期刊
AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY
卷 14, 期 10, 页码 860-866出版社
AMER PSYCHIATRIC PUBLISHING, INC
DOI: 10.1097/01.JGP.0000206164.56404.ba
关键词
sleep; aging; mental health; physical health
资金
- NHLBI NIH HHS [1K07 HL03891-02] Funding Source: Medline
- NIA NIH HHS [1P01 AG11412] Funding Source: Medline
Objective: The objective of this study was to determine the occurrence and recognition of common sleep-related problems and their relationship to health-related quality-of-life measures in the elderly. Method: A total of 1,503 participants with a mean age of 75.5 (+/- 68, range: 62 - 100) years from 11 primary care sites serving primarily elderly patients were interviewed. Subjects completed a five-item sleep questionnaire and the SF-12. A Physical Component Summary (PCS-12) and Mental Component Summary (MCS-12) score was calculated. A systematic medical chart review was conducted to determine whether sleep problems were identified by the healthcare providers. Results: A total of 68.9% of patients reported at least one sleep complaint and 40% bad two or more. Participants most commonly endorsed (45%) that they had difficulty falling asleep, staying asleep, or being able to sleep. The number and type of sleep problems endorsed was associated with both physical and mental health quality-of-life status. Excessive daytime sleepiness was the best predictor of poor mental and physical health-related quality of life. Even when all five sleep questions were endorsed, a sleep complaint was only reported in the chart 19.2% of the time. Conclusions: When elicited, sleep complaints predicted the general physical and mental health-related quality-of-life status in elderly populations with comorbid medical and mental illnesses. Yet, questions regarding sleep are not an integral component of most clinical evaluations. Given the growing evidence of a relationship between sleep and health, identification of sleep disorders could lead to improved management of common age-related chronic illnesses and quality of life of elderly patients.
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