Advertisement

Characterization of sleep among deaf individuals

  • Michelle Carr
    Correspondence
    Corresponding author: Michelle Carr, PhD, University of Rochester Medical Center, Department of Psychiatry, 300 Crittenden Blvd, Box PSYCYH, Rochester, NY 14642, USA
    Affiliations
    Department of Psychiatry, University of Rochester Medical Center, Rochester, New York, USA
    Search for articles by this author
  • Alexander Yoo
    Affiliations
    Department of Neurology, University of Rochester Medical Center, Rochester, New York, USA
    Search for articles by this author
  • Donna Guardino
    Affiliations
    Department of Psychiatry, University of Rochester Medical Center, Rochester, New York, USA

    Department of Obstetrics & Gynecology, University of Rochester Medical Center, Rochester, New York, USA
    Search for articles by this author
  • Wyatte C. Hall
    Affiliations
    Department of Neurology, University of Rochester Medical Center, Rochester, New York, USA

    Department of Obstetrics & Gynecology, University of Rochester Medical Center, Rochester, New York, USA

    Department of Public Health Sciences, University of Rochester Medical Center, Rochester, New York, USA

    Departments of Pediatrics, University of Rochester Medical Center, Rochester, New York, USA

    Center for Community Health and Prevention, University of Rochester Medical Center, Rochester, New York, USA
    Search for articles by this author
  • Scott McIntosh
    Affiliations
    Department of Public Health Sciences, University of Rochester Medical Center, Rochester, New York, USA

    Center for Community Health and Prevention, University of Rochester Medical Center, Rochester, New York, USA
    Search for articles by this author
  • Wilfred R. Pigeon
    Affiliations
    Department of Psychiatry, University of Rochester Medical Center, Rochester, New York, USA

    Department of Public Health Sciences, University of Rochester Medical Center, Rochester, New York, USA
    Search for articles by this author
Published:December 07, 2022DOI:https://doi.org/10.1016/j.sleh.2022.10.011

      Abstract

      Objectives

      Numerous health disparities are documented in deaf population research, but few empirical sleep assessments exist for this under-served population, despite knowledge that sleep contributes to physical and mental health disparities. We sought to document subjective and objective sleep in deaf adults with cross-sectional and prospective measures.

      Methods

      Twenty deaf participants completed validated sleep and mental health questionnaires, 2-weeks of nightly sleep diaries and continuous wrist-worn actigraphy monitoring, and 1-week of nightly, reduced-montage EEG recordings.

      Results

      Questionnaire data suggest high prevalence of insomnia (70%), poor sleep (75%), daytime sleepiness (25%) and nightmares (20%) among participants. Strong correlations were found between depression and sleep quality, fear of sleep, and insomnia severity (p’s < .005). Objective sleep assessments suggest elevated wake after sleep onset and low sleep efficiency and sleep duration.

      Conclusions

      The prevalence of sleep disturbance recorded from self-report and objective sleep measures provides preliminary evidence of sleep health disparity among deaf adults.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Sleep Health: Journal of the National Sleep Foundation
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Fellinger J
        • Holzinger D
        • Pollard R.
        Mental health of deaf people.
        Lancet North Am Ed. 2012; 379: 1037-1044https://doi.org/10.1016/S0140-6736(11)61143-4
      1. Barnett S, McKee M, Smith S, Pearson T. Deaf sign language users, health inequities, and public health: opportunity for social justice. Preventing Chronic Disease. 2011;8(2):A45–A45.

        • Chattu VK
        • Manzar MD
        • Kumary S
        • Burman D
        • Spence DW
        • Pandi-Perumal SR.
        The Global Problem of Insufficient Sleep and Its Serious Public Health Implications. 7. MDPI, 2018: 1
        • Pigeon WR
        • Bishop TM
        • Krueger KM.
        Insomnia as a precipitating factor in new onset mental illness: a systematic review of recent findings.
        Curr Psychiatry Rep. 2017; 19: 1-11
        • Partinen M.
        Epidemiology of sleep disorders.
        Handbook Clin Neurol. 2011; 98: 275-314
        • Werngren-Elgström M
        • Dehlin O
        • Iwarsson S.
        Aspects of quality of life in persons with pre-lingual deafness using sign language: subjective wellbeing, ill-health symptoms, depression and insomnia.
        Arch Gerontol Geriatr. 2003; 37: 13-24
        • Schoenborn CA
        • Heyman K.
        Health disparities among adults with hearing loss: United States, 2000-2006.
        Health E-Stat. 2008; (Published online): 1-14
        • Billings M.E.
        • Cohen R.T.
        • Baldwin C.M.
        • et al.
        Disparities in sleep health and potential intervention models: a focused review.
        Chest. 2021; 159: 1232-1240
      2. Centers for Disease Control and Prevention. Behavioral risk factor surveillance survey. Available at: http://www.cdc.gov/brfss/, Accessed September 1, 2019.

