Sleep Discrepancy, Sleep Complaint, and Poor Sleep Among Older Adults

Discrepancy between self-report- and actigraphy-measured sleep, often considered an artifact of measurement error, has been well documented among insomnia patients. Sleep problems are common among older adults, and this discrepancy may represent meaningful sleep-related phenomenon, which could have...

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Veröffentlicht in:The journals of gerontology. Series B, Psychological sciences and social sciences Psychological sciences and social sciences, 2013-09, Vol.68 (5), p.712-720
Hauptverfasser: WILLIAMS, Jacob M, KAY, Daniel B, ROWE, Meredeth, MCCRAE, Christina S
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container_title The journals of gerontology. Series B, Psychological sciences and social sciences
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creator WILLIAMS, Jacob M
KAY, Daniel B
ROWE, Meredeth
MCCRAE, Christina S
description Discrepancy between self-report- and actigraphy-measured sleep, often considered an artifact of measurement error, has been well documented among insomnia patients. Sleep problems are common among older adults, and this discrepancy may represent meaningful sleep-related phenomenon, which could have clinical and research significance. Sleep discrepancy was examined in 4 groups of older adults (N = 152, mean age = 71.93 years) based on sleep complaint versus no complaint and presence versus absence of insomnia symptoms. Participants completed the Beck Depression Inventory-second edition (BDI-II) and 14 nights of sleep diaries and actigraphy. Controlling for covariates, group differences were found in the duration and frequency of discrepancy in sleep onset latency (SOLd) and wake after sleep onset (WASOd). Those with insomnia symptoms and complaints reported greater duration and frequency of WASOd than the other 3 groups. Quantities of SOLd and WASOd were related to BDI-II score and group status, indicating that sleep discrepancy has meaningful clinical correlates. Discrepancy occurred across all groups but was pronounced among the group with both insomnia symptoms and complaints. This discrepancy may provide a means of quantifying and conceptualizing the transition from wake to sleep among older adults, particularly those with sleeping problems.
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Discrepancy occurred across all groups but was pronounced among the group with both insomnia symptoms and complaints. This discrepancy may provide a means of quantifying and conceptualizing the transition from wake to sleep among older adults, particularly those with sleeping problems.</description><identifier>ISSN: 1079-5014</identifier><identifier>EISSN: 1758-5368</identifier><identifier>DOI: 10.1093/geronb/gbt030</identifier><identifier>PMID: 23804432</identifier><identifier>CODEN: JGBSF3</identifier><language>eng</language><publisher>Cary, NC: Oxford University Press</publisher><subject>Actigraphy ; Adult and adolescent clinical studies ; Aged ; Biological and medical sciences ; Complaints ; Depression ; Depression - epidemiology ; Depression - psychology ; Discrepancies ; Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes ; Elderly people ; Female ; Geriatrics ; Gerontology ; Health Status ; Humans ; Insomnia ; Male ; Measurement errors ; Medical sciences ; Mental depression ; Middle Aged ; Mood disorders ; Nervous system (semeiology, syndromes) ; Neurology ; Neuropsychological Tests ; Older people ; Original Research Report ; Psychiatric Status Rating Scales ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Self Report ; Sex Factors ; Sleep ; Sleep Wake Disorders - epidemiology ; Sleep Wake Disorders - psychology ; Symptoms</subject><ispartof>The journals of gerontology. Series B, Psychological sciences and social sciences, 2013-09, Vol.68 (5), p.712-720</ispartof><rights>2015 INIST-CNRS</rights><rights>Copyright Oxford University Press, UK Sep 2013</rights><rights>The Author 2013. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. 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Series B, Psychological sciences and social sciences</title><addtitle>J Gerontol B Psychol Sci Soc Sci</addtitle><description>Discrepancy between self-report- and actigraphy-measured sleep, often considered an artifact of measurement error, has been well documented among insomnia patients. Sleep problems are common among older adults, and this discrepancy may represent meaningful sleep-related phenomenon, which could have clinical and research significance. Sleep discrepancy was examined in 4 groups of older adults (N = 152, mean age = 71.93 years) based on sleep complaint versus no complaint and presence versus absence of insomnia symptoms. Participants completed the Beck Depression Inventory-second edition (BDI-II) and 14 nights of sleep diaries and actigraphy. Controlling for covariates, group differences were found in the duration and frequency of discrepancy in sleep onset latency (SOLd) and wake after sleep onset (WASOd). Those with insomnia symptoms and complaints reported greater duration and frequency of WASOd than the other 3 groups. Quantities of SOLd and WASOd were related to BDI-II score and group status, indicating that sleep discrepancy has meaningful clinical correlates. Discrepancy occurred across all groups but was pronounced among the group with both insomnia symptoms and complaints. This discrepancy may provide a means of quantifying and conceptualizing the transition from wake to sleep among older adults, particularly those with sleeping problems.</description><subject>Actigraphy</subject><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Complaints</subject><subject>Depression</subject><subject>Depression - epidemiology</subject><subject>Depression - psychology</subject><subject>Discrepancies</subject><subject>Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes</subject><subject>Elderly people</subject><subject>Female</subject><subject>Geriatrics</subject><subject>Gerontology</subject><subject>Health Status</subject><subject>Humans</subject><subject>Insomnia</subject><subject>Male</subject><subject>Measurement errors</subject><subject>Medical sciences</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Mood disorders</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Neuropsychological Tests</subject><subject>Older people</subject><subject>Original Research Report</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. 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subjects Actigraphy
Adult and adolescent clinical studies
Aged
Biological and medical sciences
Complaints
Depression
Depression - epidemiology
Depression - psychology
Discrepancies
Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes
Elderly people
Female
Geriatrics
Gerontology
Health Status
Humans
Insomnia
Male
Measurement errors
Medical sciences
Mental depression
Middle Aged
Mood disorders
Nervous system (semeiology, syndromes)
Neurology
Neuropsychological Tests
Older people
Original Research Report
Psychiatric Status Rating Scales
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Self Report
Sex Factors
Sleep
Sleep Wake Disorders - epidemiology
Sleep Wake Disorders - psychology
Symptoms
title Sleep Discrepancy, Sleep Complaint, and Poor Sleep Among Older Adults
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