KMID : 0367020170290010087
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Journal of Korean Academic of Adult Nursing 2017 Volume.29 No. 1 p.87 ~ p.97
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Relationship among Sleep Quality, Heart Rate Variability, Fatigue, Depression, and Anxiety in Adults
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Kim Ju-Ah
Kang Sefung-Wan
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Abstract
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Purpose : The purpose of this study was to investigate the relationship among sleep quality, heart rate variability (HRV), fatigue, depression, and anxiety reported by Korean adults.
Methods : A cross-sectional study of 208 adults aged 20~60 years was conducted using a short-term HRV analysis and self-reported questionnaires of Pittsburgh Sleep Quality Index (PSQI), Fatigue Severity Scale, Beck Depression Inventory, and State Trait Anxiety Inventory.
Results : Subjects with good sleep quality (PSQI score¡Â5) had higher HRV total power (t=2.03, p=.043) and high-frequency (t=2.04, p=.043) with lower fatigue (t=-4.08, p<.001), depressive mood (t=-3.66, p<.001), and trait anxiety (t=-3.84, p<.001) than subjects with poor sleep quality. Poor sleep quality was negatively correlated with HRV total power (r=-.17, p=.016), high-frequency (r=-.14, p=.049), and positively fatigue (r=.39, p<.001), depression (r=.44, p<.001), state anxiety (r=.23, p=.001) and trait anxiety (r=.34, p<.001).
Conclusion : The results indicated that sleep quality is correlated with HRV which reflects the activities of the autonomic nerve system, fatigue, depression, and anxiety in adults.
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KEYWORD
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Sleep, Heart rate, Fatigue, Depression, Anxiety
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