Al-Smadi Ahmed Mohammad, Shajrawi Abedalmajeed, Gammoh Omar Salem, Ashour Ala, Tawalbeh Loai Issa, Harb Eman, Esmadi Hanan, Al-Akash Hekmat Yousef
Department of Adult Health Nursing, Faculty of Nursing, Al al-Bayt University, Mafraq, Jordan.
Faculty of Health Science, Higher Colleges of Technologies, Sharjah, UAE.
Iran J Nurs Midwifery Res. 2024 Sep 4;29(5):555-562. doi: 10.4103/ijnmr.ijnmr_350_22. eCollection 2024 Sep-Oct.
Prior studies showed that anxiety and insomnia are both associated with Cardiovascular Disease (CVD). There is a lack of literature related to the prevalence of insomnia and anxiety among healthy adult populations in developing countries as in Jordan, Therefore, this study aimed to examine the association between the CVD risk factors and both insomnia and anxiety among healthy adults had one or more modifiable CVD risk factors.
A cross-sectional method was used to examine the prevalence of anxiety, insomnia, and demographical and clinical association with anxiety and insomnia among 1000 Jordanian adult participants using the Hamilton Anxiety Rating Scale and the insomnia severity index. Pearson's correlation was used to examine the correlation between anxiety and insomnia scores. Linear regression was used to examine predictors to anxiety and insomnia based on demographical and clinical details.
The result of the current study showed that (30.20%) of participants had higher anxiety scores, (29.70%) had moderate to severe insomnia. Moreover, there was a significant positive correlation between anxiety and insomnia scores, = 0.01. Based on the current study findings only marital status and anxiety were unique predictors of insomnia F = 989, = 0.001. Moreover, Predictors of anxiety were gender, hypertension, Diabetes mellitus, dyslipidemia, and insomnia F = 989, = 0.001.
Sleep and psychological well-being are important components of an adult's health and well-being. The study showed that marital status and anxiety are predictors of insomnia. Whereas, gender, hypertension, diabetes mellitus, dyslipidemia, and insomnia were predictors of anxiety. This study highlights the importance of the implementation of a primary prevention strategy for individuals with modifiable CVD risk factors to reduce anxiety and insomnia levels among adults.
先前的研究表明，焦虑和失眠均与心血管疾病（CVD）相关。在约旦等发展中国家，缺乏有关健康成年人群中失眠和焦虑患病率的文献。因此，本研究旨在探讨心血管疾病危险因素与患有一种或多种可改变的心血管疾病危险因素的健康成年人的失眠和焦虑之间的关联。
采用横断面研究方法，使用汉密尔顿焦虑量表和失眠严重程度指数，对1000名约旦成年参与者的焦虑、失眠患病率以及与焦虑和失眠的人口统计学和临床关联进行研究。使用Pearson相关性分析来检验焦虑和失眠评分之间的相关性。基于人口统计学和临床细节，使用线性回归分析来检验焦虑和失眠的预测因素。
本研究结果显示，（30.20%）的参与者焦虑评分较高，（29.70%）患有中度至重度失眠。此外，焦虑和失眠评分之间存在显著正相关，P = 0.01。根据本研究结果，仅婚姻状况和焦虑是失眠的独特预测因素，F = 989，P = 0.001。此外，焦虑的预测因素包括性别、高血压、糖尿病、血脂异常和失眠，F = 989，P = 0.001。
睡眠和心理健康是成年人健康和幸福的重要组成部分。研究表明，婚姻状况和焦虑是失眠的预测因素。而性别、高血压、糖尿病、血脂异常和失眠是焦虑的预测因素。本研究强调了对具有可改变的心血管疾病危险因素的个体实施一级预防策略以降低成年人焦虑和失眠水平的重要性。
