Is insomnia an independent predictor of incident atherosclerotic cardiovascular disease among HIV-infected veterans?

dc.contributor.advisorStewart, Jesse
dc.contributor.authorPolanka, Brittanny M.
dc.contributor.otherZapolski, Tamika
dc.contributor.otherHirsh, Adam
dc.date.accessioned2017-10-31T14:44:23Z
dc.date.available2017-10-31T14:44:23Z
dc.date.issued2017-07
dc.degree.date2017en_US
dc.degree.disciplineDepartment of Psychologyen
dc.degree.grantorPurdue Universityen_US
dc.degree.levelM.S.en_US
dc.descriptionIndiana University-Purdue University Indianapolis (IUPUI)en_US
dc.description.abstractWhile insomnia/sleep disturbance has been identified as an independent predictor of cardiovascular disease in the general population, no studies have examined whether insomnia contributes to the elevated cardiovascular disease (CVD) risk in people with human immunodeficiency virus (HIV). Thus, the current study examined whether insomnia symptoms predict incident atherosclerotic CVD in the Veterans Aging Cohort Study 9 (VACS9), a prospective cohort of HIV-infected (n = 3,138) and uninfected (n = 3,010) Veterans utilizing self-report measures and administrative data. In partial support of my hypotheses, I found that HIV-infected Veterans bothered a lot by difficulty falling or staying asleep have greater CVD risk than HIV-infected Veterans without these symptoms. This study failed to replicate previous findings that insomnia symptoms are predictive of incident CVD in uninfected adults, which may be due to issues related to the validity of the insomnia symptoms assessment. A number of methodological issues are identified and considered in the interpretation of the current study results. Given the novelty of examining insomnia as a predictor of incident CVD in HIV-infected adults and the limitations of the present study, future research is needed to better elucidate the association between insomnia and future CVD in this population.en_US
dc.identifier.doi10.7912/C2KW93
dc.identifier.urihttps://hdl.handle.net/1805/14406
dc.identifier.urihttp://dx.doi.org/10.7912/C2/1123
dc.language.isoen_USen_US
dc.subjectInsomniaen_US
dc.subjectCardiovascular Diseaseen_US
dc.subjectHuman Immunodeficiency Virusen_US
dc.titleIs insomnia an independent predictor of incident atherosclerotic cardiovascular disease among HIV-infected veterans?en_US
dc.typeThesisen
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