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Abstract
Most previous studies investigating sleep’s association with health outcomes have relied on averaged sleep quality and laboratory-based health measures. This study examines the dynamic within-person relationships between subjective (Ecological Momentary Assessment) and objective sleep (actigraphy) on next-day cognition (subjective and objective), mood, and engagement in daily activities using linear mixed-effects regression modeling. Participants included 94 individuals (59 people with HIV, 35 HIV-) aged 50–74, assessed daily for 14 consecutive days/nights. Subjective and objective sleep were well correlated and were both associated with subjective ratings of cognition, but not objective cognition. Worse subjective sleep was associated with next-day lower happiness and higher depressed mood, and more pain, but was not related to next-day daily activities. Objective sleep was associated with next-day depressed mood and feelings of worry, and was positively associated with next-day television watching. Results provide evidence to support the utility of real-time assessment for sleep and functional outcomes that may lead to potential personalized interventions for individuals with and without HIV.
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Details
1 University of California, Department of Psychiatry, San Diego, USA (GRID:grid.266100.3) (ISNI:0000 0001 2107 4242)
2 University of California, Department of Psychiatry, San Diego, USA (GRID:grid.266100.3) (ISNI:0000 0001 2107 4242); SDSU/UC San Diego Joint Doctoral Program in Clinical Psychology, San Diego, USA (GRID:grid.263081.e) (ISNI:0000 0001 0790 1491)
3 University of California, Department of Psychiatry, San Diego, USA (GRID:grid.266100.3) (ISNI:0000 0001 2107 4242); VA San Diego Healthcare System, San Diego, USA (GRID:grid.410371.0) (ISNI:0000 0004 0419 2708)