Bodily pain, social support, depression symptoms and stroke history are independently associated with sleep disturbance among the elderly: a cross-sectional analysis of the Fujiwara-kyo study

Kishimoto, Yuko; Okamoto, Nobuhiko; Saeki, Keigo; Tomioka, Kimiko; Obayashi, Kenji; Komatsu, Masayo; Kurumatani, Norio

doi:10.1007/s12199-016-0529-z

Cited by 23 publications

(20 citation statements)

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“…Considering social support and sleep quality, this study found that lower level of social support increased the risk of poor sleep quality among the elderly in the nursing homes. This result was consistent with the findings of previous studies [59][60][61]. Specifically, Kishimoto et al [60] found that individuals with weak social support from spouses or family members were at a higher risk of sleep disturbances than their counterparts with strong social support.…”

Section: Plos Onesupporting

confidence: 92%

“…This result was consistent with the findings of previous studies [59][60][61]. Specifically, Kishimoto et al [60] found that individuals with weak social support from spouses or family members were at a higher risk of sleep disturbances than their counterparts with strong social support. In addition, lower level of emotional social support was associated with more difficulties in initiating and maintaining sleep among the 998 elderly African-Americans [61].…”

Section: Plos Onesupporting

confidence: 92%

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The prevalence of poor sleep quality and associated risk factors among Chinese elderly adults in nursing homes: A cross-sectional study

Zhu

Nie

et al. 2020

PLoS ONE

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Background Sleep problems have become the most common complaints among the elderly. There are a few studies that explored the prevalence of poor sleep quality and its associated factors among the elderly in nursing homes. Therefore, this study aimed to examine the prevalence of poor sleep quality and its associated factors among the Chinese elderly in nursing homes. Methods A total of 817 elderly residents, from 24 nursing homes, were included in this cross-sectional study. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and poor sleep quality was defined as PSQI >5. Multiple binary logistic regression was used to estimate the strength of the association between risk factors and poor sleep quality in terms of adjusted odds ratios (AORs) and their 95% confidence intervals (CIs), and interactions of risk factors for poor sleep quality were also examined. Results The prevalence of poor sleep quality was 67.3% (95% CI: 64.0, 70.5%) among the Chinese elderly in nursing homes. Multiple binary logistic regression results showed that participants with the following characteristics had an increased risk of poor sleep quality after adjustments for other confounders:

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Section: Plos Onesupporting

confidence: 92%

Section: Plos Onesupporting

confidence: 92%

The prevalence of poor sleep quality and associated risk factors among Chinese elderly adults in nursing homes: A cross-sectional study

Zhu

Nie

et al. 2020

PLoS ONE

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show abstract

“…In our study, we found that a lower level of social support increased the risk of poor sleep quality in nursing home residents. This result was consistent with the findings of previous studies [59][60][61]. For example, Kishimoto et al [60] found that individuals with weak social support from spouses or family members had significantly increased adjusted odds ratios for the risk of sleep disturbances.…”

Section: Discussionsupporting

confidence: 92%

“…This result was consistent with the findings of previous studies [59][60][61]. For example, Kishimoto et al [60] found that individuals with weak social support from spouses or family members had significantly increased adjusted odds ratios for the risk of sleep disturbances. Another study [61] conducted among 998 African-American elderly adults indicated that those who reported lower levels of emotional social support have more difficulties in initiating and maintaining sleep.…”

Section: Discussionsupporting

confidence: 92%

The prevalence of poor sleep quality and associated risk factors among Chinese elderly adults in nursing homes: a cross-sectional study

