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老年人睡眠习惯、焦虑与抑郁之间的关系。

The relationship between sleep habits, anxiety, and depression in the elderly.

作者信息

Leblanc Marie-France, Desjardins Sophie, Desgagné Alain

机构信息

Department of Psychology, Université du Québec à Trois-Rivières, Trois-Rivières, QC, Canada.

Department of Mathematics, Université du Québec à Montréal, Montréal, QC, Canada.

出版信息

Nat Sci Sleep. 2015 Feb 5;7:33-42. doi: 10.2147/NSS.S77045. eCollection 2015.

Abstract

PURPOSE

The objective of this study is to determine which sleep-related behaviors are most often used by the elderly according to the presence or absence of anxiety and mood disorders. In particular, we are attempting to determine whether these behaviors are associated with the probability of suffering from a mental disorder. The behaviors being examined in the present study are taking naps, television watching or reading at bedtime, physical exercise at bedtime, relaxing activities at bedtime, and caffeine consumption in the evening.

METHODS

The sample in this study consists of 2,759 participants aged 65 and over, with a mean age of 73.8. They were recruited through a method of random generation of telephone numbers according to a sampling strategy based on geographic location. After the goal of the study was explained to them, the participants agreed to have health professionals visit their home and to answer questions in an hour-and-a-half-long structured interview (after signing a consent form).

RESULTS

Taking naps is the activity most often practiced by the elderly. Watching television and reading at bedtime are also frequent practices among them. The probabilities of suffering from anxiety are greater if the person never or rarely consumes caffeine after 6 pm, if the individual takes naps during the day, or if the person practices relaxation before bedtime. Television watching, reading, and physical exercise before bedtime are activities that are not associated with the probability of suffering from a mental disorder.

CONCLUSION

It would be beneficial for research to be conducted to support the findings on behavioral differences between depressive and anxious seniors so that these behaviors can become further indicators of the presence of mental disorders.

摘要

目的

本研究的目的是根据焦虑和情绪障碍的有无,确定老年人最常采用的与睡眠相关的行为。特别是,我们试图确定这些行为是否与患精神障碍的可能性相关。本研究中所考察的行为包括午睡、睡前看电视或阅读、睡前体育锻炼、睡前放松活动以及晚上摄入咖啡因。

方法

本研究的样本包括2759名65岁及以上的参与者,平均年龄为73.8岁。他们是根据基于地理位置的抽样策略,通过随机生成电话号码的方法招募的。在向他们解释了研究目的后,参与者同意让健康专业人员到他们家中,并在长达一个半小时的结构化访谈中回答问题(在签署同意书后)。

结果

午睡是老年人最常进行的活动。睡前看电视和阅读也是他们经常进行的活动。如果一个人在下午6点后从不或很少摄入咖啡因、白天午睡或在睡前进行放松活动,那么患焦虑症的可能性更大。睡前看电视、阅读和体育锻炼与患精神障碍的可能性无关。

结论

开展研究以支持关于抑郁和焦虑老年人行为差异的研究结果将是有益的,这样这些行为可以成为精神障碍存在的进一步指标。

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