Sleep quality, emotional moods, and cognitive outcomes among people living with HIV: An ecological momentary assessment study

作者：Shan Qiao, Abhishek Aggarwal, Camryn M. Garrett, Arielle N’Diaye, Atena Pasha, Irene Esu, Chih-Hsiang Yang, Xiaoming Li · 发表于：PLoS ONE · 年份：2025 · DOI：10.1371/journal.pone.0329399 · 被引用次数：3 · 研究领域：Sleep and related disorders、HIV/AIDS Research and Interventions、Bipolar Disorder and Treatment

INTRODUCTION: Although studies have explored the relationship between sleep quality, mood, and cognitive outcomes among people living with HIV (PLWH), few use ecological momentary assessment (EMA) techniques to evaluate within-person associations between sleep quality and emotional/cognitive outcomes among PLWH at the day level. This study investigated the association between previous night's sleep quality and momentary psychological outcomes in participants' natural setting. METHODS: Study participants were PLWH in South Carolina who were at least 18 years old, diagnosed with HIV for at least 2 years, and able to operate a cellphone. Participants were sampled using posters posted in AIDS Service organizations, and snowball sampling. Data collection occurred between March and November 2023. During a 10-day EMA period, participants received 6 brief surveys throughout the day. Surveys were delivered within a 14-hour time window at semi-random times, with at least 1.5 hours between surveys. Five multilevel models were implemented with mindfulness, positive affect, negative affect, perceived cognition, and self-control as the outcome variables, and previous night's sleep quality as the input variable. RESULTS: A total of 962 responses were gathered from 22 participants, with an average of 43.73 responses per person. Experiencing higher than usual levels of sleep quality the night prior had a significant positive association with higher levels of momentary mindfulness (β = 0.08, p...