Trajectories of sleep disturbance and self-management of chronic conditions during COVID-19 among middle-aged and older adults
Abstract The COVID-19 pandemic has had a widespread impact on sleep quality, yet little is known about the prevalence of sleep disturbance and its impact on self-management of chronic conditions during the ongoing pandemic. To evaluate trajectories of sleep disturbance and their associations with on...
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Nature Portfolio
2025-04-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-025-96384-x |
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| author | Minjee Kim Lauren Rogers Stephanie Batio Julia Y. Benavente Morgan Bonham Pauline Zheng Rebecca M. Lovett Stacy C. Bailey Mary J. Kwasny Daniela P. Ladner Sherry HY. Chou Jeffrey A. Linder Sandra Weintraub Yuan Luo Phyllis C. Zee Michael S. Wolf |
| author_facet | Minjee Kim Lauren Rogers Stephanie Batio Julia Y. Benavente Morgan Bonham Pauline Zheng Rebecca M. Lovett Stacy C. Bailey Mary J. Kwasny Daniela P. Ladner Sherry HY. Chou Jeffrey A. Linder Sandra Weintraub Yuan Luo Phyllis C. Zee Michael S. Wolf |
| author_sort | Minjee Kim |
| collection | DOAJ |
| description | Abstract The COVID-19 pandemic has had a widespread impact on sleep quality, yet little is known about the prevalence of sleep disturbance and its impact on self-management of chronic conditions during the ongoing pandemic. To evaluate trajectories of sleep disturbance and their associations with one’s capacity to self-manage chronic conditions. A longitudinal cohort study linked to 3 active clinical trials and 2 cohort studies with 5 time points of sleep data collection (July 15, 2020–May 23, 2022). Adults living with chronic conditions who completed sleep questionnaires for two or more time points. Trajectories of self-reported sleep disturbance across 5 time points. Three self-reported measures of self-management capacity, including subjective cognitive decline, medication adherence, and self-efficacy for managing chronic disease. Five hundred and forty-nine adults aged 23 to 91 years were included in the analysis. Two-thirds had 3 or more chronic conditions; 42.4% of participants followed a trajectory of moderate or high likelihood of persistent sleep disturbance across the study period. Moderate or high likelihood of sleep disturbance was associated with age < 60 (RR 1.57, 95% CI 1.09, 2.26, P = 0.016), persistent stress (RR 1.54, 95% CI 1.16, 2.06, P = 0.003), poorer physical function (RR 1.57, 95% CI 1.17, 2.13, P = 0.003), greater anxiety (RR 1.40, 95% CI 1.04, 1.87, P = 0.03) and depression (RR 1.63, 95% CI 1.20, 2.22, P = 0.002). Moderate or high likelihood of sleep disturbance was also independently associated with subjective cognitive decline, poorer medication adherence, and worse self-efficacy for managing chronic diseases (all P < 0.001). Persistent sleep disturbance during the pandemic may be an important risk factor for inadequate chronic disease self-management and potentially poor health outcomes in adults living with chronic conditions. Public health and health system strategies might consider monitoring sleep quality in adults with chronic conditions to optimize health outcomes. |
| format | Article |
| id | doaj-art-e3afcdd056ca4285af9986097b9fa3b2 |
| institution | DOAJ |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Nature Portfolio |
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| series | Scientific Reports |
| spelling | doaj-art-e3afcdd056ca4285af9986097b9fa3b22025-08-20T03:10:11ZengNature PortfolioScientific Reports2045-23222025-04-0115111110.1038/s41598-025-96384-xTrajectories of sleep disturbance and self-management of chronic conditions during COVID-19 among middle-aged and older adultsMinjee Kim0Lauren Rogers1Stephanie Batio2Julia Y. Benavente3Morgan Bonham4Pauline Zheng5Rebecca M. Lovett6Stacy C. Bailey7Mary J. Kwasny8Daniela P. Ladner9Sherry HY. Chou10Jeffrey A. Linder11Sandra Weintraub12Yuan Luo13Phyllis C. Zee14Michael S. Wolf15Department of Neurology, Feinberg School of Medicine, Northwestern UniversityCenter for Applied Health Research on Aging (CAHRA), Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern UniversityCenter for Applied Health Research on Aging (CAHRA), Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern UniversityCenter for Applied Health Research on Aging (CAHRA), Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern UniversityCenter for Applied Health Research on Aging (CAHRA), Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern UniversityCenter