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Zhu W, Wang F, Cao Y, Wu Q. The Relationships Among Family Functioning, Sleep Quality and Quality of Life in Chinese Community-Dwelling Older Adults with Insomnia: A Structural Equation Model. Clin Gerontol 2024:1-14. [PMID: 38781533 DOI: 10.1080/07317115.2024.2357583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/25/2024]
Abstract
OBJECTIVES The proportion of individuals with insomnia is increasing, and many older adults have insomnia. This study aimed to explore the relationships between family functioning and quality of life (QOL) among community-dwelling older adults with insomnia, as well as to explore the mediating role of sleep quality in this relationship. METHODS The participants were 225 older adults with insomnia from community health service centers in Chongqing, China. The Family Care Index (APGAR) was used to assess family functioning, the Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality, and the 36-item Short-Form Health Survey (SF-36) was used to assess QOL. RESULTS The results showed that family functioning would be positively associated with QOL (p = .005) and that this relationship would be partially mediated by higher sleep quality (p < .001). CONCLUSIONS Family functioning has a direct effect on QOL and an indirect effect on QOL through the regulation of sleep quality. Maintaining good family functioning is important for improving sleep quality and QOL in older adults with insomnia. CLINICAL IMPLICATIONS Developing family functioning-based assessments and targeted intervention strategies could be beneficial for older adults with insomnia.
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Affiliation(s)
- Wenfen Zhu
- School of Nursing, Chongqing Medical University, Chongqing, China
| | - Fangyi Wang
- School of Nursing, Chongqing Medical University, Chongqing, China
| | - Yuanyuan Cao
- Department of Psychiatry, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Qian Wu
- School of Nursing, Chongqing Medical University, Chongqing, China
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Zhao X, Si H. Exploring the chain mediating roles of frailty and depressive symptoms in the relationship between pain and cognitive function among nursing home older adults. Psychogeriatrics 2024; 24:426-432. [PMID: 38323495 DOI: 10.1111/psyg.13089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2023] [Revised: 12/18/2023] [Accepted: 01/26/2024] [Indexed: 02/08/2024]
Abstract
BACKGROUND The prevalence of cognitive decline is high among nursing home older adults. Pain is a vital factor in cognitive function. Furthermore, the current literature lacks the complex association between pain, frailty, depressive symptoms, and cognitive function. The aim of this study was to explore the chain mediating roles of frailty and depressive symptoms in the association between pain and cognitive function among nursing home older adults. METHODS This is a population-based cross-sectional study, conducted in China, of 210 nursing home older adults aged 64-98 years old, who completed the measurements of sociodemographic information, pain, frailty, depressive symptoms, and cognitive function. Mediation analyses tested the indirect effect of frailty and depressive symptoms in the relationship between pain and cognitive function by PROCESS macro. RESULTS Pain, frailty, as well as depressive symptoms, were negatively related to cognitive function. Frailty mediated the association between pain and cognitive function. Importantly, mediation analyses showed that frailty and depressive symptoms acted as sequential mediators of pain and cognitive function. CONCLUSIONS These findings have crucial clinical implications, as they suggest targeting physiological and psychological factors in older adults with chronic pain to alleviate cognitive decline.
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Affiliation(s)
- Xia Zhao
- Department of Health Management, Heze Medical College, Heze, China
| | - Huaxin Si
- School of Public Health, Peking University, Beijing, China
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3
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Seo S, Mattos MK. The relationship between social support and sleep quality in older adults: A review of the evidence. Arch Gerontol Geriatr 2024; 117:105179. [PMID: 37717378 DOI: 10.1016/j.archger.2023.105179] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Revised: 07/29/2023] [Accepted: 09/03/2023] [Indexed: 09/19/2023]
Abstract
OBJECTIVES Sleep quality is crucial for the health and well-being of older adults, and social support has been consistently shown to be related to sleep quality. However, there is a need for research to understand the mechanisms through which these two factors are linked. The purpose of this review is to synthesize scientific literature on the relationship between social support and sleep quality in older adults. METHODS Using an integrative review method, this review was conducted for a period from January 2012 to November 2022 using a combination of keywords related to social support and sleep quality in older adults. RESULTS A total of 21 studies that met the inclusion criteria were included. Social support was found to have a positive relationship with subjective and objective sleep quality. It may act as both a mediator between insomnia and hopelessness and a moderator buffering the influence of rumination and negative emotions on sleep quality. CONCLUSION This review provides evidence for the positive relationship between social support and sleep quality in older adults. Based on the findings of this review, healthcare professionals should prioritize incorporating assessments of social support and implementing interventions aimed at enhancing social support in older adults to improve their sleep quality.
