Sleep Complaints in Community‐Dwelling Older Persons: Prevalence, Associated Factors, and Reported Causes

Maggi, Stefania; Langlois, Jean; Minicuci, Nadia; Grigoletto, Francesco; Pavan, Mara; Foley, Daniel J.; Enzi, Giuliano

doi:10.1111/j.1532-5415.1998.tb02533.x

Cited by 207 publications

(140 citation statements)

References 34 publications

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“…Since the study population was young adults attending a university, effects of age on sleep disturbances could not be found. Like in many studies showing that sleep disturbances are found more frequently among women than men (7)(8)(9)(10)(11)(12), it was found in this study that the female students slept slightly shorter and reported more sleep disturbances than their male counterparts.…”

Section: Discussionmentioning

confidence: 46%

Sleep Duration, Subjective Sleep Disturbances and Associated Factors Among University Students in Korea

Ban

Lee

2001

J Korean Med Sci

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Objective of this study was to look into sleep patterns of university students in association with their lifestyle, specifically to examine mean sleep duration, prevalence of sleep disturbances and their correlates. This study also aimed to examine a possible association of sleep patterns of young adults with new media like computers and videos, which were supposed to have a great influence on their lifestyle. Self-reported sleep data were derived from questionnaires administered to a total of 1,414 students of one university located in Chullabuk-do, Korea. Statistical methods such as t-test, analyses of variance, chi-square test and multivariate logistic regression were used for analysis. The mean sleep duration of the respondents was 6.7+/-1.3 hr. Of the respondents, 30.2% reported having insufficient sleep. About one third of them pointed to visual media including computers as the primary reason. The proportion of those having some types of sleep disturbances was 36.2%. The risk of subjective sleep disturbances was significantly lower among those perceiving themselves healthy than among those perceiving themselves unhealthy (OR=0.44; 95% CI: 0.34-0.57).

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Section: Discussionmentioning

confidence: 46%

Sleep Duration, Subjective Sleep Disturbances and Associated Factors Among University Students in Korea

Ban

Lee

2001

J Korean Med Sci

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“…The relationship between sleep disturbances and depressed mood has also been shown in epidemiologic studies of sleep in the general population (33)(34)(35), and with other medical patients (i.e., arthritis, chronic pain) (36 -38). Although the cross-sectional nature of the present study precludes making causal inferences regarding sleep disturbance and depression, other studies suggest a bidirectional relationship.…”

Section: Discussionmentioning

confidence: 99%

Determinants of sleep quality in women with systemic lupus erythematosus

Costa

Bernatsky

Dritsa

et al. 2005

Arthritis & Rheumatism

127

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Objective. To characterize sleep complaints in women with systemic lupus erythematosus (SLE) and to identify correlates of sleep quality. Methods. Sleep quality in 100 women with SLE was assessed using the Pittsburgh Sleep Quality Index (PSQI). Participants completed standardized questionnaires assessing depressed mood, leisure time physical activity, functional disability, and pain severity. A clinical examination determined disease activity, cumulative damage, and whether patients fulfilled the American College of Rheumatology criteria for fibromyalgia. A series of hierarchical multiple regressions were computed. Results. The mean ؎ SD global PSQI score was 6.98 ؎ 4.03, with moderate to severe sleep impairment reported by 56% of the sample. The first model testing the importance of demographic factors was not statistically significant. In the disease-related model, the use of prednisone and functional disability both contributed to poor sleep quality (P < 0.001). The addition of level of exercise participation to the demographic set significantly added to the model (P ‫؍‬ 0.001). Depression significantly added to the demographic set, explaining 29% of the variance (P < 0.0001). When these variables, along with disease related variables, were simultaneously regressed on the PSQI Global Score, only depressed mood appeared as a significant independent determinant of global sleep quality (P < 0.001). However, the point estimates for the Beta coefficients were consistent with effects for lack of exercise and prednisone use. Conclusion. A significant proportion of women with SLE suffer from poor sleep quality. The findings suggest that depressed mood, prednisone use, and lack of exercise contribute to decreased overall sleep quality.

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“…Epidemiological studies have shown that 30%-60% of all older persons have one or more sleep complaints, including difficulty falling asleep, problems staying asleep at night or falling back asleep after awakening, early morning awakenings, excessive daytime sleepiness, and daytime fatigue (Ancoli-Israel & Roth, 1999;Dodge, Cline, & Quan, 1995;Foley et al, 1995;Maggi et al, 1998). Sleep disturbances in this population are often secondary to medical and psychiatric comorbidities (Foley, Ancoli-Israel, Britz, & Walsh, 2004;Newman et al, 1997;Ohayon, Carskadon, Guilleminault, & Vitiello, 2004;Quan et al, 2005;Vitiello, Moe, & Prinz, 2002) and are associated with an increased risk for the onset of depression and anxiety, substance abuse, falls, cognitive decline, and suicide (Brassington, Kings, & Bliwise, 2000;Byles, Mishra, Harris, & Nair, 2003;Jelicic et al, 2002;Newman et al, 2000;Taylor, Lichstein, & Durrence, 2003).…”

mentioning

confidence: 99%

Evidence-based psychological treatments for insomnia in older adults.

McCurry¹,

Logsdon²,

Teri³

et al. 2007

Psychology and Aging

142

113

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The review describes evidence-based psychological treatments (EBTs) for insomnia in older adults. Following coding procedures developed by the American Psychological Association's Committee on Science and Practice of the Society for Clinical Psychology, two treatments were found to meet EBT criteria: sleep restriction-sleep compression therapy and multicomponent cognitive-behavioral therapy. One additional treatment (stimulus control therapy) partially met criteria, but further corroborating studies are needed. At the present time, there is insufficient evidence to consider other psychological treatments, including cognitive therapy, relaxation, and sleep hygiene education, as stand-alone interventions beneficial for treating insomnia in older adults. Additional research is also needed to examine the efficacy of alternative-complementary therapies, such as bright light therapy, exercise, and massage. This review highlights potential problems with using coding procedures proposed in the EBT coding manual when reviewing the existing insomnia literature. In particular, the classification of older adults as persons age 60 and older and the lack of rigorous consideration of medical comorbidities warrant discussion in the future.

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Sleep Complaints in Community‐Dwelling Older Persons: Prevalence, Associated Factors, and Reported Causes

Cited by 207 publications

References 34 publications

Sleep Duration, Subjective Sleep Disturbances and Associated Factors Among University Students in Korea

Sleep Duration, Subjective Sleep Disturbances and Associated Factors Among University Students in Korea

Determinants of sleep quality in women with systemic lupus erythematosus

Evidence-based psychological treatments for insomnia in older adults.

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