Article

Sleep Complaints, Subjective and Objective Sleep Patterns, Health, Psychological Adjustment, and Daytime Functioning in Community-Dwelling Older Adults

Center for Gerontological Studies and Department of Psychology, University of Florida, McCarty C, Room 502, PO Box 115911, Gainesville, Florida 32611-5911, USA.
The Journals of Gerontology Series B Psychological Sciences and Social Sciences (Impact Factor: 3.21). 08/2005; 60(4):P182-9. DOI: 10.1093/geronb/60.4.P182
Source: PubMed

ABSTRACT

We examined sleep complaints, subjective and objective sleep patterns, health, psychological adjustment, and daytime functioning in 103 community-dwelling older adults to identify factors associated with sleep complaints. We collected 2 weeks of sleep diaries and actigraphy. Only health distinguished complaining from noncomplaining sleepers. Noncomplaining good sleepers had poorer objective sleep quantity than complaining poor sleepers. Actigraphy distinguished noncomplaining good and complaining poor sleepers only. Subjective and objective sleep quantities were related for noncomplainers only; this relationship was stronger for women. Implications include a need for research exploring: 1. sleep complaints, sleep perceptions, and health; 2. interventions focusing on older individuals with insomnia secondary to/comorbid with poor health; 3. gender differences in subjective sleep estimates and in "single-shot" versus longitudinal sleep measures.

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    • "The fact that in the present study the BDI values were increased in PS could be due to depression itself or it might be the consequence of an underlying sleep disorder. An overestimation of sleep problems is possible as well: in the study by McCrae et al. [26] noncomplaining GS had poorer objective sleep quantity than complaining PS. Moreover, insomnia patients underestimate their SE whereas healthy persons overestimate their SE [27]. "
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    • "Only 7% of the incidence of insomnia occured in the absence of associated medical conditions (Foley et al., 1999). In the same line further studies on the comorbidity of sleep complaints suggest that the majority of geriatric sleep complaints are not the result of age per se but rather of medical and psychiatric disorders (Foley et al., 2004; Giron et al., 2002; McCrae et al., 2005; Taylor et al., 2007; Vitiello, Moe, & Prinz, 2002). Thus, the high prevalence in sleep complaints among older persons may partially also reflect the age-related high prevalence in chronic diseases and other health problems during older age. "

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    • "can be argued that time to fall asleep and number of sleeping hours would have been more precisely assessed with physiologi - cal measures . We believe that the self - reported measures we used in this study have satisfactory validity , as previous research has shown good correlations between self - reported sleep data and physiological measures [ McCrae et al . , 2005 ] ."
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