Morgan K, Dallosso H, Ebrahim S, Arie T, Fentem P H
Department of Health Care of the Elderly, University of Nottingham Medical School.
Age Ageing. 1988 Jan;17(1):1-7. doi: 10.1093/ageing/17.1.1.
Profiles of sleeping habits, subjective sleep quality, and mental and physical well-being were obtained from 1023 elderly individuals randomly sampled from the Nottinghamshire Family Practitioner Committee's records. Subjective insomnia at least 'sometimes' was reported by 37.9% of the sample. Discriminant analysis of selected health and demographic variables indicated that symptoms of anxiety, sex and self-ratings of health were the factors most influential in predicting reports of problem sleep. Thus, respondents classified as subjective insomniacs tended to have significantly higher anxiety scores, to be women, and to rate their health as below average. Relative to the non-insomniac respondents, those complaining of sleep problems also perceived their sleep latency as longer, and their total sleep as shorter. These results emphasize that, in addition to apparently 'normal' age-related changes in the structure of sleep, subjective insomnia in old age may often be mediated by the physical and psychological disorders which can accompany ageing.
从诺丁汉郡家庭医生委员会的记录中随机抽取了1023名老年人，获取了他们的睡眠习惯、主观睡眠质量以及身心健康状况。样本中37.9%的人报告至少“有时”存在主观失眠。对选定的健康和人口统计学变量进行判别分析表明，焦虑症状、性别和健康自评是预测睡眠问题报告的最具影响力的因素。因此，被归类为主观失眠症患者的受访者往往焦虑得分显著更高，多为女性，且对自身健康的评价低于平均水平。与非失眠受访者相比，抱怨睡眠问题的人还认为自己的入睡潜伏期更长，总睡眠时间更短。这些结果强调，除了睡眠结构中明显的与年龄相关的“正常”变化外，老年人的主观失眠往往可能由衰老过程中伴随的身心障碍所介导。
