Browse > Article
http://dx.doi.org/10.7475/kjan.2017.29.3.235

Factors Influencing Sleep Disturbances among Older Adults Living within a Community  

Jeon, Bo Min (College of Nursing, Seoul National University)
Choi-Kwon, Smi (Research Institute of Nursing Science, Seoul National University)
Publication Information
Korean Journal of Adult Nursing / v.29, no.3, 2017 , pp. 235-245 More about this Journal
Abstract
Purpose: Reported insomnia and decreased sleep quality are common among older adults. The purpose of this study was to identify factors contributing to insomnia and decreased sleep quality among elderly persons living within a community. The data will be verified with Actigraph which is a non-invasive measurement of rest/activity cycles. Methods: 137 participants over 65 years old were recruited from a senior welfare center. Their mean age was $74.07{\pm}5.18years$ old and majority was women (69.3%). The quality and quantity of nighttime sleep were assessed using Varren-synder-Halper Sleep Scale and a sleep log. Depression and fatigue were assessed using Geriatric Depression Scale Short Form and Fatigue Severity Scale, respectively. Pain was assessed using 11-point Numeric rating scale. An actigraph was used to verify the self-reported sleep. Results: Ninety-two participants (67.2%) reported insomnia. Sixty-eight subjects (49.6%) reported good sleep. Of the participants, 56.2% reported depression and 33.6% reported fatigue. In logistic regression, depression was related to insomnia (OR=3.09, p=.003). Sleep quality was related to depression (OR=2.13, p=.045) and fatigue (OR=2.24, p=.044). The data from the Sleep logs correlated with data obtained from the actigraph. Conclusion: Depression significantly influenced insomnia and sleep quality whereas fatigue only influenced sleep quality. Thus, depression and fatigue should be closely monitored among elderly persons with sleep disturbances.
Keywords
Insomnia; Depression; Fatigue; Pain;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Yang SJ, Kim JS. Factors affecting the quality of sleep among community dwelling elders. Journal of Korean Gerontological Nursing. 2010;12(2):108-18.
2 Cooke JR, Ancoli-Israel S. Sleep and its disorders in older adults. Psychiatric Clinics of North America. 2006;29(4):1077-94. https://doi.org/10.1016/j.psc.2006.08.003   DOI
3 Park MS. Fatigue and related factors in elderly people living at home. Journal of Korean Gerontological Nursing. 2009;11(2):173-83.
4 Giron MST, Forsell Y, Bernsten C, Thorslund M, Winblad B, Fastbom J. Sleep problems in a very old population: drug use and clinical correlates. Journals of Gerontology: Biological Sciences and Medical Sciences. 2002;57(4):M236-40. https://doi.org/10.1093/gerona/57.4.M236   DOI
5 Van Someren EJW. Circadian and sleep disturbances in the elderly. Experimental Gerontology. 2000;35(9):1229-37. https://doi.org/10.1016/s0531-5565(00)00191-1   DOI
6 Wu CY, Su TP, Fang CL, Chang MY. Sleep quality among community-dwelling elderly people and its demographic, mental, and physical correlates. Journal of the Chinese Medical Association. 2012;75(2):75-80. https://doi.org/10.1016/j.jcma.2011.12.011   DOI
7 Jaussent I, Bouyer J, Ancelin ML, Akbaraly T, Peres K, Ritchie K, et al. Insomnia and daytime sleepiness are risk factors for depressive symptoms in the elderly. Sleep. 2011;34(8):1103-10. https://doi.org/10.5665/sleep.1170   DOI
8 Smith MT, Haythornthwaite JA. How do sleep disturbance and chronic pain inter-relate? Insights from the longitudinal and cognitive-behavioral clinical trials literature. Sleep Medicine Reviews. 2004;8(2):119-32. https://doi.org/10.1016/s1087-0792(03)00044-3   DOI
9 Suh M, Choi-Kwon S, Kim JS. Sleep disturbances after cerebral infarction: role of depression and fatigue. Journal of Stroke and Cerebrovascular Diseases. 2014;23(7):1949-55. https://doi.org/10.1016/j.jstrokecerebrovasdis.2014.01.029   DOI
10 Chang KO, Park SJ, Bae DY. The effects of perceived health status, sleep, depression and pain on quality of life by gender in community-dwelling older adults. Journal of the Korea Academia-Industrial cooperation Society. 2014;15(3):1566-75. https://doi.org/10.5762/kais.2014.15.3.1566   DOI
11 Ohayon MM. Relationship between chronic painful physical condition and insomnia. Journal of Psychiatric Research. 2005; 39(2):151-9.   DOI
12 Van Den Berg JF, Van Rooij FJ, Vos H, Tulen JH, Hofman A, Miedema HM, et al. Disagreement between subjective and actigraphic measures of sleep duration in a population-based study of elderly persons. Journal of Sleep Research. 2008;17(3): 295-302. https://doi.org/10.1111/j.1365-2869.2008.00638.x   DOI
13 Kang H, Yeon K, Han ST. A review on the use of effect size in nursing research. Journal of Korean Academy of Nursing. 2015; 45(5):641-9. https://doi.org/10.4040/jkan.2015.45.5.641   DOI
14 Kim KH. Quality of sleep and sleep disturbance factors of coronary artery disease patients in CCU [master's thesis]. Seoul: Ewha Womans University; 2001.
