The prevalence of insomnia and its risk factors among older adults in a city in Turkey's Aegean Region

Aslan, Gülbahar Korkmaz; İnci, Fadime Hatice; Kartal, Asiye

doi:10.1111/psyg.12464

Cited by 13 publications

(9 citation statements)

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“…In order to reduce its adverse outcomes and allocate appropriate health resources, health professionals and policymakers need to understand the patterns and clinical features of insomnia. Prevalence of insomnia in the general population varies greatly across studies, ranging from 5.8 to 32.8% (18)(19)(20)(21), and is associated with certain demographic factors, such as age, gender, marital status, income, and education level (22).…”

Section: Introductionmentioning

confidence: 99%

Gender Difference in the Prevalence of Insomnia: A Meta-Analysis of Observational Studies

et al. 2020

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Objective: Insomnia is a major health challenge in the general population, but the results of the gender differences in the epidemiology of insomnia have been mixed. This is a meta-analysis to examine the gender difference in the prevalence of insomnia among the general population.Methods:Two reviewers independently searched relevant publications in PubMed, EMBASE, PsycINFO, Web of Science from their inception to 16 April 2019. Studies that reported the gender-based prevalence of insomnia according to the international diagnostic criteria were included for analyses using the random-effects model.Results:Eventually 13 articles were included in the meta-analysis. The pooled prevalence of insomnia in the general population was 22.0% [n = 22,980, 95% confidence interval (CI): 17.0–28.0%], and females had a significantly higher prevalence of insomnia compared with males (OR = 1.58, 95% CI: 1.35, 1.85, Z = 5.63, p < 0.0001). Subgroup analyses showed that greater gender difference was associated with the use of case-control study design and consecutive sampling method. Meta-regression analyses also revealed that higher proportion of females and better study quality were significantly associated with greater gender difference.Conclusions:This meta-analysis found that the prevalence of insomnia in females was significantly higher than males in the included studies. Due to the negative effects of insomnia on health, regular screening, and effective interventions should be implemented in the general population particularly for females.

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Section: Introductionmentioning

confidence: 99%

Gender Difference in the Prevalence of Insomnia: A Meta-Analysis of Observational Studies

et al. 2020

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“…Total scores range from 0 to 28, whereby higher scores indicate more severe sleep difficulties. The total score is interpreted as follows: the absence of insomnia (0-7), sub-threshold insomnia (8)(9)(10)(11)(12)(13)(14), moderate insomnia (15)(16)(17)(18)(19)(20)(21), and severe insomnia (22)(23)(24)(25)(26)(27)(28). The ISI has adequate reliability (internal consistency with Cronbach's alpha was 0.79 and testretest reliability for 2 weeks was r = 0.82) and validity in Turkish sample.…”

Section: Beck Depression Inventory (Bdi)mentioning

confidence: 99%

“…Almost half of older adults have been reported to have difficulty initiating or maintaining sleep 11 . The prevalence of insomnia symptoms among older adults is between 23% and 70%, and this rate is higher than the young population 8, 9, 12–14 . Insomnia should be considered as a separate diagnosis when it is not better explained by a psychiatric disorder 15 .…”

Section: Introductionmentioning

confidence: 99%

“…11 The prevalence of insomnia symptoms among older adults is between 23% and 70%, and this rate is higher than the young population. 8,9,[12][13][14] Insomnia should be considered as a separate diagnosis when it is not better explained by a psychiatric disorder. 15 Previous studies have shown that insomnia can be a precursor or risk factor for depression, and depression can cause insomnia; also, insomnia severity has been reported to be associated with increased risk for depression development, relapse, and worsening.…”

Section: Introductionmentioning

confidence: 99%

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The effect of circadian preferences on insomnia severity and depressive symptoms via sleep hygiene in older adults with depression and healthy controls

