Sick and Tired: Understanding and Managing Sleep Difficulties in ...

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This set of questions asks your views about your health. This information will help keep track of how you feel and how well you are able to do your usual activities. Please tick the box that represents how you feel. If you are unsure about how to answer questions please give the best answer you can. 1. In general would you say your health is: 2. Compared to one year ago how would you rate your health in general now Excellent Very Good Good Fair Poor Much better Somewhat better About the same Somewha t worse Much worse The following questions are about activities you might do during a typical day. Does your health now limit you in these activities? If so how much? Please tick the box that indicates how you feel. 3. Vigorous activities such as running, lifting heavy objects, participating in strenuous sports 4. Moderate activities such as moving a table, pushing a vacuum cleaner, bowling or playing golf 1. Lifting or carrying groceries 2. Climbing several flights of stairs 3. Climbing one flight of stairs 4. Bending, kneeling or stooping 5. Walking more than a mile 6. Walking several blocks 7. Walking one block 8. Bathing or dressing yourself Limited a Limited a Not limited at lot little all 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 197
During the past month have you had any of the following problems with your work or other regular daily activities as a result of your physical health? Please tick the appropriate box. 13. Cut down on the amount of time you spent on work or other activities 14. Accomplished less than you would like 15. Were limited in the kind of work or other activities? 16. Had difficulty performing the work or other activities for example it took extra effort Yes No 1 2 1 2 1 2 1 2 During the past month have you had any of the following problems with your work to other regular activities as a result of any emotional problems e.g. feeling depressed or anxious? Please tick the appropriate box. 17. Cut down on the amount of time you spent on work or other activities 18. Accomplished less than you would like 19. Didn‟t do work or other activities as carefully as usual 20. During the past month to what extent has your physical health or emotional problems interfere with your normal social activities with family, friends, neighbours or groups 21. How much physical pain have you had in the past month 22. During the past month how much did pain interfere with your normal work (both paid and/or housework) Yes No 1 2 Not at all Slightly Moderately quite a bit None Very mild Not at all A little bit 1 2 1 2 Extremely Mild Moderate Severe Very Severe Moderately Quite a bit Extremely 198
Page 1 and 2:
Sick and Tired: Understanding and M
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Chapter Four. The Nature and Effect
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References ........................
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List of Tables Table 1. Participant
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Co-authored Works Although the stud
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Acknowledgments This thesis would n
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Intellectual Property Rights There
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Confidential Material No participan
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The role of sleep in FMS appears to
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little information was available as
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Psychophysiologic insomnia which is
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and are less able to inhibit the pa
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widely applied in clinical practice
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of fewer tender points; usually bet
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Current Management Strategies The t
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also likely to depend on a number o
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deep sleep (stages three and four)
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Although sleep moves through the sl
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Figure 3. The Integrative Model of
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However, conducting a blood test is
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As sleep is a complex process invol
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Sleep Diaries Sleep diaries are a k
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pain). Lentz et al (1999) revealed
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These results have also been suppor
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(McCracken & Iverson, 2002) which s
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Figure 4. Conceptual model of the d
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Clinical Implications Despite the p
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Chapter Three. Sleep in FMS As high
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& Penzien, 2003), although alpha wa
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pauses in breathing indicative of s
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Relationships between Sleep and Pai
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Managing Sleep Disturbance in FMS D
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may be possible to help patients im
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person to initiate an action (such
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and Nicassio et al (1995) only expl
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1) Poor sleep quality, defined by t
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elow 0.7 are acceptable. Therefore
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heart disease (Epstein et al., 1999
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In order to explore the links betwe
