Sleep Complaints, Subjective and Objective Sleep Patterns, Health, Psychological Adjustment, and Daytime Functioning in Community-Dwelling Older Adults

McCrae, Christina S.; Rowe, Meredeth A.; Tierney, Candece G.; Dautovich, Natalie D.; Definis, Allison L; McNamara, Joseph P. H.

doi:10.1093/geronb/60.4.p182

Cited by 125 publications

(124 citation statements)

References 17 publications

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“…In other words, in aSAH patients, long S4 sleep might rather be an indication of chronic fatigue than of restoring sleep, although the absence of a measure of chronic fatigue in this study means that this observation cannot be confirmed for the present sample. While findings regarding the correlation of subjective and objective sleep are mixed [79], in their summary of research on poor sleep in later life, McCrae et al [80] emphasise that although the quality of subjective and objective sleep does not always correlate, sleep satisfaction, rather than the objectively measured quality of sleep, plays a greater role in well-being, a finding our data supports.…”

Section: Discussionsupporting

confidence: 70%

Sleep Quality, Sleep EEG Pattern, Mental Well-Being and Cortisol Secretion in Patients with Ruptured Aneurysm Post-Treatment: A Comparison with Post-Surgery Meningioma Patients and Controls

et al. 2016

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Background: Although the chance of surviving an aneurysmal subarachnoid haemorrhage (aSAH) has increased steadily, disturbed sleep and persistent psychological complaints are frequently experienced post-ictus. To date, however, few studies have sought to determine whether physiological parameters, such as objectively measured sleep and cortisol secretion, interrelate significantly with low sleep quality and psychological complaints such as depression. Furthermore, there is little evidence as to whether post-ictal complaints differ between aSAH patients and other groups who have experienced stressful medical intervention. Methods: Data on objective and subjective sleep, sleep-related dysfunctional cognitions, psychological functioning and cortisol secretion were collected from 15 patients who had undergone medical intervention for aSAH. Data were also collected from a group of 16 individuals who had undergone surgery for a meningioma and a third group made up of 17 healthy participants. Results: aSAH patients and meningioma patients had significantly poorer subjective sleep than healthy controls and reported more sleep-related dysfunctional cognitions and hypochondriacal beliefs. They also had a significantly higher morning cortisol response. Finally, a non-significant trend was found showing that aSAH patients and meningioma patients reported poorer psychological functioning than healthy controls. Conclusion: Following treatment, aSAH patients and meningioma patients experience poorer subjective sleep and some differences in objectively measured sleep, which might be attributable to increased sleep-related dysfunctional cognitions and poorer overall psychological functioning. Differences in cortisol production were also observed, suggesting that some physiological imbalances are still present post-ictus.

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Section: Discussionsupporting

confidence: 70%

Sleep Quality, Sleep EEG Pattern, Mental Well-Being and Cortisol Secretion in Patients with Ruptured Aneurysm Post-Treatment: A Comparison with Post-Surgery Meningioma Patients and Controls

et al. 2016

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“…4,5 Consistent with this, our overall sample reported poor sleep quality, which included two hallmarks of insomnia: difficulty initiating and/or maintaining sleep. In addition, African Americans had poorer sleep quality than Whites, as previously demonstrated.…”

Section: Discussionsupporting

confidence: 68%

“…1,2,3 The hallmark sleep complaint in old age is insomnia, with prevalence rates ranging from 15%-65%. 4,5 Empirical studies support that aging is associated with shorter sleep times, decreased time in deep sleep, increased arousals, and diminished sleep efficiency. [6][7][8] Characterizing sleep patterns in older adults is important because sleep is important for good health.…”