Üzer

Yücens

2020

Psychogeriatrics

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Background: The elderly population is increasing globally. Thus, researches focus on the causes and treatment of insomnia, a noteworthy ageing problem. This study aims to investigate the relationship between chronotype and insomnia and whether sleep hygiene mediates this relationship in older adults with depression (OAD). Methods: We assessed subjective insomnia severity, sleep hygiene, chronotype, depressive symptoms, and anxiety symptoms of 82 OAD and 70 healthy controls using the Sleep Hygiene Index (SHI), Insomnia Severity Index (ISI), Morningness-Eveningness Questionnaire (MEQ), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI). Results: The mediation effect of SHI and ISI scores were evaluated in the relationship between MEQ and BDI total scores in OAD. The results showed that MEQ performed its effect on BDI through ISI with full mediation (effect = −0.16, SE: 0.07, 95% CI: −0.3230 to −0.0336). The mediation effect of SHI and BDI scores were evaluated in the relationship between MEQ and ISI total scores in OAD. In this model, it was found that MEQ significantly performed its effect on ISI through SHI and BDI. BDI and SHI predicted the ISI variable as partial mediators (respectively, effect = −0.05, SE: 0.03, 95% CI: −0.1073 to −0.0100; effect = −0.06, SE: 0.02, 95% CI: −0.1051 to −0.0129). Conclusions: Sleep hygiene practices could be essential for the natural functioning of the biological clock and the interrelation of depression and insomnia. Longitudinal follow-up studies of structured sleep hygiene approaches are needed in terms of cost-effectiveness, in OAD.

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“…Studies have shown that it is characterized by di culty in falling asleep, shallow sleep and easy to wake up [4][5][6]. Sleep disorders are extremely common among the elderly, impairing the sleep quality and becoming a public health problem [7,8], seriously affecting the cognitive function of the elderly [9], increasing the risk of falls in the elderly [10]. The demand for sleep has not decrease, it is very common to take sleeping drugs [11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Translation and Cross-Cultural Adaptation of the Questionnaire of Sleep Health for Using in Chinese Older

tang

Min

liu

2020

Preprint

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Abstract Objective: to make the translation, cross-cultural adaption and content and face validation of Questionnaire of sleep health for use in Chinese elder, as well as measuring psychometric properties of the questionnaire. Methods: A methodological study carried out in six steps: translation of the instrument, consensus of the translations, back-translation, analysis by an expert committee, pre-testing and then evaluation of psychometric properties. Psychometric properties, including item analysis (the extreme group comparison and item-total correlations), content validity (item-level content validity index (I-CVI) and scale-level content validity index (S-CVI)), construct validity confirmatory factor analysis (CFA) and internal consistency (Cronbach’s α and test–retest reliability) were measured.Results: The instrument was translated, transculturally adapted and its final version consisted of 12 items. The Q-USM has excellent internal consistency (Cronbach’s α=0.76). The test–retest reliability coefficient was 0.97.The I-CVI ranged from 0.80 to 1.00, and the S-CVI was 0.98. CFA showed that the three-factor model explained 56.54% of the total variance, with a good model fit (likelihood ratio χ2/df=3.75, incremental fit index=0.86, comparative fit index=0.86, goodness-of-fit index=0.89, adjusted goodness-of-fit index=0.84, standardized root mean square error of approximation=0.09 and root mean square residual=0.02).Conclusion: The Q-USM was translated and adapted to Chinese elder, and the psychometric properties of the Chinese version of the questionnaire presented satisfactory. It’s providing assessment instruments for community elderly health. As the questionnaire is applied for the first time in China, it needs to be continuously improved.

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The prevalence of insomnia and its risk factors among older adults in a city in Turkey's Aegean Region

Cited by 13 publications

References 33 publications

Gender Difference in the Prevalence of Insomnia: A Meta-Analysis of Observational Studies

Gender Difference in the Prevalence of Insomnia: A Meta-Analysis of Observational Studies

The effect of circadian preferences on insomnia severity and depressive symptoms via sleep hygiene in older adults with depression and healthy controls

Translation and Cross-Cultural Adaptation of the Questionnaire of Sleep Health for Using in Chinese Older

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