        • Johns MW.
        A new method for measuring daytime sleepiness: the Epworth sleepiness scale.
        Sleep. 1991; 14: 540-545
        • Buysse DJ
        • Reynolds CF
        • Monk TH
        • Berman SR
        • Kupfer DJ.
        The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research.
        Psychiatry Res. 1989; 28: 193-213https://doi.org/10.1016/0165-1781(89)90047-4
        • Morin CM.
        Insomnia: Psychological Assessment and Management.
        Guilford press, 1993
        • Zayfert C
        • DeViva J
        • Pigeon W
        • Goodson J.
        Fear of sleep and nighttime vigilance in trauma-related insomnia: a preliminary report on the Fear of Sleep Inventory.
        Paper presented at Int Soc Trauma Stress Stud. Holywood. CA. 2006;
        • Krakow B.
        Nightmare complaints in treatment-seeking patients in clinical sleep medicine settings: diagnostic and treatment implications.
        Sleep. 2006; 29: 1313-1319https://doi.org/10.1093/sleep/29.10.1313
        • Cohen S
        • Kamarck T
        • Mermelstein R.
        A global measure of perceived stress.
        J Health Soc Behav. 1983; 24: 385https://doi.org/10.2307/2136404
        • Kroenke K
        • Spitzer RL.
        The PHQ-9: a new depression diagnostic and severity measure.
        Psychiatric Ann. 2002; 32: 509-515
        • Ruggiero KJ
        • Ben KD
        • Scotti JR
        • Rabalais AE.
        Psychometric properties of the PTSD checklist—civilian version.
        J Trauma Stress. 2003; 16: 495-502
        • Felitti V
        • Anda R
        • Nordenberg D
        • Williamson D
        • Spitz A
        • Edwards V.
        Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study.
        Am J Prev Med. 1998; 14: 245-258
        • Smith MT
        • McCrae CS
        • Cheung J
        • et al.
        Use of actigraphy for the evaluation of sleep disorders and circadian rhythm sleep-wake disorders: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment.
        J Clin Sleep Med. 2018; 14: 1209-1230
        • Zambelli Z
        • Jakobsson CE
        • Threadgold L
        • Fidalgo AR
        • Halstead EJ
        • Dimitriou D.
        Exploring the feasibility and acceptability of a sleep wearable headband among a community sample of chronic pain individuals: an at-home observational study.
        Digital Health. 2022; 8: 1-13
        • Pruiksma KE
        • Taylor DJ
        • Ruggero C
        • et al.
        A psychometric study of the fear of sleep inventory-short form (FoSI-SF).
        J Clin Sleep Med. 2014; 10: 551-558https://doi.org/10.5664/jcsm.3710
        • Li SX
        • Zhang B
        • Li AM
        • Wing YK.
        Prevalence and correlates of frequent nightmares: a community-based 2-phase study.
        Sleep. 2010; 33: 774-780
        • Kushalnagar P.
        • Reesman J.
        • Holcomb T.
        • Ryan C.
        Prevalence of anxiety or depression diagnosis in deaf adults.
        J Deaf Stud Deaf Educ. 2019; 24: 378-385
        • Steiger A.
        • Pawlowski M.
        Depression and sleep.
        Int J Mol Sci. 2019; 20: 607
        • Ohayon M
        • Wickwire EM
        • Hirshkowitz M
        • et al.
        National Sleep Foundation's sleep quality recommendations: first report.
        Sleep Health. 2017; 3: 6-19
        • Hirshkowitz M
        • Whiton K
        • Albert SM
        • et al.
        National Sleep Foundation's sleep time duration recommendations: methodology and results summary.
        Sleep Health. 2015; 1: 40-43