15 Edinger JD, Bonnet MH, Bootzin RR, Doghramji K, Dorsey CM, Espie CA, et al. Derivation of research diagnostic criteria for insomnia: report of an American Academy of Sleep Medicine Work Group. Sleep. 2004;27(8):1567-96. https://doi.org/10.1093/sleep/27.8.1567   DOI
16 Buysse DJ, Ancoli-lsrael S, Edinger JD, Lichstein KL, Morin CM. Recommendations for a standard research assessment of insomnia. Sleep. 2006;29(9):1155-73. https://doi.org/10.1093/sleep/29.9.1155   DOI
17 Snyder-Halpern R, Verran JA. Instrumentation to describe subjective sleep characteristics in healthy subjects. Research in Nursing & Health. 1987;10(3):155-63. https://doi.org/10.1002/nur.4770100307   DOI
18 Yun SH. The effects of aroma inhalation on sleep and fatigue in night shift nurses [master's thesis]. Seoul: Yonsei University;2008.
19 Littner M, Kushida CA, Anderson WM, Bailey D, Berry RB, Davila DG, et al. Practice parameters for the role of actigraphy in the study of sleep and circadian rhythms: an update for 2002. Sleep. 2003;26(3):337-41. https://doi.org/10.1093/sleep/26.3.337   DOI
20 Chae KY, Kripke DF, Poceta JS, Shadan F, Jamil SM, Cronin JW, et al. Evaluation of immobility time for sleep latency in actigraphy. Sleep Medicine. 2009;10(6):621-5. https://doi.org/10.1016/j.sleep.2008.07.009   DOI
21 Kee BS. A preliminary study for the standardization of geriatric depression scale short form-Korea version. Journal of Korean Neuropsychiatric Association. 1996;35(2):298-307.
22 Perlis ML, Smith LJ, Lyness JM, Matteson SR, Pigeon WR, Jungquist CR, et al. Insomnia as a risk factor for onset of depression in the elderly. Behavioral Sleep Medicine. 2006;4(2): 104-13. https://doi.org/10.1207/s15402010bsm0402_3   DOI
23 Krupp LB, LaRocca NG, Muir-Nash J, Steinberg AD. The fatigue severity scale. Application to patients with multiple sclerosis and systemic lupus erythematosus. Archives of Neurology. 1989;46(10):1121-3. https://doi.org/10.1001/archneur.1989.00520460115022   DOI
24 Farra JT, Young JP, LaMoreaux L, Werth JL, Poole RM. Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain. 2001;94(2): 149-58. https://doi.org/10.1016/S0304-3959(01)00349-9   DOI
25 Ahn SH, Choi HK, Kim JH, Kim JL. Prevalence of insomnia and associated factors among community-dwelling Korean elderly. Journal of Korean Geriatric Psychiatry. 2015;19(1):32-9.
26 Foley D, Ancoli-Israel S, Britz P, Walsh J. Sleep disturbances and chronic disease in older adults: results of the 2003 National Sleep Foundation Sleep in America Survey. Journal of Psychosomatic Research. 2004;56(5):497-502. https://doi.org/10.1016/j.jpsychores.2004.02.010   DOI
27 Cho HJ, Lavretsky H, Olmstead R, Levin MJ, Oxman MN, Irwin MR. Sleep disturbance and depression recurrence in community-dwelling older adults: a prospective study. American Journal of Psychiatry. 2008;165(12):1543-50. https://doi.org/10.1176/appi.ajp.2008.07121882   DOI
28 Nicassio PM, Moxham EG, Schuman CE, Gevirtz RN. The contribution of pain, reported sleep quality, and depressive symptoms to fatigue in fibromyalgia. Pain. 2002;100(3):271-9. https://doi.org/10.1016/s0304-3959(02)00300-7   DOI