Azizi-Zeinalhajlou Akbar, Mirghafourvand Mojgan, Nadrian Haidar, Samei Sis Siros, Matlabi Hossein
Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran.
Research Center of Psychiatry and Behavioral Sciences, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.
Sleep Biol Rhythms. 2022 Feb 28;20(2):153-163. doi: 10.1007/s41105-022-00380-x. eCollection 2022 Apr.
A large number of older people encounter both objective and subjective types of social isolation and sleep disorders. Social isolation increases a person's risk of a wide range of adverse health outcomes and premature death. Social isolation can cause poor sleep quality that has been proposed as one of the possible mechanisms by which social isolation affects people's health and quality of life. The present study was conducted to determine the relationship between objective and subjective social isolation with sleep difficulties among older adults. All articles in PubMed, Web of Science, Scopus, Embase, PsycInfo, and Social care online databases published by December 2020 were systematically searched for relevant published articles. Two authors separately checked the acceptability and quality of the studies using the Newcastle Ottawa checklist. Any disagreement was resolved by consulting the third author. According to the inclusion criteria, 11 studies were systematically reviewed, of which five were cross-sectional, and six were longitudinal studies. No meta-analysis was performed due to the high heterogeneity of the studies. Based on the present study results, both objective and subjective social isolation are related to sleep disturbance in older people. This systematic review showed that objective and subjective social isolation are associated with low sleep quality. It is recommended to investigate the causal relationships and possible pathways that affect the studied variables in future studies.
大量老年人面临客观和主观两种类型的社会隔离以及睡眠障碍。社会隔离会增加一个人出现多种不良健康后果和过早死亡的风险。社会隔离会导致睡眠质量差，这被认为是社会隔离影响人们健康和生活质量的可能机制之一。本研究旨在确定老年人中客观和主观社会隔离与睡眠困难之间的关系。系统检索了截至2020年12月在PubMed、科学网、Scopus、Embase、PsycInfo和社会护理在线数据库中发表的所有文章，以查找相关已发表文章。两位作者分别使用纽卡斯尔渥太华清单检查研究的可接受性和质量。如有任何分歧，通过咨询第三位作者解决。根据纳入标准，对11项研究进行了系统评价，其中5项为横断面研究，6项为纵向研究。由于研究的高度异质性，未进行荟萃分析。基于本研究结果，客观和主观社会隔离均与老年人的睡眠障碍有关。该系统评价表明，客观和主观社会隔离与低睡眠质量相关。建议在未来研究中调查影响所研究变量的因果关系和可能途径。
