Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2018, 162(3):212-218 | DOI: 10.5507/bp.2018.009

Evaluation of selected insomnia predictors in adolescents and young adults with cystic fibrosis

Lucyna Tomaszek^a, Grazyna Cepuch^b, Lidia Pawlik^a

^a Department of Pneumonology and Cystic Fibrosis, Institute for Tuberculosis and Lung Diseases, Pediatric Division, Rabka-Zdroj, Poland

^b Collegium Medicum, Faculty of Health Sciences, Jagiellonian University, Krakow, Poland

Aims and Background. The purpose of the study was to assess the incidence of insomnia in adolescents and young adults with cystic fibrosis and its impact on the quality of life, and to examine whether demographic and clinical factors and negative emotional states are predictors of insomnia in these patients.

Methods: The study was conducted among 95 cystic fibrosis patients aged 14-25 years. The study used a personal questionnaire survey, the Athens Insomnia Scale, the Cystic Fibrosis Quality of Life Questionnaire, the Hospital Anxiety and Depression Scale, and the Numeric Rating Scale.

Results: Insomnia was diagnosed in 38% of cystic fibrosis patients. In patients with insomnia, the level of anxiety (Me: 10 vs. 4; P=0.000) and depression (Me: 6.5 vs. 2; P=0.000) was significantly higher than in the good sleep quality group. The risk of insomnia increases as anxiety (OR: 4.31; 95% CI: 2.20 to 8.41) and depressive symptoms exacerbate (OR: 4.98; 95% CI: 1.84 to 13.43). Insomnia significantly worsens the quality of life in cystic fibrosis patients (ß=-0.5, P=0.000).

Conclusion: Insomnia affects a large percentage of cystic fibrosis patients, and anxiety and depression are factors that increase the risk of insomnia. Insomnia decreases the quality of life in cystic fibrosis patients.

Keywords: cystic fibrosis, insomnia, emotional state, pain, quality of life

Received: November 9, 2017; Accepted: March 14, 2018; Prepublished online: March 21, 2018; Published: September 18, 2018  Show citation