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Anxiety
linked to sleep disturbances
WESTCHESTER, Ill. – People who suffer from
anxiety from stressful life situations may
be more likely to experience sleep
disturbances for at least the first six
months after the event, according to a study
published in the November 1 issue of the
journal SLEEP.
The study, authored by Jussi Vahtera, MD, of
the Finnish Institute of Occupational Health
in Helsinki, Finland, focused on a
population sample of 16,627 men and women
with undisturbed sleep and 2,572 with
disturbed sleep, all of whom participated in
a five-year longitudinal observational
cohort study.
A measurement of each person’s liability to
anxiety, as determined by a general feeling
of stressfulness and symptoms of
hyperactivity, was assessed at the onset.
The occurrence of post-onset life events
(i.e., death or illness in the family,
divorce, financial difficulty and violence)
and sleep disturbances was measured at
follow-up five years later.
According to the results, both liability to
anxiety and exposure to negative life events
were strongly associated with sleep
disturbances. Among the men liable to
anxiety, the odds of sleep disturbances were
3.11 times higher for those who had
experienced a severe life event within six
months than for the others.
The men not liable to anxiety had odds of
only 1.13 for sleep disturbances. For the
men and women liable to anxiety, the odds
ratio for sleep disturbance zero to six
months after divorce was 2.05, with the
corresponding ratio being 1.47 for those not
liable to anxiety.
“This five-year follow-up showed that
exposure to severe stressful events can
trigger sleep disturbances in people with
undisturbed sleep before the event. Those
liable to anxiety before the event seemed to
be at a higher risk of post-event sleep
disturbances compared with those not liable
to anxiety.
"The strength of this study is a study
design that allowed the timing of pre-event
predisposing traits and the occurrence of
specific stressful events precipitating the
onset of sleep disturbances. Control for a
large number of potential confounding
factors suggest that the observed
associations were not explained by
socioeconomic position, obesity, high
alcohol intake or chronic medical conditions
at study entry,” said Dr. Vahtera.
Experts recommend that adults get seven to
eight hours of sleep each night for good
health and optimum performance. Adolescents
should sleep about nine hours a night,
school-aged children between 10-11 hours a
night and children in pre-school between
11-13 hours a night.
Those who think they might have a sleep
disorder are urged to discuss their problem
with their primary care physician or a sleep
specialist.
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