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Affiliation(s)
- Shinae Seo
- School of Nursing, University of Virginia, Charlottesville, US.
| | - Meghan K Mattos
- School of Nursing, University of Virginia, Charlottesville, US; Division of Geriatrics, School of Medicine, University of Virginia, Charlottesville, US
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Nielson SA, Kay DB, Dzierzewski JM. Sleep and Depression in Older Adults: A Narrative Review. Curr Psychiatry Rep 2023; 25:643-658. [PMID: 37740851 DOI: 10.1007/s11920-023-01455-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/06/2023] [Indexed: 09/25/2023]
Abstract
PURPOSE OF REVIEW The sleep-depression association has been recognized for decades. Efforts to clarify this association continue at an increasing pace. This review summarizes recent research on the sleep-depression association in older adults. RECENT FINDINGS Research over the past 4 years has utilized cross-sectional, longitudinal, cohort, and intervention designs to examine these associations. Short (< 7 h) and long (> 8-9 h) sleep durations and insomnia symptoms are risk factors for depression in older adults. Similarly, short sleep, long sleep, insomnia symptoms, and depression are all risk factors for poorer health in late life, including increased risk of cognitive decline, falls, and poorer quality-of-life. Intervention studies have produced mixed findings, with some studies suggesting that sleep interventions may be potentially effective in improving both insomnia and mood symptoms. Intervention studies incorporating both behavioral and physiological measures of sleep, and larger and diverse samples may enhance the field's understanding of the complex interplay between sleep and mood in older adults.
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Affiliation(s)
- Spencer A Nielson
- Department of Psychology, Virginia Commonwealth University, Richmond, USA
| | - Daniel B Kay
- Department of Psychology, Brigham Young University, Provo, UT, USA
| | - Joseph M Dzierzewski
- National Sleep Foundation, 2001 Massachusetts Ave NW, Washington, DC, 20036, USA.
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Correa-Muñoz E, Retana-Ugalde R, Mendoza-Núñez VM. Detection of Insomnia and Its Relationship with Cognitive Impairment, Depression, and Quality of Life in Older Community-Dwelling Mexicans. Diagnostics (Basel) 2023; 13:diagnostics13111889. [PMID: 37296740 DOI: 10.3390/diagnostics13111889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Revised: 05/18/2023] [Accepted: 05/25/2023] [Indexed: 06/12/2023] Open
Abstract
Sleep disturbances are one of the most frequent health problems in old age, among which insomnia stands out. It is characterized by difficulty falling asleep, staying asleep, frequent awakenings, or waking up too early and not having restful sleep, which may be a risk factor for cognitive impairment and depression, affecting functionality and quality of life. Insomnia is a very complex multifactorial problem that requires a multi- and interdisciplinary approach. However, it is frequently not diagnosed in older community-dwelling people, increasing the risk of psychological, cognitive, and quality of life alterations. The aim was to detect insomnia and its relationship with cognitive impairment, depression, and quality of life in older community-dwelling Mexicans. An analytical cross-sectional study was carried out in 107 older adults from Mexico City. The following screening instruments were applied: Athens Insomnia Scale, Mini-Mental State Examination, Geriatric Depression Scale, WHO Quality of Life Questionnaire WHOQoL-Bref, Pittsburgh Sleep Quality Inventory. The frequency of insomnia detected was 57% and its relationship with cognitive impairment, depression, and low quality of life was 31% (OR = 2.5, 95% CI, 1.1-6.6. p < 0.05), 41% (OR = 7.3, 95% CI, 2.3-22.9, p < 0.001), and 59% (OR = 2.5, 95% CI, 1.1-5.4, p < 0.05), respectively. Our findings suggest that insomnia is a frequent clinical disorder that is not diagnosed and a significant risk factor for cognitive decline, depression, and poor quality of life.
