Kim Da Eun, Kim Eunjoo
College of Nursing and Research Institute of Nursing Science, Kyungpook National University, Daegu, South Korea.
Center for Human-Caring Nurse Leaders for the Future by Brain Korea 21 (BK 21) four project, College of Nursing, Seoul National University, Seoul, South Korea.
Psychogeriatrics. 2022 May;22(3):299-307. doi: 10.1111/psyg.12813. Epub 2022 Feb 6.
A positive association has been known to exist between social activity engagements and fewer insomnia symptoms in later life. However, little is known about which social activities are associated with insomnia symptoms. Investigating mediating factors in this relationship may contribute to developing effective strategies for the reduction of sleep complaints in older adults. This study aimed to examine the mediating role of loneliness on the relationship between engagement in different social activities and insomnia symptoms.
We used secondary data from the 2018 Health and Retirement Study. The study sample included 3236 older adults who responded to a survey on social activity engagement, insomnia symptoms, and loneliness. After adjusting for covariates, simple mediation analyses were performed with bootstrapping to identify the mediating role.
Among the several types of social activities, higher levels of engagement in educational courses and community arts group had a significant and direct relationship with fewer insomnia symptoms in older adults. Mediation analyses confirmed the mediating role of loneliness in the relationship between these specific social activity engagements and insomnia symptoms.
These findings provide new evidence for associations among social activity, loneliness, and insomnia symptoms in older adults.
已知社交活动参与度与晚年较少的失眠症状之间存在正相关。然而，对于哪些社交活动与失眠症状相关却知之甚少。研究这种关系中的中介因素可能有助于制定减少老年人睡眠问题的有效策略。本研究旨在探讨孤独感在不同社交活动参与度与失眠症状之间关系中的中介作用。
我们使用了2018年健康与退休研究的二手数据。研究样本包括3236名老年人，他们回应了关于社交活动参与度、失眠症状和孤独感的调查。在对协变量进行调整后，采用自抽样法进行简单中介分析以确定中介作用。
在几种社交活动类型中，参与教育课程和社区艺术团体的程度较高与老年人较少的失眠症状存在显著的直接关系。中介分析证实了孤独感在这些特定社交活动参与度与失眠症状之间关系中的中介作用。
这些发现为老年人社交活动、孤独感和失眠症状之间的关联提供了新的证据。
