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Review
. 2022 Sep 1;42(5):316-323.
doi: 10.1097/HCR.0000000000000694. Epub 2022 May 2.

Prevalence, Impact, and Trajectories of Sleep Disturbance in Cardiac Rehabilitation: A NARRATIVE REVIEW AND SUGGESTIONS FOR EVALUATION AND TREATMENT

Caitlan A Tighe  1 , Daniel J Buysse, Debra K Weiner, Gregory P Beehler, Daniel E Forman
Affiliations
Review

Prevalence, Impact, and Trajectories of Sleep Disturbance in Cardiac Rehabilitation: A NARRATIVE REVIEW AND SUGGESTIONS FOR EVALUATION AND TREATMENT

Caitlan A Tighe et al. J Cardiopulm Rehabil Prev. .

Abstract

Objective: The aim of this review was to summarize literature examining the prevalence, impact, and trajectories of sleep disturbance in cardiac rehabilitation (CR) patients and discuss how CR programs may incorporate targeted evaluation and interventions to promote sleep health.

Review methods: A narrative review of literature allowed for an examination of the prevalence of sleep disturbance in CR patients, the effects of sleep disturbance on CR outcomes, and trajectories of sleep disturbance in CR.

Summary: Sleep disturbance is prevalent in CR patient populations and is related to clinical and functional outcomes. Sleep may be an important biobehavioral process to target in CR to improve important patient outcomes and achieve secondary prevention goals.

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Conflict of interest statement

Conflicts of Interest: Drs. Tighe, Beehler, Weiner, and Forman have no conflicts to report. Over the past 3 years, Dr. Buysse has served as a paid consultant to National Cancer Institute, Pear Therapeutics (which markets the Somryst® sleep app), Sleep Number, Idorsia, and Weight Watchers International. Dr. Buysse is an author of the Pittsburgh Sleep Quality Index, Pittsburgh Sleep Quality Index Addendum for PTSD (PSQI-A), Brief Pittsburgh Sleep Quality Index (B-PSQI), Daytime Insomnia Symptoms Scale, Pittsburgh Sleep Diary, Insomnia Symptom Questionnaire, and RU_SATED (copyrights held by University of Pittsburgh). These instruments have been licensed to commercial entities for fees. He is also co-author of the Consensus Sleep Diary (copyright held by Ryerson University), which is licensed to commercial entities for a fee.

Figures

Figure 1.
Figure 1.
Figure 1 is adapted from Thomas et al. and represents an expanded model of CR in which sleep health is included as a potential target health behavior.
Figure 2.
Figure 2.
Figure 2 presents an example stepped care model for addressing sleep in CR.
See this image and copyright information in PMC

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