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Affiliation(s)
- Elsa Correa-Muñoz
- Unidad Investigación en Gerontología, Facultad de Estudios Superiores Zaragoza, Universidad Nacional Autónoma de México, Mexico City 09230, Mexico
- Facultad de Humanidades, Ciencias Sociales y Empresariales, Universidad Maimónides, Hidalgo 775-CABA, Buenos Aires B1686IGC, Argentina
| | - Raquel Retana-Ugalde
- Unidad Investigación en Gerontología, Facultad de Estudios Superiores Zaragoza, Universidad Nacional Autónoma de México, Mexico City 09230, Mexico
| | - Víctor Manuel Mendoza-Núñez
- Unidad Investigación en Gerontología, Facultad de Estudios Superiores Zaragoza, Universidad Nacional Autónoma de México, Mexico City 09230, Mexico
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Tsaras K, Tsiantoula M, Papagiannis D, Papathanasiou IV, Chatzi M, Kelesi M, Kaba E, Fradelos EC. The Effect of Depressive and Insomnia Symptoms in Quality of Life among Community-Dwelling Older Adults. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13704. [PMID: 36294280 PMCID: PMC9603389 DOI: 10.3390/ijerph192013704] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/16/2022] [Revised: 10/14/2022] [Accepted: 10/19/2022] [Indexed: 06/16/2023]
Abstract
The purpose of this study was to investigate the effects of depressive symptoms, insomnia symptoms, and comorbid depressive and insomnia symptoms on the quality of life among community-dwelling older adults in an urban area of central Greece. A cross-sectional study was conducted on 200 older adults (aged ≥ 60) collected from five Open Care Centers for Elderly People of the Municipality of Larissa, Greece. Data were obtained through a questionnaire that included demographic, socioeconomic, and health-related characteristics; the World Health Organization Quality of Life (WHOQoL)-Bref questionnaire; the Geriatric Depression Scale; and the Athens Insomnia Scale. The prevalences of depression, insomnia, and comorbid depression and insomnia were 28% (95% confidence interval (95% CI): 21.8-34.2%), 40.5% (95% CI: 33.7-47.3%), and 19% (95% CI: 13.5-24.5%), respectively. The mean WHOQoL-Bref score for all domains was approximately 14.50, with the highest mean value observed for psychological health (14.79 ± 2.60), followed by the physical health (14.49 ± 2.66), social relationships (14.39 ± 2.03), and environmental domains (14.32 ± 1.90). All WHOQoL-Bref domains were negatively correlated with depression and insomnia. Older adults with depressive symptoms, insomnia symptoms, and comorbid depressive and insomnia symptoms had lower scores in all quality of life dimensions compared with those without.
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Affiliation(s)
- Konstantinos Tsaras
- Public Health & Vaccines Laboratory, Faculty of Nursing, School of Health Sciences, University of Thessaly, 41500 Larissa, Greece
| | - Maria Tsiantoula
- Department of Welfare, Municipality of Larissa, 41222 Larissa, Greece
| | - Dimitrios Papagiannis
- Public Health & Vaccines Laboratory, Faculty of Nursing, School of Health Sciences, University of Thessaly, 41500 Larissa, Greece
| | - Ioanna V. Papathanasiou
- Community Nursing Laboratory, Faculty of Nursing, School of Health Sciences, University of Thessaly, 41500 Larissa, Greece
| | - Maria Chatzi
- Department of Infections, University Hospital of Larissa, 41110 Larissa, Greece
| | - Martha Kelesi
- Department of Nursing, School of Health and Care Sciences, University of West Attica, 12243 Athens, Greece
| | - Evridiki Kaba
- Department of Nursing, School of Health and Care Sciences, University of West Attica, 12243 Athens, Greece
| | - Evangelos C. Fradelos
- Community Nursing Laboratory, Faculty of Nursing, School of Health Sciences, University of Thessaly, 41500 Larissa, Greece
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Atividades de vida diária, sintomas depressivos e qualidade de vida de idosos. ACTA PAUL ENFERM 2022. [DOI: 10.37689/acta-ape/2022ao0237345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Concheiro-Moscoso P, Groba B, Martínez-Martínez FJ, Miranda-Duro MDC, Nieto-Riveiro L, Pousada T, Pereira J. Use of the Xiaomi Mi Band for sleep monitoring and its influence on the daily life of older people living in a nursing home. Digit Health 2022; 8:20552076221121162. [PMID: 36060611 PMCID: PMC9434673 DOI: 10.1177/20552076221121162] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2022] [Accepted: 08/08/2022] [Indexed: 11/15/2022] Open
Abstract
Background: Lower quantity and poorer sleep quality are common in
most older adults, especially for those who live in a nursing home. The use of
wearable devices, which measure some parameters such as the sleep stages, could
help to determine the influence of sleep quality in daily activity among nursing
home residents. Therefore, this study aims to analyse the influence of sleep and
its changes concerning the health status and daily activity of older people who
lived in a nursing home, by monitoring the participants for a year with Xiaomi
Mi Band 2. Methods: This is a longitudinal study set in a nursing
home in [Details omitted for double-anonymized peer reviewed]. The Xiaomi Mi
Band 2 will be used to measure biomedical parameters and different assessment
tools will be administered to participants for evaluating their quality of life,
sleep quality, cognitive state, and daily functioning. Results: A
total of 21 nursing home residents participated in the study, with a mean age of
86.38 ± 9.26. The main outcomes were that sleep may influence daily activity,
cognitive state, quality of life, and level of dependence in activities of daily
life. Moreover, environmental factors and the passage of time could also impact
sleep. Conclusions: Xiaomi Mi Band 2 could be an objective tool to
assess the sleep of older adults and know its impact on some factors related to
health status and quality of life of older nursing homes residents. Trial
Registration: NCT04592796 (Registered 16 October 2020) Available on:
https://clinicaltrials.gov/ct2/show/NCT04592796.
