Title |
Type D Personality and Sleep Quality in Coronary Artery Disease Patients With and Without Obstructive Sleep Apnea: Mediating Effects of Anxiety and Depression
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Published in |
International Journal of Behavioral Medicine, January 2018
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DOI | 10.1007/s12529-017-9708-6 |
Pubmed ID | |
Authors |
Alicja Juskiene, Aurelija Podlipskyte, Adomas Bunevicius, Giedrius Varoneckas |
Abstract |
The study aimed to examine the association between type D personality trait and sleep quality in coronary artery disease (CAD) patients with and without obstructive sleep apnea (OSA) and to explore the mediating effects of anxiety and depression symptoms. A cross-sectional study was performed in 879 CAD patients attending cardiac rehabilitation program (mean age 57.8 years; SD = 9.0; 75% men). Participants underwent full-night polysomnography and were classified in OSA (n = 349) and no OSA (n = 530) groups. Patients were evaluated for type D personality, subjective sleep quality (Pittsburgh sleep quality index), and symptoms of anxiety and depression (hospital anxiety and depression scale). Patients with type D personality reported poorer subjective sleep quality than non-type D patients irrespective of the presence of OSA. Type D and negative affectivity (NA) were associated with worse subjective sleep quality in patients with OSA and without OSA. The mediational analysis revealed that type D and NA were indirectly associated with Pittsburgh sleep quality index through anxiety and depression symptoms in no OSA and OSA patients. In CAD patients, type D personality and NA are associated with worse subjective sleep quality and this association is mediated by depression and anxiety symptoms irrespective of OSA presence. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 50 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 10 | 20% |
Student > Master | 4 | 8% |
Lecturer | 3 | 6% |
Student > Ph. D. Student | 3 | 6% |
Student > Doctoral Student | 2 | 4% |
Other | 5 | 10% |
Unknown | 23 | 46% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 7 | 14% |
Nursing and Health Professions | 7 | 14% |
Psychology | 4 | 8% |
Neuroscience | 3 | 6% |
Computer Science | 2 | 4% |
Other | 4 | 8% |
Unknown | 23 | 46% |