Department of Family Medicine, Faculty of Health Sciences, Siaal Research Center for Family Medicine and Primary Care, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Comprehensive Geriatric Assessment Unit, Clalit Health Services, Yasski Clinic, 24 King David Street, Beer-Sheva, Israel.
Aging Clin Exp Res. 2018 Jul;30(7):755-765. doi: 10.1007/s40520-017-0837-1. Epub 2017 Oct 11.
Most previous studies showed an association between sleep impairment in the elderly and symptoms of depression and anxiety. Majority of these studies were conducted in "strong", community-dwelling elderly.
To assess the association between subjective sleep impairment and its affective disturbances among frail elderly patients.
The retrospective study included patients 65 years old and above. Data included socio-demographic characteristics, the mini-mental state examination, the short anxiety screening test, the 15-item Geriatric Depression Scale, and the Patient Health Questionnaire. The patients were asked about sleep complaints.
The study population consisted of 496 patients. The mean age was 83.7 ± 6.2 years, and only 7 (1.4%) did not report any sleep disturbance. After adjustment, depression symptoms were associated only with decreased overall sleep satisfaction (OR 2.62, 95% CI 1.18-5.81), while anxiety symptoms were associated with decreased overall sleep satisfaction (OR 3.17, 96% CI 1.71-5.88), difficulty falling asleep (OR 3.58, 95% CI 1.96-6.52), waking up during the night (OR 3.16, 95% CI 1.63-6.1), morning weakness (OR 2.68, 95% CI 1.44-5.0) and daytime drowsiness (OR 2.39, 95% CI 1.21-4.69).
Sleep impairment is very prevalent among frail elderly and associated much more with anxiety than with depression.
The findings of the present study provide further evidence for the importance in taking a detailed history of sleep habits during the course of the geriatric assessment in frail elderly patients.
大多数先前的研究表明，老年人睡眠障碍与抑郁和焦虑症状有关。这些研究大多在“功能良好”的社区居住的老年人中进行。
评估虚弱老年人主观睡眠障碍与其情感障碍之间的关系。
这项回顾性研究纳入了 65 岁及以上的患者。数据包括社会人口统计学特征、简易精神状态检查、简短焦虑筛查测试、15 项老年抑郁量表和患者健康问卷。患者被问及睡眠问题。
研究人群包括 496 名患者。平均年龄为 83.7±6.2 岁，只有 7 名（1.4%）患者没有报告任何睡眠障碍。调整后，抑郁症状仅与整体睡眠满意度下降相关（OR 2.62，95%CI 1.18-5.81），而焦虑症状与整体睡眠满意度下降相关（OR 3.17，96%CI 1.71-5.88）、入睡困难（OR 3.58，95%CI 1.96-6.52）、夜间醒来（OR 3.16，95%CI 1.63-6.1）、早晨虚弱（OR 2.68，95%CI 1.44-5.0）和白天困倦（OR 2.39，95%CI 1.21-4.69）。
睡眠障碍在虚弱的老年人中非常普遍，与焦虑的关系比与抑郁的关系更为密切。
本研究的结果进一步证明，在虚弱的老年患者的老年评估过程中，详细了解睡眠习惯非常重要。
