of meta-analysis in sleep medicine. Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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40
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Roche J, Corgosinho F, Dâmaso A, Scheuermaier K, Isacco L, Miguet M, Fillon A, Guyon A, Moreira G, Pradella-Hallinan M, Tufik S, Túlio de Mello M, Gillet V, Pereira B, Duclos M, Boirie Y, Masurier J, Franco P, Thivel D, Mougin F. Sleep-disordered breathing in adolescents with obesity: when does it start to affect cardiometabolic health? Sleep Med 2019. [DOI: 10.1016/j.sleep.2019.11.905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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41
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Xerfan EMS, Andersen ML, Facina AS, Tufik S, Tomimori J. Alopecia areata and sleep quality: is there an interaction? J Eur Acad Dermatol Venereol 2019; 33:e405-e406. [PMID: 31120167 DOI: 10.1111/jdv.15705] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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42
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Pires GN, Tufik S, Andersen ML. 0263 Effects of Prenatal Sleep Restriction on Maternal Behavior in Female Rats. Sleep 2018. [DOI: 10.1093/sleep/zsy061.262] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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43
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Garcia MC, Kozasa EH, Tufik S, Mello LA, de Campos HH. 0439 The Effects Of Mindfulness And Relaxation Training For Insomnia (MRTI) On Postmenopausal Women: A Pilot Study. Sleep 2018. [DOI: 10.1093/sleep/zsy061.438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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44
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Hirotsu C, Heinzer R, Poyares D, Haba-Rubio J, Coelho FM, Bittencourt L, Tufik S. 0951 Insomnia, Short-sleepers And Rem-related Sleep Disordered Breathing As Risk Factors For Incident Depression In The Episono Cohort. Sleep 2018. [DOI: 10.1093/sleep/zsy061.950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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45
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Lucchesi LM, Hirotsu C, Smith A, Prado G, Pires GN, Tufik S, Togeiro S, Poyares D. 1039 Nocturnal Awakening With Headache In The Sao Paulo City, Brazil In The Follow-up Study (2015) And Relationship With Insomnia. Sleep 2018. [DOI: 10.1093/sleep/zsy061.1038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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46
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D’Aurea CV, Passos GS, Santana MG, Youngstedt SD, Poyares D, De Souza AA, Bicudo J, Tufik S, De Mello MT. 0383 Effects Of Resistance Exercise And Stretching On Sleep Of Patients With Chronic Insomnia. Sleep 2018. [DOI: 10.1093/sleep/zsy061.382] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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47
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Souza HS, Miranda RE, Silva BM, Bittencourt LA, Tufik S, D’Almeida V. 0718 Sarcopenia Increases the Frequency of Obstructive Sleep Apnea in the Elderly. Sleep 2018. [DOI: 10.1093/sleep/zsy061.717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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48
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Bezera AG, Andersen ML, Pires GN, Tufik S, Hachul H. 0703 Subjetive Sleep Reports among Hormonal Contraceptive Users: An Online Survey. Sleep 2018. [DOI: 10.1093/sleep/zsy061.702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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49
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Frange C, Hachul H, Hirotsu C, Tufik S, Andersen ML. 0711 Temporal Analysis of Chronic Musculoskeletal Pain and Sleep in Postmenopausal Women. Sleep 2018. [DOI: 10.1093/sleep/zsy061.710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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50
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D’Aurea CV, Santana MG, Passos GS, Youngstedt SD, Poyares D, De Souza AA, Bicudo J, Tufik S, De Mello MT. 0380 Mood And Quality Of Life Of Patients With Chronic Insomnia After Resistance Exercise And Stretching. Sleep 2018. [DOI: 10.1093/sleep/zsy061.379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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