Sleep disturbance linked to suicidal ideation in postural orthostatic tachycardia syndrome

Cathy Lynn Pederson,1 Jill Blettner Brook2 1Department of Biology, Wittenberg University, Springfield, OH, USA; 2PatientsCount, Anchorage, AK, USA Objective: We investigated the prevalence of suicidal ideation in relationship with symptoms of sleep disruption in people with postural orthostatic tach...

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Autores principales:	Pederson CL, Blettner Brook J
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	postural orthostatic tachycardia syndrome (POTS) sleep insomnia suicidal ideation suicide Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/fa9fee82836048889d3cf37c8f37981f
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spelling	oai:doaj.org-article:fa9fee82836048889d3cf37c8f37981f2021-12-02T01:29:29ZSleep disturbance linked to suicidal ideation in postural orthostatic tachycardia syndrome1179-1608https://doaj.org/article/fa9fee82836048889d3cf37c8f37981f2017-04-01T00:00:00Zhttps://www.dovepress.com/sleep-disturbance-linked-to-suicidal-ideation-in-postural-orthostatic--peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Cathy Lynn Pederson,1 Jill Blettner Brook2 1Department of Biology, Wittenberg University, Springfield, OH, USA; 2PatientsCount, Anchorage, AK, USA Objective: We investigated the prevalence of suicidal ideation in relationship with symptoms of sleep disruption in people with postural orthostatic tachycardia syndrome (POTS). Methods: Online surveys (including the Pittsburgh Sleep Quality Index and the Suicide Behaviors Questionnaire – Revised) were completed by 705 POTS patients and 170 non-POTS controls. Results: Poor sleep quality was reported in 98.4% of POTS patients with a calculated subjective sleep efficiency of 65.4%. The POTS group’s sleep efficiency was significantly lower (t[873]= –11.32; p<0.001) and sleep disturbances because of pain were significantly higher (t[873]=15.36; p<0.001) than controls. Chi-square testing showed a larger proportion of individuals at high-risk for suicide among POTS patients than controls (χ2 [1, n=875]=55.6; p<0.001). Multiple linear regression analysis showed that sleep scores (β=0.23, p<0.001), age (β=–0.03, p<0.001), and illness with POTS (β=0.68, p=0.05) were significantly associated with suicide ideation scores (F[4, 870]=38.34, p<0.001). This model explained 15% of variance (R2=0.15) in suicidal ideation scores. Conclusion: Patients with POTS may suffer from increased sleep disturbance and suicidal ideation compared with the general population. Treatment to improve sleep efficiency and sleep quality is an important step toward better quality of life for POTS patients. Keywords: postural orthostatic tachycardia syndrome, POTS, sleep, insomnia, suicidal ideation, suicidePederson CLBlettner Brook JDove Medical Pressarticlepostural orthostatic tachycardia syndrome (POTS)sleepinsomniasuicidal ideationsuicidePsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 9, Pp 109-115 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	postural orthostatic tachycardia syndrome (POTS) sleep insomnia suicidal ideation suicide Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	postural orthostatic tachycardia syndrome (POTS) sleep insomnia suicidal ideation suicide Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Pederson CL Blettner Brook J Sleep disturbance linked to suicidal ideation in postural orthostatic tachycardia syndrome
description	Cathy Lynn Pederson,1 Jill Blettner Brook2 1Department of Biology, Wittenberg University, Springfield, OH, USA; 2PatientsCount, Anchorage, AK, USA Objective: We investigated the prevalence of suicidal ideation in relationship with symptoms of sleep disruption in people with postural orthostatic tachycardia syndrome (POTS). Methods: Online surveys (including the Pittsburgh Sleep Quality Index and the Suicide Behaviors Questionnaire – Revised) were completed by 705 POTS patients and 170 non-POTS controls. Results: Poor sleep quality was reported in 98.4% of POTS patients with a calculated subjective sleep efficiency of 65.4%. The POTS group’s sleep efficiency was significantly lower (t[873]= –11.32; p<0.001) and sleep disturbances because of pain were significantly higher (t[873]=15.36; p<0.001) than controls. Chi-square testing showed a larger proportion of individuals at high-risk for suicide among POTS patients than controls (χ2 [1, n=875]=55.6; p<0.001). Multiple linear regression analysis showed that sleep scores (β=0.23, p<0.001), age (β=–0.03, p<0.001), and illness with POTS (β=0.68, p=0.05) were significantly associated with suicide ideation scores (F[4, 870]=38.34, p<0.001). This model explained 15% of variance (R2=0.15) in suicidal ideation scores. Conclusion: Patients with POTS may suffer from increased sleep disturbance and suicidal ideation compared with the general population. Treatment to improve sleep efficiency and sleep quality is an important step toward better quality of life for POTS patients. Keywords: postural orthostatic tachycardia syndrome, POTS, sleep, insomnia, suicidal ideation, suicide
format	article
author	Pederson CL Blettner Brook J
author_facet	Pederson CL Blettner Brook J
author_sort	Pederson CL
title	Sleep disturbance linked to suicidal ideation in postural orthostatic tachycardia syndrome
title_short	Sleep disturbance linked to suicidal ideation in postural orthostatic tachycardia syndrome
title_full	Sleep disturbance linked to suicidal ideation in postural orthostatic tachycardia syndrome
title_fullStr	Sleep disturbance linked to suicidal ideation in postural orthostatic tachycardia syndrome
title_full_unstemmed	Sleep disturbance linked to suicidal ideation in postural orthostatic tachycardia syndrome
title_sort	sleep disturbance linked to suicidal ideation in postural orthostatic tachycardia syndrome
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/fa9fee82836048889d3cf37c8f37981f
work_keys_str_mv	AT pedersoncl sleepdisturbancelinkedtosuicidalideationinposturalorthostatictachycardiasyndrome AT blettnerbrookj sleepdisturbancelinkedtosuicidalideationinposturalorthostatictachycardiasyndrome
_version_	1718403052757581824

Sleep disturbance linked to suicidal ideation in postural orthostatic tachycardia syndrome

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