Zhao

Zhu

et al. 2019

Preprint

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Background: Sleep problems have become the most common complaints among elderly adults. There are a few studies indentified prevalence of poor sleep quality and its associated factors in nursing home setting.Therefore, our study aim to examine the prevalence of poor sleep quality, its risk factors, and their interactions among Chinese elderly adults in nursing homes. Methods: A total of 817 elderly residents from 24 nursing homes were included in this cross-sectional study. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and poor sleep quality was defined as PSQI >5. Multiple binary logistic regression was used to estimate adjusted odds ratios (AORs) and 95% confidence intervals (CIs) between risk factors and poor sleep quality. An additional interaction model was used to analyse the interaction between risk factors. Results: The prevalence of poor sleep quality was 67.3% (95% CI: 64.0, 70.5%) among elderly adults in nursing homes. Multiple binary logistic regression results showed that participants with the following characteristics had an increased risk of poor sleep quality after adjustments for other confounders: being 70-79 years old (AOR: 1.81, 95% CI: 1.10, 2.97) or 80 years old and above (AOR: 2.64, 95% CI: 1.67, 4.17); having less than 7 years of education (AOR: 1.59, 95% CI: 1.08, 2.33); having one to two kinds of chronic diseases (AOR: 2.26, 95% CI: 1.53, 3.32) or three or more kinds of chronic disease (AOR: 2.81, 95% CI: 1.65, 4.76); having depression (AOR: 3.13, 95% CI: 2.04, 4.81), anxiety (AOR: 3.42, 95% CI: 1.68, 6.97), and lower social support (AOR: 1.57, 95% CI: 1.11, 2.21). Additive interactions were detected between age and anxiety (AOR: 8.34, 95% CI: 4.43, 15.69), between chronic disease and anxiety (AOR: 8.61, 95% CI; 4.28, 17.31) and between social support and anxiety (AOR: 6.43, 95% CI: 3.22, 12.86). Conclusions: The prevalence of poor sleep quality in nursing homes is relatively high. Anxiety has additive interactions with age, chronic disease and social support for poor sleep quality. These findings have significant implications for interventions that aim to improve sleep quality among elderly residents in nursing homes.

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“…The JMS-SSS has excellent internal consistency reliability (spouse: α = 0.89, family: α = 0.95, and friends: α = 0.94) ( 22 ). The all JMS-SSS scores are significantly associated with an increased odds of sleep disturbance in older persons ( 23 ), showing good validity. In this study, we combined spouse and other family members into the “family” category and assessed support from them together.…”

Section: Methodsmentioning

confidence: 99%

Adult Attachment Patterns Modify the Association Between Social Support and Psychological Distress

Kizuki

Fujiwara

2018

Front. Public Health

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Introduction: Social support is an important protective factor for psychological distress, and adult attachment patterns—which are the basis of human relationships—may modify the association between social support and psychological distress. The objective of this study was to investigate whether adult attachment patterns modify the association between social support and psychological distress.Methods: A commercial online survey service was used to collect data from 1648 men and women of 30–69 years of age in Japan. We assessed the association between social support and psychological distress, as measured by the Kessler Psychological Distress Scale (K6), and stratified it by adult attachment patterns using multiple linear models. Adjustments were made for age, sex, presence of a spouse and child in the household, level of education, employment, and household income.Results: There was a significant interaction effect between social support score and a dismissing attachment pattern on psychological distress (p = 0.015); social support was associated with reduced level of psychological distress only in participants with a secure attachment pattern (β:−0.86, 95% CI: −1.56 to −0.16), whereas the point estimate was of opposite sign in participants with a dismissing attachment pattern (β:1.02, 95% CI: −0.32 to 2.37).Conclusions: Higher social support reduced the risk of distress among participants with secure attachment. On the contrary, social support can be harmful for those with a dismissing attachment pattern. Our results suggest that further assessment of adult attachment patterns is needed to maximize the positive effects of social support to prevent psychological distress.

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Bodily pain, social support, depression symptoms and stroke history are independently associated with sleep disturbance among the elderly: a cross-sectional analysis of the Fujiwara-kyo study

Abstract: The present study indicates that sleeping disturbances among the elderly are closely associated with social support from a spouse and family. They are also associated with pain, even at stages in which subjective bodily pain is very mild.

Cited by 23 publications

References 50 publications

The prevalence of poor sleep quality and associated risk factors among Chinese elderly adults in nursing homes: A cross-sectional study

The prevalence of poor sleep quality and associated risk factors among Chinese elderly adults in nursing homes: A cross-sectional study

The prevalence of poor sleep quality and associated risk factors among Chinese elderly adults in nursing homes: a cross-sectional study

Adult Attachment Patterns Modify the Association Between Social Support and Psychological Distress

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