Department of Psychology, West Virginia University, USA.
J Gerontol B Psychol Sci Soc Sci. 2013 Mar;68(2):145-52. doi: 10.1093/geronb/gbs061. Epub 2012 Aug 28.
Prior research has found that insomnia symptoms and nightmares are associated with suicidal ideation, suicide attempts, and death by suicide. However, to the best of our knowledge, no research has examined the relation between insomnia symptoms, nightmares, and suicidal ideation in older adults. The current project aimed to fill this void by investigating the relation between insomnia symptoms, nightmares, and suicidal ideation in an older adult sample.
The study utilized a cross-sectional design. The sample consisted of 81 older adult patients (age ≥ 65 years) recruited from a family medicine clinic. The participants were asked to complete surveys about their sleep, symptoms of depression, and suicidal ideation.
Insomnia symptoms, but not nightmares, were significantly related to suicidal ideation. In addition, insomnia symptoms were related to suicidal ideation independent of nightmares. Furthermore, the relation between insomnia symptoms and suicidal ideation was mediated by depressive symptoms.
These findings have implications for the identification and treatment of suicidal ideation in older adults.
先前的研究发现,失眠症状和噩梦与自杀意念、自杀企图和自杀死亡有关。然而,据我们所知,尚无研究调查过老年人的失眠症状、噩梦和自杀意念之间的关系。本项目旨在通过调查老年患者样本中失眠症状、噩梦和自杀意念之间的关系来填补这一空白。
该研究采用横断面设计。样本由从家庭医学诊所招募的 81 名老年患者(年龄≥65 岁)组成。参与者被要求完成关于他们的睡眠、抑郁症状和自杀意念的调查。
失眠症状而非噩梦与自杀意念显著相关。此外,失眠症状与自杀意念有关,与噩梦无关。此外,失眠症状与自杀意念之间的关系是通过抑郁症状介导的。
这些发现对识别和治疗老年人的自杀意念具有重要意义。