McCrae Christina S, Rowe Meredeth A, Tierney Candece G, Dautovich Natalie D, Definis Allison L, McNamara Joseph P H
Center for Gerontological Studies and Department of Psychology, University of Florida, McCarty C, Room 502, PO Box 115911, Gainesville, Florida 32611-5911, USA.
J Gerontol B Psychol Sci Soc Sci. 2005 Jul;60(4):P182-9. doi: 10.1093/geronb/60.4.p182.
We examined sleep complaints, subjective and objective sleep patterns, health, psychological adjustment, and daytime functioning in 103 community-dwelling older adults to identify factors associated with sleep complaints. We collected 2 weeks of sleep diaries and actigraphy. Only health distinguished complaining from noncomplaining sleepers. Noncomplaining good sleepers had poorer objective sleep quantity than complaining poor sleepers. Actigraphy distinguished noncomplaining good and complaining poor sleepers only. Subjective and objective sleep quantities were related for noncomplainers only; this relationship was stronger for women. Implications include a need for research exploring: 1. sleep complaints, sleep perceptions, and health; 2. interventions focusing on older individuals with insomnia secondary to/comorbid with poor health; 3. gender differences in subjective sleep estimates and in "single-shot" versus longitudinal sleep measures.
我们对103名居住在社区的老年人的睡眠问题、主观和客观睡眠模式、健康状况、心理调适及日间功能进行了研究，以确定与睡眠问题相关的因素。我们收集了为期两周的睡眠日记和活动记录仪数据。只有健康状况能区分有睡眠问题者和无睡眠问题者。无睡眠问题的良好睡眠者的客观睡眠量比有睡眠问题的较差睡眠者更差。活动记录仪仅能区分无睡眠问题的良好睡眠者和有睡眠问题的较差睡眠者。主观和客观睡眠量仅在无睡眠问题者中相关；这种关系在女性中更强。研究意义包括需要开展研究探索：1. 睡眠问题、睡眠认知和健康状况；2. 针对因健康状况不佳而继发/合并失眠的老年人的干预措施；3. 主观睡眠估计以及“单次”与纵向睡眠测量中的性别差异。
