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Sponsor: University of Alabama at Birmingham
Conditions: HIV, Insomnia
Interventions: Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5)sleep disorders-revised, Resmed ApneaLink Air device (Resmed, San Diego, CA)., Quantitative Sensory testing (QST), OraQuick Advance Rapid HIV 1/2 Swab test, Cluster of Differentiation 4 (CD4) and Viral load
Countries: United States
The overall objective of this application is to investigate the impact of insomnia on pain, physical functioning, and inflammation in people living with HIV. The two aims of this study to determine 1) whether insomnia promotes increased sensitivity and inflammatory reactivity to pain stimuli, and 2) if weekly fluctuations in insomnia burden drive changes in inflammation, pain severity, and physical functioning in people living with HIV. This research could help confirm insomnia as a therapeutic target for the suppression of pain and inflammation in people living with HIV.
Sex: ALL
Age: 18 Years to 85 Years
Healthy volunteers: Yes
Study type: OBSERVATIONAL
Inclusion Criteria: HIV with Insomnia * Confirmed HIV diagnosis * currently a patient in the University of Alabama (UAB) 1917 HIV Clinic. * must be currently receiving stable antiretroviral therapy (ART). * Meets the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5) diagnostic criteria for insomnia including sleep difficulty. HIV Without Insomnia * Confirmed HIV diagnosis * currently a patient in the University of Alabama (UAB) 1917 HIV Clinic. * must be currently receiving stable antiretroviral therapy (ART). * Does not meet the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5) diagnostic criteria for insomnia including sleep difficulty. Non HIV with Insomnia * Confirmed Non HIV diagnosis and currently not a patient in the UAB 1917 HIV Clinic. * Meets DSM-5 diagnostic criteria for insomnia including sleep difficulty. Non HIV Without Insomnia * Confirmed Non HIV diagnosis and currently not a patient in the UAB 1917 HIV Clinic. * Does not meets DSM-5 diagnostic criteria for insomnia including sleep difficulty. Exclusion Criteria: * concurrent medical conditions that could confound * interpretation of sleep * pain * inflammatory issues or coexisting diseases * Systemic rheumatic disease/condition * uncontrolled hypertension (i.e., BP \> 150/95) * circulatory disorders (e.g., Reynaud's disease) * history of heart disease or cardiac events * history of cancer * asthma AND use of an inhaler * history of seizures * history of stroke or other neurological disorder * pregnancy * core body temperature \> 100 degrees Fahrenheit as this could indicate acute infection with fever; (k) * unwilling to provide blood for this study * non-English speaking * recent injury or surgical procedure within past 6 months.
- Birmingham, Alabama, United States