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questionnaire 78 (77.2%) of the par
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efficiency, suggesting that partici
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Older age and longer length of illn
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Table 2. Correlations between demog
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Logistic Regression As 97% of the s
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in bed, participants may have devel
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Relationship between Negative Affec
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participants, who may be less likel
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emotional problems, increased pain
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eactions are most likely to be detr
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It has been suggested that the auto
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For both groups, participants were
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with and without chronic medical co
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As previously described on page 61,
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Figure 7. Scree plot for the explor
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Figure 8. Scree plot for the explor
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Table 6. Participant characteristic
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Table 7. Measures of central tenden
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CON = DBAS-10 Dysfunctional beliefs
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The Exp (B) values revealed that hi
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has explored the use of napping on
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It became clear, through the analys
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interventions. With this in mind, t
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The philosophy of phenomenology was
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Methods Participants were given a w
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Table 11. Interview schedule for th
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Rigour The interview transcripts we
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“The main symptom is this overwhe
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Theme Two. Inter-relationship betwe
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where I live, so I don‟t know, I
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Participants also described how the
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“XXXX (name of person) planned a
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A strong theme that emerged in this
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conducted at several time points, w
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Chapter Seven. Investigating the Ef
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activities because they no longer f
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Therefore as this was a feasibility
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Self-reported sleep quality was ass
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The progressive muscle relaxation (
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Exploring the baseline data, there
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Consequently, univariate analysis w
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There was no significant correlatio
Page 163 and 164: people with FMS (Perlis, Giles, Men
Page 165 and 166: The aim of this study was to explor
Page 167 and 168: observed in perceived overall sleep
Page 169 and 170: elaborated on in Chapter Six, which
Page 171 and 172: Four) revealed that global sleep qu
Page 173 and 174: Modifications to the Call-Schmidt a
Page 175 and 176: MBSR programme in people with FMS (
Page 177 and 178: diagnostic criteria for these sleep
Page 179 and 180: comprehensive measures to look at t
Page 181 and 182: References Abad, V. C., Sarinas, P.
Page 183 and 184: Brand, S., Gerber, M., Beck, J., Ha
Page 185 and 186: Crofford, L. J., & Demitrack, M. A.
Page 187 and 188: Goldenberg, D. L., Kaplan, K. H., N
Page 189 and 190: Johns, M. W. (2002). Sleep propensi
Page 191 and 192: Leung, Y. Y., Ho, K. W., Zhu, T. Y.
Page 193 and 194: Mease, P. J. (2005). Fibromyalgia s
Page 195 and 196: symptoms in healthy subjects; Corre
Page 197 and 198: approach with illustration to the h
Page 199 and 200: Thomas, E. N., & Blotman, F. (2010)
Page 201 and 202: Yunus, M. B., Masi, A. T., & Aldag,
Page 203 and 204: Appendices Appendix A: Search Strat
Page 205 and 206: Sleep and Fibromyalgia Syndrome Con
Page 207 and 208: 190
Page 209 and 210: The following questions relate to y
Page 211 and 212: There are lots of ways to try to de
Page 213: 42. I try hard to prevent other thi
Page 217 and 218: Appendix E: Published paper of Stud
Page 219 and 220: 202
Page 221 and 222: 204
Page 223 and 224: 206
Page 225 and 226: Sleep and Fibromyalgia Syndrome Con
Page 227 and 228: Appendix H: Participant Questionnai
Page 229 and 230: Below are 10 statements reflecting
Page 231 and 232: The questions in this scale ask you
Page 233 and 234: Appendix I. Published Paper for Stu
Page 235 and 236: 218
Page 237 and 238: 220
Page 239 and 240: 222
Page 241 and 242: Appendix K. Information Sheet and C
Page 243 and 244: Sleep in Fibromyalgia Syndrome Cons
Page 245 and 246: Appendix L: Letter of Ethical Appro
Page 247 and 248: Appendix M. Letter to GPs for Study
Page 249 and 250: What are the side effects of any tr
Page 251 and 252: Appendix O: Poster Advertising Stud
Page 253 and 254: Appendix Q: Participant Questionnai
Page 255 and 256: HAD Scale Read each item and place
Page 257 and 258: During the past month have you had
Page 259 and 260: Appendix R. Letter from Dr Mark Cro
Page 261 and 262: PUBLICATIONS Peer Reviewed Journal
Page 263: and panic-like episodes, Faculty of
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