for Applied Health Research on Aging (CAHRA), Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern UniversityCenter for Applied Health Research on Aging (CAHRA), Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern UniversityCenter for Applied Health Research on Aging (CAHRA), Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern UniversityCenter for Applied Health Research on Aging (CAHRA), Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern UniversityNorthwestern University Transplant Outcomes Research Collaborative (NUTORC), Feinberg School of Medicine, Northwestern UniversityDepartment of Neurology, Feinberg School of Medicine, Northwestern UniversityCenter for Applied Health Research on Aging (CAHRA), Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern UniversityDepartment of Neurology, Feinberg School of Medicine, Northwestern UniversityDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern UniversityDepartment of Neurology, Feinberg School of Medicine, Northwestern UniversityCenter for Applied Health Research on Aging (CAHRA), Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern UniversityAbstract The COVID-19 pandemic has had a widespread impact on sleep quality, yet little is known about the prevalence of sleep disturbance and its impact on self-management of chronic conditions during the ongoing pandemic. To evaluate trajectories of sleep disturbance and their associations with one’s capacity to self-manage chronic conditions. A longitudinal cohort study linked to 3 active clinical trials and 2 cohort studies with 5 time points of sleep data collection (July 15, 2020–May 23, 2022). Adults living with chronic conditions who completed sleep questionnaires for two or more time points. Trajectories of self-reported sleep disturbance across 5 time points. Three self-reported measures of self-management capacity, including subjective cognitive decline, medication adherence, and self-efficacy for managing chronic disease. Five hundred and forty-nine adults aged 23 to 91 years were included in the analysis. Two-thirds had 3 or more chronic conditions; 42.4% of participants followed a trajectory of moderate or high likelihood of persistent sleep disturbance across the study period. Moderate or high likelihood of sleep disturbance was associated with age < 60 (RR 1.57, 95% CI 1.09, 2.26, P = 0.016), persistent stress (RR 1.54, 95% CI 1.16, 2.06, P = 0.003), poorer physical function (RR 1.57, 95% CI 1.17, 2.13, P = 0.003), greater anxiety (RR 1.40, 95% CI 1.04, 1.87, P = 0.03) and depression (RR 1.63, 95% CI 1.20, 2.22, P = 0.002). Moderate or high likelihood of sleep disturbance was also independently associated with subjective cognitive decline, poorer medication adherence, and worse self-efficacy for managing chronic diseases (all P < 0.001). Persistent sleep disturbance during the pandemic may be an important risk factor for inadequate chronic disease self-management and potentially poor health outcomes in adults living with chronic conditions. Public health and health system strategies might consider monitoring sleep quality in adults with chronic conditions to optimize health outcomes.https://doi.org/10.1038/s41598-025-96384-x |
| spellingShingle | Minjee Kim Lauren Rogers Stephanie Batio Julia Y. Benavente Morgan Bonham Pauline Zheng Rebecca M. Lovett Stacy C. Bailey Mary J. Kwasny Daniela P. Ladner Sherry HY. Chou Jeffrey A. Linder Sandra Weintraub Yuan Luo Phyllis C. Zee Michael S. Wolf Trajectories of sleep disturbance and self-management of chronic conditions during COVID-19 among middle-aged and older adults Scientific Reports |
| title | Trajectories of sleep disturbance and self-management of chronic conditions during COVID-19 among middle-aged and older adults |
| title_full | Trajectories of sleep disturbance and self-management of chronic conditions during COVID-19 among middle-aged and older adults |
| title_fullStr | Trajectories of sleep disturbance and self-management of chronic conditions during COVID-19 among middle-aged and older adults |
| title_full_unstemmed | Trajectories of sleep disturbance and self-management of chronic conditions during COVID-19 among middle-aged and older adults |
| title_short | Trajectories of sleep disturbance and self-management of chronic conditions during COVID-19 among middle-aged and older adults |
| title_sort | trajectories of sleep disturbance and self management of chronic conditions during covid 19 among middle aged and older adults |
| url | https://doi.org/10.1038/s41598-025-96384-x |
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