Psychoactive Medications and Actigraphically Scored Sleep Quality in Frail Nursing Home Patients
The objective of this study was to examine the association between psychoactive medications and sleep quality in a sample of nursing home patients. We studied a baseline data collection for a clinical trial of a nonpharmacologic sleep intervention program. This study was conducted at six community n...
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| Veröffentlicht in: | Journal of the American Medical Directors Association 2004-07, Vol.5 (4), p.223-227 |
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| container_title | Journal of the American Medical Directors Association |
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| creator | Greco, K. Elizabeth Deaton, Christi Kutner, Michael Schnelle, John F. Ouslander, Joseph G. |
| description | The objective of this study was to examine the association between psychoactive medications and sleep quality in a sample of nursing home patients.
We studied a baseline data collection for a clinical trial of a nonpharmacologic sleep intervention program.
This study was conducted at six community nursing homes.
We studied 168 nursing home patients.
Sleep was recorded by wrist actigraphy for three to five nights under usual care conditions. Demographic and clinical data were collected by medical record reviews and patient assessments.
One or more routine psychoactive medications were being taken by 109 (65%) of the patients. Number of minutes of sleep, percent of time in bed asleep, and number of awakenings did not differ between those receiving and not receiving a psychoactive medication. Neither the use of antidepressants nor the use of only psychoactive medications reported to cause sedation was associated with significantly better sleep quality.
Psychoactive medications as a general class of drugs were not associated with better or worse sleep quality in this very frail nursing home population. The effect of individual classes of psychoactive drugs on sleep quality in this patient population requires further study. |
| doi_str_mv | 10.1016/S1525-8610(04)70126-7 |
| format | Article |
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We studied a baseline data collection for a clinical trial of a nonpharmacologic sleep intervention program.
This study was conducted at six community nursing homes.
We studied 168 nursing home patients.
Sleep was recorded by wrist actigraphy for three to five nights under usual care conditions. Demographic and clinical data were collected by medical record reviews and patient assessments.
One or more routine psychoactive medications were being taken by 109 (65%) of the patients. Number of minutes of sleep, percent of time in bed asleep, and number of awakenings did not differ between those receiving and not receiving a psychoactive medication. Neither the use of antidepressants nor the use of only psychoactive medications reported to cause sedation was associated with significantly better sleep quality.
Psychoactive medications as a general class of drugs were not associated with better or worse sleep quality in this very frail nursing home population. The effect of individual classes of psychoactive drugs on sleep quality in this patient population requires further study.</description><identifier>ISSN: 1525-8610</identifier><identifier>EISSN: 1538-9375</identifier><identifier>DOI: 10.1016/S1525-8610(04)70126-7</identifier><identifier>PMID: 15228630</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Antidepressive Agents - therapeutic use ; Antipsychotic Agents - therapeutic use ; Female ; Frail Elderly - statistics & numerical data ; Homes for the Aged - statistics & numerical data ; Humans ; Male ; Nursing Homes - statistics & numerical data ; psychoactive medications ; Psychotropic Drugs - therapeutic use ; Sleep ; Sleep - drug effects ; Sleep Wake Disorders - drug therapy ; Sleep Wake Disorders - prevention & control ; Time Factors</subject><ispartof>Journal of the American Medical Directors Association, 2004-07, Vol.5 (4), p.223-227</ispartof><rights>2004 American Medical Directors Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c342t-833974b388e883d9cb0d19f027d5e578e2778094c4a578133fb018b3189bff003</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1525861004701267$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15228630$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Greco, K. Elizabeth</creatorcontrib><creatorcontrib>Deaton, Christi</creatorcontrib><creatorcontrib>Kutner, Michael</creatorcontrib><creatorcontrib>Schnelle, John F.</creatorcontrib><creatorcontrib>Ouslander, Joseph G.</creatorcontrib><title>Psychoactive Medications and Actigraphically Scored Sleep Quality in Frail Nursing Home Patients</title><title>Journal of the American Medical Directors Association</title><addtitle>J Am Med Dir Assoc</addtitle><description>The objective of this study was to examine the association between psychoactive medications and sleep quality in a sample of nursing home patients.
We studied a baseline data collection for a clinical trial of a nonpharmacologic sleep intervention program.
This study was conducted at six community nursing homes.
We studied 168 nursing home patients.
Sleep was recorded by wrist actigraphy for three to five nights under usual care conditions. Demographic and clinical data were collected by medical record reviews and patient assessments.
One or more routine psychoactive medications were being taken by 109 (65%) of the patients. Number of minutes of sleep, percent of time in bed asleep, and number of awakenings did not differ between those receiving and not receiving a psychoactive medication. Neither the use of antidepressants nor the use of only psychoactive medications reported to cause sedation was associated with significantly better sleep quality.
