Journal
ARCHIVES OF GERONTOLOGY AND GERIATRICS
Volume 42, Issue 1, Pages 1-20Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.archger.2005.06.008
Keywords
insomnia in elderly; long-term care; screening of insomnia
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Insomnia is a significant problem that may jeopardize elderly residents' quality of life in longterm care settings. However, there are only a few studies dealing with sleeping disturbances among nursing home residents. The goal of this study was to determine the prevalence of insomnia and its associated factors in nursing home residents. A cross-sectional study (n = 2332) was conducted among seniors living in long-term care facilities. The findings indicate that 144 (6.2%) participants had an insomnia disorder according to DSM-IV criteria, 17% displayed at least one symptom of insomnia, and more that half of the subjects were benzodiazepine users. According to multivariate analysis, psychological distress (adjusted odds ratio = 1.51) and disruptive behaviors (adjusted odds ratio = 2.10) were the only factors associated with an insomnia disorder among this population. In conclusion, insomnia is a fairly important problem, as a symptom or a syndrome, among elderly people and deserves attention from caregivers. Alternative interventions to benzodiazepine drugs, which are suited to long-term care residents while tailored to these specific care settings, should be developed. (c) 2005 Elsevier Ireland Ltd. All rights reserved.
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