Sleep Quality and Daytime Functioning in Older European Adults

Bjelajac, Adrijana Koščeć; Holzinger, Brigitte; Lučanin, Jasminka Despot; Delale, Eva Anđela; Lučanin, Damir

doi:10.1027/1016-9040/a000406

Cited by 8 publications

(5 citation statements)

References 97 publications

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“…Many different factors contribute to sleep quality, ranging from stress, physical activity, and physical health, to various psychological factors [ 3 , 16 ]. Since many people experience a lot of stress during the pandemic, it is logical to expect their sleep quality to decline.…”

Section: Making Sense Of Changed Dreamsmentioning

confidence: 99%

Dreams and nightmares during the pandemic

2022

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The pandemic caused by the coronavirus disease 2019 (COVID-19) had a huge impact on public mental health. This was also reflected in dreams. Not only did people start to remember more dreams, but dream content changed as themes like sickness, confinement, and—in the English-speaking world—even bugs began to dominate. This also led to an increase in nightmare frequency. There are various factors that contributed to this change in the dream landscape. Some people have started to sleep more and hereby spend more time in REM sleep, which is known to increase dream recall and further lead to bizarre and vivid dreams. On the other hand, stress and poor mental health had an impact on sleep, and sleep quality thus dropped in many individuals. Poor sleep quality can also lead to an increase in dream recall. Dreams are known to regulate mood, so the rise in dreams and the change in dream content could also reflect a reaction to the overall rise in stress and decline in mental health. Recent studies have shown that as the pandemic progresses, further changes in mental health, dream recall, and dream content arise, but data are still scarce. Further research could help understand the impact the pandemic still has on mental health and dreams, and how this impact is changing over the course of the pandemic.

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Section: Making Sense Of Changed Dreamsmentioning

confidence: 99%

Dreams and nightmares during the pandemic

2022

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“…Sleep seems to play a substantial role in not only the recovery from psychiatric disorders but also in the recovery from critical illnesses demanding ICU treatment (McKinley et al, 2013). Given that sleep is also correlated with quality of life, this further points to the direction that improving sleep quality could help any patient improve their overall mental state (Zeitlhofer et al, 2000;Košćec Bjelajac et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Case Report: Why Sleep and Dream Related Psychological Treatments, Such as Sleepcoaching (According to Holzinger&Klösch) and CBT-I Should Be Implemented in Treatment Concepts in the Public Health System—Description of the Nightmare Treatment Process in the Context of PTSD

Holzinger

Nierwetberg²,

Klösch

2021

Front. Psychol.

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In this case report, we explain the story of a woman diagnosed with severe PTSD, suffering from recurrent nightmares involving a traumatizing event. She participated in 6 week lucid dreaming training to help her reduce her nightmare frequency. Our descriptions include her dream reports as well as the results of the psychological assessment conducted. In only 6 weeks, she was able to begin to change her dream plots and to improve several of the psychological measures. In this case, we stated that paying more attention to sleep and, especially nightmares, not only in patients with PTSD, should be standard in treatment processes for psychiatric disorders. We, therefore, underpin our case with literature that explains the benefits of treatments, specifically for sleep problems that do not involve medication.

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“… 15 In hypnotic-treated older adults, improvements in nighttime symptoms may not necessarily mitigate daytime dysfunction, such as daytime sleepiness, 16 or fall risks. 17 Furthermore, although it is well established that worsening of sleep quality and declining daytime function occur concurrently, 18–20 the associations between these measures under hypnotic treatment in older adults remains unclear. In nursing home residents, hypnotics use has been shown to explain the positive associations between poor sleep quality and impaired activity of daily living, social activity, and quality of interactions.…”

Section: Introductionmentioning

confidence: 99%

“…In parallel, “function” is defined as an individual’s ability to perform daily activities and typical daily tasks as per their social role. 18 In the literature, studies on the impact of sleep disturbances or corresponding interventions have predominantly used objective indicators of daytime function, such as hand grip; 19 walking speed; 19 risks of fall; 17 and instrumental activities of daily living. 20 In contrast, there are few subjective studies of global functional status in the literature.…”

Section: Introductionmentioning

confidence: 99%

The Concomitant Pattern of Association Between Subjective Global Sleep Quality and Daytime Dysfunction in Hypnotic-Treated Older Adults: The Yilan Study, Taiwan

Lin¹,

Hsu²,

Chen³

et al. 2022

NSS

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Objective The relationship between improvements in subjective sleep quality and restoration of daytime function remains unclear. This study aimed to examine the concomitant pattern between subjective sleep quality and daytime dysfunction in hypnotic-treated older adults. Methods This was a community-based, cross-sectional study. Participants comprised community-dwelling adults aged ≥ 65 years. Individual items from the Pittsburgh Sleep Quality Index (PSQI) were adopted to evaluate subjective global sleep quality and daytime dysfunction. Daytime dysfunction included composite scores of daytime dysfunction in the PSQI and its two sub-components: “staying awake” and “maintaining enthusiasm.” Based on hypnotic use and status in subjective sleep quality, participants were categorized into four groups: “healthy control,” “treated with good sleep quality (T+GSQ),” “treated with poor sleep quality (T+PSQ),” and “not treated with poor sleep quality (NT+PSQ)”. The associations between these four groups and daytime dysfunction were analyzed using logistic regression. Results In total, 2622 individuals participated in the study. After controlling for covariates, the T+PSQ group was more likely to have daytime dysfunction, including “composite daytime dysfunction” (OR: 6.41; 95% CI: 3.90–10.55), “poor at staying awake” (OR: 3.04; 95% CI: 1.45–6.37), and “poor at maintaining enthusiasm” (OR: 7.42; 95% CI: 4.33–12.70) compared to the T+GSQ group. However, the healthy control group was less likely than the T+GSQ group to present with daytime dysfunction, including “composite daytime dysfunction” (OR: 0.43; 95% CI: 0.26–0.72) and “poor at maintaining enthusiasm” (OR: 0.39; 95% CI: 0.22–0.68). Conclusion Subjective sleep quality attributed to hypnotic use did not necessarily indicate restoration of daytime dysfunction.

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Sleep Quality and Daytime Functioning in Older European Adults

Cited by 8 publications

References 97 publications

Dreams and nightmares during the pandemic

Dreams and nightmares during the pandemic

Case Report: Why Sleep and Dream Related Psychological Treatments, Such as Sleepcoaching (According to Holzinger&Klösch) and CBT-I Should Be Implemented in Treatment Concepts in the Public Health System—Description of the Nightmare Treatment Process in the Context of PTSD

The Concomitant Pattern of Association Between Subjective Global Sleep Quality and Daytime Dysfunction in Hypnotic-Treated Older Adults: The Yilan Study, Taiwan

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