Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/32757
Full metadata record
DC FieldValueLanguage
dc.contributor.authorGraco, Marnie-
dc.contributor.authorArora, Mohit-
dc.contributor.authorBerlowitz, David J-
dc.contributor.authorCraig, Ashley-
dc.contributor.authorMiddleton, James W-
dc.date2023-
dc.date.accessioned2023-04-26T05:24:23Z-
dc.date.available2023-04-26T05:24:23Z-
dc.date.issued2023-04-19-
dc.identifier.citationAnnals of Physical and Rehabilitation Medicine 2023; 66(5)en_US
dc.identifier.issn1877-0665-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/32757-
dc.description.abstractPoor sleep is common in people with spinal cord injury (SCI), yet little is known about its impact on employment and participation outcomes. This study aimed to (1) describe the sleep quality of a large sample of Australians with SCI and compare the results to data from an adult control and other clinical populations; (2) examine associations between sleep quality and participant characteristics; and (3) explore the relationship between sleep and outcomes. Cross-sectional data from the Australian arm of the International Spinal Cord Injury (Aus-InSCI) survey from 1579 community-dwelling people aged >18 years with SCI were analysed. Sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI). Relationships between participant characteristics, sleep quality and other outcomes were examined with linear and logistic regression. The PSQI was completed by 1172 individuals; 68% reported poor sleep (global PSQI score >5). Subjective sleep quality in people with SCI was poor (mean PSQI = 8.5, SD 4.5) when compared to adults without SCI (PSQI = 5.00, SD 3.37) and with traumatic brain injury (PSQI = 5.54, SD 3.94). Financial hardship and problems with secondary health conditions were significantly associated with worse sleep quality (p < 0.05). Poor sleep quality was strongly associated with lower emotional wellbeing and energy, and greater problems with participation (p < 0.001). Individuals engaged in paid work reported better sleep quality (mean PSQI = 8.1, SD 4.3) than unemployed individuals (mean PSQI = 8.7, SD 4.6; p < 0.05). Following adjustment for age, pre-injury employment, injury severity and years of education, better sleep quality remained strongly associated with being employed (OR 0.95, 95% CI 0.92 to 0.98; p = 0.003). This study demonstrated pervasive and impactful relationships between sleep quality and important SCI outcomes. Poor sleep quality was strongly associated with worse emotional wellbeing and vitality, unemployment and lower participation. Future studies should aim to determine whether treating sleep problems can improve outcomes for people living with SCI.en_US
dc.language.isoeng-
dc.subjectEmploymenten_US
dc.subjectEpidemiologyen_US
dc.subjectPatient-reported outcome measuresen_US
dc.subjectSleep qualityen_US
dc.subjectSpinal cord injuriesen_US
dc.titleThe impact of sleep quality on health, participation and employment outcomes in people with spinal cord injury: Analyses from a large cross-sectional survey.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleAnnals of Physical and Rehabilitation Medicineen_US
dc.identifier.affiliationInstitute for Breathing and Sleepen_US
dc.identifier.affiliationJohn Walsh Centre for Rehabilitation Research, The Kolling Institute, Royal North Shore Hospital, St Leonards, New South Wales, Australia; Translational Research Collective, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.en_US
dc.identifier.affiliationDepartment of Physiotherapy, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Australia.en_US
dc.identifier.affiliationJohn Walsh Centre for Rehabilitation Research, The Kolling Institute, Royal North Shore Hospital, St Leonards, New South Wales, Australia; Translational Research Collective, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.en_US
dc.identifier.doi10.1016/j.rehab.2023.101738en_US
dc.type.contentTexten_US
dc.identifier.pubmedid37084505-
dc.description.volume66-
dc.description.issue5-
dc.description.startpage101738-
local.name.researcherBerlowitz, David J
item.languageiso639-1en-
item.cerifentitytypePublications-
item.grantfulltextnone-
item.fulltextNo Fulltext-
item.openairetypeJournal Article-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
crisitem.author.deptInstitute for Breathing and Sleep-
crisitem.author.deptPhysiotherapy-
crisitem.author.deptInstitute for Breathing and Sleep-
crisitem.author.deptData Analytics Research and Evaluation (DARE) Centre-
Appears in Collections:Journal articles
Show simple item record

Page view(s)

54
checked on Jul 12, 2024

Google ScholarTM

Check


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.