Section: Introductionmentioning

confidence: 99%

Self-Reported Sleep in Older African Americans and White Americans

et al. 2016

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Objective: Assess the relationship of self-reported sleep quality and possible sleep disorders with disability in a racially diverse sample of community-dwelling older adults.Methods: Participants included 943 non-demented older African Americans (n=452) and Whites (n=491) from two cohort studies, the Minority Aging Research Study (MARS) and the Rush Memory and Aging Project (MAP). Participants completed a 32-item questionnaire assessing sleep quality and the possible presence of three sleep disorders (sleep apnea, restless leg syndrome [RLS] and REM behavior disorder [RBD]). Disability was assessed with scales that quantified the ability to perform instrumental activities of daily living (IADL), basic activities of daily living (ADL), and physical mobility activities.Results: More than half of the participants reported impaired sleep quality (51%), or the possible presence of at least one sleep disorder (57%; sleep apnea 44%, RLS 25% and RBD 7%). Sleep quality was rated poorer in African Americans, those with advancing age and fewer years of education (all P<.05). Only sleep apnea risk was associated with age (P<.02). In logistic regression models adjusted for age, sex, years of education, and race, both sleep quality and disorders were associated with disability (sleep quality with mobility disability (P<.001), sleep apnea risk with mobility disability and IADL disability (all P<.001) and RLS symptoms with mobility disability (P<.01).Conclusions: Results indicate that self-assessed impaired sleep is common in old age and is associated with disability. Ethn Dis.2016;26(4):521-528; doi:10.18865/ ed.26.4.521

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“…CS reported the most sleep difficulties, FS reported improved sleep patterns, and NS reported the best sleep patterns. In assessing these sleep patterns, we were not able to utilize objective sleep data; however, we were able to collect subjective data, which plays a vital role in the assessment and diagnosis of insomnia (McCrae et al, 2005). Finally, we were able to measure these variables in a large, nationally representative sample of the USA.…”

Section: Psychology Health and Medicine 415mentioning

confidence: 99%

“…Differences between self-reported sleep and actual sleep time may also vary by health and sociodemographic factors (Lauderdale et al, 2008). However, it is important to emphasize that self-report data on sleep provide information that is used in assessment and diagnosis of sleep disorders such as insomnia (McCrae et al, 2005). Although there may be the presence of self-report bias, lower sleep duration was observed among smokers than nonsmokers even after controlling for most demographic factors.…”

Section: Psychology Health and Medicine 415mentioning

confidence: 99%

Sleep disturbances associated with cigarette smoking

McNamara¹,

Wang²,

Holiday³

et al. 2013

Psychology, Health & Medicine

108

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Sleep disturbances resulting in insufficient sleep have been linked to negative physical, cognitive, and public health outcomes. Despite this, there has yet a study that examines the impact of smoking on sleep in a US based national sample. The current study sought to observe sleep disturbances associated with smoking status. Sleep disturbances in adults aged 20 years and above, from the 2005-2006 National Health and Nutrition Examination Survey, were measured among current, former, and never smokers (NS). Current smokers (CS) reported significantly less total sleep time, longer sleep onset latency, increased difficulty falling asleep, maintaining sleep, and waking up earlier than desired when compared to NS. Former smokers reported disturbances similar to NS and CS experienced poorer sleep than nonsmokers. Our study is the first to observe sleep difficulty by smoking status in a large, population-based, nationally representative sample. Recommendations for smoking cessation programs are discussed.

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Sleep Complaints, Subjective and Objective Sleep Patterns, Health, Psychological Adjustment, and Daytime Functioning in Community-Dwelling Older Adults

Cited by 125 publications

References 17 publications

Sleep Quality, Sleep EEG Pattern, Mental Well-Being and Cortisol Secretion in Patients with Ruptured Aneurysm Post-Treatment: A Comparison with Post-Surgery Meningioma Patients and Controls

Sleep Quality, Sleep EEG Pattern, Mental Well-Being and Cortisol Secretion in Patients with Ruptured Aneurysm Post-Treatment: A Comparison with Post-Surgery Meningioma Patients and Controls

Self-Reported Sleep in Older African Americans and White Americans

Sleep disturbances associated with cigarette smoking

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