A screening method for sleep disturbances at the end-of-life

Simple item page
dc.contributor.authorIbáñez Del Prado, Celia
dc.contributor.authorCruzado Rodríguez, Juan Antonio
dc.date.accessioned2024-02-01T13:18:07Z
dc.date.available2024-02-01T13:18:07Z
dc.date.issued2020-01
dc.description.abstractObjective. To evaluate sleep disturbances and to verify the accuracy of three screening tests to detect them in patients at the end-of-life admitted in a hospital palliative care unit. Method. The level of sleep disturbances was evaluated through the Pittsburgh Sleep Quality Index (PSQI) in 150 palliative patients. This questionnaire was the criterion variable for testing the three screening tests used: Edmonton Symptom Assessment System (ESAS-Sleep subscale); the single question “How much do you worry about your sleep problems?” which is answered on a scale of 0–10 (Sleep-Worry-Q) and another single question: “Do you think you have sleep problems?” with two response categories, Yes/No (Sleep-Problem-Q). Results. According to the PSQI (cut-off point: 8), 87% of patients presented sleep disturbances. The ESAS-Sleep (cut-off point: 3) showed a sensitivity of 0.87, a specificity of 0.58, and an AUC of 0.729; the Sleep-Worry-Q (cut-off point: 4) showed a sensitivity of 0.95, a specificity of 0.68, and an AUC of 0.854; the Sleep-Problem-Q obtained a sensitivity of 0.92 and a specificity of 0.65. Significance of results. Patients at the end-of-life, near the time of death, have high levels of sleep disturbances that can be detected early, with better diagnostic accuracy, with the Sleep-Worry-Q. Although from a clinical point of view, the application of the Sleep- Problem-Q may be more advantageous, as it presents good diagnostic accuracy, greater simplicity, and brevity.
dc.description.departmentDepto. de Personalidad, Evaluación y Psicología Clínica
dc.description.facultyFac. de Psicología
dc.description.refereedTRUE
dc.description.statuspub
dc.identifier.citationIbáñez del Prado C, Cruzado JA (2020). A screening method for sleep disturbances at the end-of-life. Palliative and Supportive Care 18, 468–472. https://doi.org/ 10.1017/S1478951520000024
dc.identifier.doi10.1017/S1478951520000024
dc.identifier.essn1478-9523
dc.identifier.issn1478-9515
dc.identifier.officialurlhttps://www.cambridge.org/core/journals/palliative-and-supportive-care/article/screening-method-for-sleep-disturbances-at-the-endoflife/748F603D7E238D140A7A7791F3C7C770
dc.identifier.urihttps://hdl.handle.net/20.500.14352/97740
dc.issue.number4
dc.journal.titlePalliative and Supportive Care
dc.language.isoeng
dc.page.final472
dc.page.initial468
dc.publisherCambridge University Press
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.accessRightsopen access
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.keywordEnd-of-life
dc.subject.keywordPalliative care
dc.subject.keywordScreening tool
dc.subject.keywordSleep disorders
dc.subject.keywordSleep disturbances
dc.subject.ucmCiencias Biomédicas
dc.subject.unesco61 Psicología
dc.titleA screening method for sleep disturbances at the end-of-life
dc.typejournal article
dc.type.hasVersionVoR
dc.volume.number18
dspace.entity.typePublication
relation.isAuthorOfPublication82339669-55d1-4910-89d5-429eee789e10
relation.isAuthorOfPublication5627b3ca-2685-4fdf-b7fd-36e5123b6def
relation.isAuthorOfPublication.latestForDiscovery82339669-55d1-4910-89d5-429eee789e10
Download
Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
a-screening-method-for-sleep-disturbances-at-the-end-of-life (1).pdf
Size:
396.32 KB
Format:
Adobe Portable Document Format
downoload Download
Collections
Artículos