Journal CME July 2024, Bidirectional temporal associations between sleep and affect and cognitive symptoms among community-dwelling stroke survivors: An ecological momentary assessment study-PM R - 2023 - Lau - Bidirectional temporal associations between sleep and affect and cognitive symptoms among

PM R - 2023 - Lau - Bidirectional temporal associations between sleep and affect and cognitive symptoms among

Pdf Summary

The study examines the bidirectional temporal associations between sleep and affect and cognitive symptoms in community-dwelling stroke survivors using ecological momentary assessment. The research involved 40 stroke survivors who completed surveys and sleep diaries over 7 days. Results showed that sleep quality was linked to affect and cognitive symptoms, and vice versa. Poor sleep quality correlated with higher next-day depressed affect and lower cheerful affect, while long sleep duration was associated with increased cognitive symptoms. Additionally, affect and cognitive symptoms affected sleep quality the following night. The study highlights the importance of addressing sleep disturbances in stroke survivors to improve affect and cognitive functioning. It suggests interventions such as cognitive behavioral therapy for insomnia and emotion regulation strategies to enhance sleep quality and emotional regulation. The findings underscore the need for further research to confirm causal relationships and consider alternative sleep dimensions beyond quality and duration. The study's limitations include the use of self-reported measures and the need to consider potential confounders. Overall, the research highlights the bidirectional relationship between sleep, affect, and cognitive symptoms in stroke survivors, emphasizing the importance of addressing sleep disturbances for improved overall well-being.

Keywords

sleep

affect

cognitive symptoms

stroke survivors

ecological momentary assessment

sleep quality

depressed affect

cheerful affect

cognitive behavioral therapy

emotional regulation