Association between mental health and sleep quality in peripheral artery disease patients: a longitudinal study

Allana Andrade Souza; Carolina Benedetti Castellari; Gustavo Oliveira da Silva; Aluísio Andrade-Lima; Juliana Ferreira de Carvalho; Hélcio Kanegusuku; Aline Mendes Gerage; Marilia de Almeida Correia

doi:10.5585/21.2022.23400

Autores

Allana Andrade Souza Universidade Federal de Santa Catarina. https://orcid.org/0000-0002-1516-4097
Carolina Benedetti Castellari Universidade Nove de Julho https://orcid.org/0000-0002-8237-6911
Gustavo Oliveira da Silva Universidade Nove de Julho https://orcid.org/0000-0001-6341-345X
Aluísio Andrade-Lima Universidade Federal de Sergipe https://orcid.org/0000-0002-8559-7752
Juliana Ferreira de Carvalho Hospital Israelita Albert Einstein https://orcid.org/0000-0002-6811-7104
Hélcio Kanegusuku Hospital Israelita Albert Einstein https://orcid.org/0000-0002-0406-6504
Aline Mendes Gerage Universidade Federal de Santa Catarina https://orcid.org/0000-0002-0555-5422
Marilia de Almeida Correia Universidade Nove de Julho https://orcid.org/0000-0002-8983-3433

DOI:

https://doi.org/10.5585/21.2022.23400

Palavras-chave:

Pandemia, Isolamento social, Claudicação intermitente.

Resumo

Objetivo: Analisar a associação longitudinal entre saúde mental e qualidade do sono em pacientes com doença arterial periférica (DAP) em dois períodos da pandemia de COVID-19.
Métodos: Neste estudo longitudinal, 99 pacientes com DAP foram avaliados em dois anos de pandemia de COVID-19 (2020 e 2021). Os pacientes foram entrevistados por telefone, obtendo-se informações sobre saúde mental (ansiedade, infelicidade, estresse e depressão) e qualidade do sono (alteração do sono, dificuldade para dormir e melhora do sono). Os pacientes foram divididos em: sem sintomas (pacientes que não relataram sintomas de saúde mental, n=31, 68,2±9,4 anos) e um ou mais sintomas (com pelo menos um sintoma de saúde mental, n=68, 68,1±9,4 anos).
Resultados: Em 2020, os sintomas de saúde mental foram associados à alteração do sono (OR=5,018; p=0,020), dificuldade para dormir (OR=12,250; p=0,003) e melhora do sono (OR=0,104; p=0,003). Em 2021, a saúde mental esteve associada apenas à alteração do sono (OR=3,522; p=0,035).
Conclusão: O impacto dos sintomas de saúde mental na qualidade do sono de pacientes com DAP foi atenuado durante a pandemia de coronavírus.

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