Casimir G J, Jean-Louis G, Butler S, Zizi F, Nunes J, Brady L
Brooklyn Research Foundation on Minority Health, Kingsbrook Jewish Medical Center, NY, USA.
Psychol Rep. 2010 Apr;106(2):589-97. doi: 10.2466/pr0.106.2.589-597.
There are few data on the relationships of anxiety and depression to insomnia among immigrants in the United States. Observations of high rates of symptoms of these associated conditions among older Russians indicate the need to focus clinical attention on this population. Relationships of self-reported depression and anxiety to insomnia complaints were investigated in a community-based sample of older Russian immigrants. Volunteers (N=307) were urban community-residing Russians (ages 50 to 95 years; 54% women). Surveys were conducted in a semistructured environment by bilingual educators in various community centers. 93% reported a major health problem, 83% experienced pain, and 62% had problems engaging in daily activities. Of the sample, 61% reported an insomnia complaint, and 43% considered depression and/or anxiety to be a major impairment. Logistic regression analysis showed that insomnia was the most important predictor of perceived anxiety and depression; the corresponding multivariate-adjusted odds ratio was 4.37. Insomnia complaints and perceptions of depression and anxiety among older Russians may have a synergistic effect. Both patients and primary-care physicians should be better educated regarding the recognition of barriers limiting access to adequate health care among older Russians.
关于美国移民中焦虑和抑郁与失眠之间的关系，相关数据较少。对俄罗斯老年人中这些相关病症的高症状发生率的观察表明，需要在临床上关注这一人群。在一个以社区为基础的俄罗斯老年移民样本中，研究了自我报告的抑郁和焦虑与失眠主诉之间的关系。志愿者（N = 307）为居住在城市社区的俄罗斯人（年龄在50至95岁之间；54%为女性）。调查由各社区中心的双语教育工作者在半结构化环境中进行。93%的人报告有重大健康问题，83%的人经历过疼痛，62%的人在日常活动中存在问题。在样本中，61%的人报告有失眠主诉，43%的人认为抑郁和/或焦虑是主要障碍。逻辑回归分析表明，失眠是感知到的焦虑和抑郁的最重要预测因素；相应的多变量调整优势比为4.37。俄罗斯老年人中的失眠主诉以及对抑郁和焦虑的感知可能具有协同效应。患者和初级保健医生都应该在认识限制俄罗斯老年人获得充分医疗保健的障碍方面接受更好的教育。