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Affiliation(s)
- Patricia Concheiro-Moscoso
- CITIC, TALIONIS group, Elviña Campus, Universidade da Coruña (University of A Coruña), Spain
- Faculty of Health Sciences, Oza Campus, Universidade da Coruña (University of A Coruña), Spain
| | - Betania Groba
- CITIC, TALIONIS group, Elviña Campus, Universidade da Coruña (University of A Coruña), Spain
- Faculty of Health Sciences, Oza Campus, Universidade da Coruña (University of A Coruña), Spain
| | - Francisco José Martínez-Martínez
- CITIC, TALIONIS group, Elviña Campus, Universidade da Coruña (University of A Coruña), Spain
- Instituto de Biomedicina de València (CSIC), Valencia, Spain
| | - María del Carmen Miranda-Duro
- CITIC, TALIONIS group, Elviña Campus, Universidade da Coruña (University of A Coruña), Spain
- Faculty of Health Sciences, Oza Campus, Universidade da Coruña (University of A Coruña), Spain
| | - Laura Nieto-Riveiro
- CITIC, TALIONIS group, Elviña Campus, Universidade da Coruña (University of A Coruña), Spain
- Faculty of Health Sciences, Oza Campus, Universidade da Coruña (University of A Coruña), Spain
| | - Thais Pousada
- CITIC, TALIONIS group, Elviña Campus, Universidade da Coruña (University of A Coruña), Spain
- Faculty of Health Sciences, Oza Campus, Universidade da Coruña (University of A Coruña), Spain
| | - Javier Pereira
- CITIC, TALIONIS group, Elviña Campus, Universidade da Coruña (University of A Coruña), Spain
- Faculty of Health Sciences, Oza Campus, Universidade da Coruña (University of A Coruña), Spain
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Li Y, Jia J, Zhao X, Zhang D. Preparation for future care moderates the relationship between loneliness and depression among Chinese rural older adults: A cross-sectional study. Geriatr Nurs 2020; 41:641-647. [PMID: 32387000 DOI: 10.1016/j.gerinurse.2020.04.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2019] [Revised: 04/01/2020] [Accepted: 04/06/2020] [Indexed: 12/01/2022]
Abstract
Loneliness has been identified as a risk factor for depression, while preparation for future care (PFC) can be a protective factor. Little is known about their complex relationships in older adults in China. This study aimed to explore whether PFC moderated the association between loneliness and depression. A total of 481 older adults aged 60 years and above were recruited in rural Shandong, China. After excluding those whose data missing rates were over 15%, data were analyzed for a total of 436 participants. Loneliness, PFC, and depression were measured. Statistical analyses included descriptive analysis, and moderating effects analyses. Our findings showed that PFC and its related dimensions can moderate the relationship between loneliness and depression. When the level of PFC and its dimensions were higher, the effect of loneliness on depression was weaker. PFC should be taken into consideration when interventions are being developed to reduce depression in older adults.
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Affiliation(s)
- Yuqin Li
- School of Philosophy and social development, Shandong University, Jinan, Shandong, China; College of Humanities, Shandong Management University, Jinan, Shandong, China
| | - Jihui Jia
- School of Nursing, Shandong University, Jinan, Shandong, China
| | - Xia Zhao
- School of Nursing, Shandong University, Jinan, Shandong, China.
| | - Dan Zhang
- School of Nursing, Shandong University, Jinan, Shandong, China.
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