Psychoactive medications as a general class of drugs were not associated with better or worse sleep quality in this very frail nursing home population. The effect of individual classes of psychoactive drugs on sleep quality in this patient population requires further study.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antidepressive Agents - therapeutic use</subject><subject>Antipsychotic Agents - therapeutic use</subject><subject>Female</subject><subject>Frail Elderly - statistics & numerical data</subject><subject>Homes for the Aged - statistics & numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Nursing Homes - statistics & numerical data</subject><subject>psychoactive medications</subject><subject>Psychotropic Drugs - therapeutic use</subject><subject>Sleep</subject><subject>Sleep - drug effects</subject><subject>Sleep Wake Disorders - drug therapy</subject><subject>Sleep Wake Disorders - prevention & control</subject><subject>Time Factors</subject><issn>1525-8610</issn><issn>1538-9375</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtPwzAMgCMEYjD4CaCcEBwKTtM26QlNiJfEY2hwDmnqbkFdO5IWaf-e7CFxJBcn9mdb-Qg5YXDJgGVXE5bGaSQzBueQXAhgcRaJHXLAUi6jnIt0d3XfIgNy6P0XQAwsz_bJIBRimXE4IJ9jvzSzVpvO_iB9xtIa3dm28VQ3JR2F9NTpxSxk63pJJ6Z1WNJJjbigb72ubbektqF3TtuavvTO22ZKH9o50nEYg03nj8hepWuPx9s4JB93t-83D9HT6_3jzegpMjyJu0hynouk4FKilLzMTQElyyuIRZliKiTGQkjIE5Po8GKcVwUwWXAm86KqAPiQnG3mLlz73aPv1Nx6g3WtG2x7r7JwRJrHAUw3oHGt9w4rtXB2rt1SMVArtWqtVq28KUjUWq0Soe90u6Av5lj-dW1dBuB6A2D45o9Fp7wJCkxw6tB0qmztPyt-AYN_iDA</recordid><startdate>200407</startdate><enddate>200407</enddate><creator>Greco, K. Elizabeth</creator><creator>Deaton, Christi</creator><creator>Kutner, Michael</creator><creator>Schnelle, John F.</creator><creator>Ouslander, Joseph G.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200407</creationdate><title>Psychoactive Medications and Actigraphically Scored Sleep Quality in Frail Nursing Home Patients</title><author>Greco, K. Elizabeth ; Deaton, Christi ; Kutner, Michael ; Schnelle, John F. ; Ouslander, Joseph G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c342t-833974b388e883d9cb0d19f027d5e578e2778094c4a578133fb018b3189bff003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antidepressive Agents - therapeutic use</topic><topic>Antipsychotic Agents - therapeutic use</topic><topic>Female</topic><topic>Frail Elderly - statistics & numerical data</topic><topic>Homes for the Aged - statistics & numerical data</topic><topic>Humans</topic><topic>Male</topic><topic>Nursing Homes - statistics & numerical data</topic><topic>psychoactive medications</topic><topic>Psychotropic Drugs - therapeutic use</topic><topic>Sleep</topic><topic>Sleep - drug effects</topic><topic>Sleep Wake Disorders - drug therapy</topic><topic>Sleep Wake Disorders - prevention & control</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Greco, K. Elizabeth</creatorcontrib><creatorcontrib>Deaton, Christi</creatorcontrib><creatorcontrib>Kutner, Michael</creatorcontrib><creatorcontrib>Schnelle, John F.</creatorcontrib><creatorcontrib>Ouslander, Joseph G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Medical Directors Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Greco, K. Elizabeth</au><au>Deaton, Christi</au><au>Kutner, Michael</au><au>Schnelle, John F.</au><au>Ouslander, Joseph G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychoactive Medications and Actigraphically Scored Sleep Quality in Frail Nursing Home Patients</atitle><jtitle>Journal of the American Medical Directors Association</jtitle><addtitle>J Am Med Dir Assoc</addtitle><date>2004-07</date><risdate>2004</risdate><volume>5</volume><issue>4</issue><spage>223</spage><epage>227</epage><pages>223-227</pages><issn>1525-8610</issn><eissn>1538-9375</eissn><abstract>The objective of this study was to examine the association between psychoactive medications and sleep quality in a sample of nursing home patients.
We studied a baseline data collection for a clinical trial of a nonpharmacologic sleep intervention program.
This study was conducted at six community nursing homes.
We studied 168 nursing home patients.
Sleep was recorded by wrist actigraphy for three to five nights under usual care conditions. Demographic and clinical data were collected by medical record reviews and patient assessments.
One or more routine psychoactive medications were being taken by 109 (65%) of the patients. Number of minutes of sleep, percent of time in bed asleep, and number of awakenings did not differ between those receiving and not receiving a psychoactive medication. Neither the use of antidepressants nor the use of only psychoactive medications reported to cause sedation was associated with significantly better sleep quality.
Psychoactive medications as a general class of drugs were not associated with better or worse sleep quality in this very frail nursing home population. The effect of individual classes of psychoactive drugs on sleep quality in this patient population requires further study.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>15228630</pmid><doi>10.1016/S1525-8610(04)70126-7</doi><tpages>5</tpages></addata></record> |
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| ispartof | Journal of the American Medical Directors Association, 2004-07, Vol.5 (4), p.223-227 |
| issn | 1525-8610 1538-9375 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Aged Aged, 80 and over Antidepressive Agents - therapeutic use Antipsychotic Agents - therapeutic use Female Frail Elderly - statistics & numerical data Homes for the Aged - statistics & numerical data Humans Male Nursing Homes - statistics & numerical data psychoactive medications Psychotropic Drugs - therapeutic use Sleep Sleep - drug effects Sleep Wake Disorders - drug therapy Sleep Wake Disorders - prevention & control Time Factors |
| title | Psychoactive Medications and Actigraphically Scored Sleep Quality in Frail Nursing Home Patients |
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