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 |
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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. |
doi_str_mv | 10.1093/geronb/gbt030 |
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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><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. For permissions, please e-mail: journals.permissions@oup.com. 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c544t-e12d0c910ea0a64e4d5701ff1600127d39607250ebe35bb5832eba7b9735453</citedby><cites>FETCH-LOGICAL-c544t-e12d0c910ea0a64e4d5701ff1600127d39607250ebe35bb5832eba7b9735453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925,30999,31000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27713310$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23804432$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>WILLIAMS, Jacob M</creatorcontrib><creatorcontrib>KAY, Daniel B</creatorcontrib><creatorcontrib>ROWE, Meredeth</creatorcontrib><creatorcontrib>MCCRAE, Christina S</creatorcontrib><title>Sleep Discrepancy, Sleep Complaint, and Poor Sleep Among Older Adults</title><title>The journals of gerontology. 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. Psychiatry</subject><subject>Self Report</subject><subject>Sex Factors</subject><subject>Sleep</subject><subject>Sleep Wake Disorders - epidemiology</subject><subject>Sleep Wake Disorders - psychology</subject><subject>Symptoms</subject><issn>1079-5014</issn><issn>1758-5368</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkU1L5TAUhsMw4vdytkNhEFxYPWmSpt0Il-snCAq6D2l7eqeSJp2kFfz3Rnt1dFaTTULOw8s55yHkB4VjCiU7WaF3tjpZVSMw-Ea2qRRFKlhefI9vkGUqgPItshPCI8RDJd8kWxkrgHOWbZPze4M4JGddqD0O2tbPR8n8tXT9YHRnx6NE2ya5c86vK4ve2VVyaxr0yaKZzBj2yEarTcD99b1L7i_OH5ZX6c3t5fVycZPWgvMxRZo1UJcUUIPOOfJGSKBtS_PYWCYbVuYgMwFYIRNVJQqWYaVlVUomuGC75HROHaaqx6ZGO3pt1OC7Xvtn5XSnvlZs91ut3JNiknPgZQw4XAd492fCMKo-zo3GaItuCorynIGkBRX_gWZxfzkrIaK__kEf3eRt3MMbxSGLUKTSmaq9C8Fj-9E3BfVqUs0m1Wwy8j8_D_tBv6uLwMEa0KHWpvVRXhf-clJSxiiwF4rBpjc</recordid><startdate>20130901</startdate><enddate>20130901</enddate><creator>WILLIAMS, Jacob M</creator><creator>KAY, Daniel B</creator><creator>ROWE, Meredeth</creator><creator>MCCRAE, Christina S</creator><general>Oxford University Press</general><scope>IQODW</scope><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>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130901</creationdate><title>Sleep Discrepancy, Sleep Complaint, and Poor Sleep Among Older Adults</title><author>WILLIAMS, Jacob M ; KAY, Daniel B ; ROWE, Meredeth ; MCCRAE, Christina S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c544t-e12d0c910ea0a64e4d5701ff1600127d39607250ebe35bb5832eba7b9735453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Actigraphy</topic><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Complaints</topic><topic>Depression</topic><topic>Depression - epidemiology</topic><topic>Depression - psychology</topic><topic>Discrepancies</topic><topic>Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes</topic><topic>Elderly people</topic><topic>Female</topic><topic>Geriatrics</topic><topic>Gerontology</topic><topic>Health Status</topic><topic>Humans</topic><topic>Insomnia</topic><topic>Male</topic><topic>Measurement errors</topic><topic>Medical sciences</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Mood disorders</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Neuropsychological Tests</topic><topic>Older people</topic><topic>Original Research Report</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Self Report</topic><topic>Sex Factors</topic><topic>Sleep</topic><topic>Sleep Wake Disorders - epidemiology</topic><topic>Sleep Wake Disorders - psychology</topic><topic>Symptoms</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>WILLIAMS, Jacob M</creatorcontrib><creatorcontrib>KAY, Daniel B</creatorcontrib><creatorcontrib>ROWE, Meredeth</creatorcontrib><creatorcontrib>MCCRAE, Christina S</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The journals of gerontology. Series B, Psychological sciences and social sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>WILLIAMS, Jacob M</au><au>KAY, Daniel B</au><au>ROWE, Meredeth</au><au>MCCRAE, Christina S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sleep Discrepancy, Sleep Complaint, and Poor Sleep Among Older Adults</atitle><jtitle>The journals of gerontology. Series B, Psychological sciences and social sciences</jtitle><addtitle>J Gerontol B Psychol Sci Soc Sci</addtitle><date>2013-09-01</date><risdate>2013</risdate><volume>68</volume><issue>5</issue><spage>712</spage><epage>720</epage><pages>712-720</pages><issn>1079-5014</issn><eissn>1758-5368</eissn><coden>JGBSF3</coden><abstract>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.</abstract><cop>Cary, NC</cop><pub>Oxford University Press</pub><pmid>23804432</pmid><doi>10.1093/geronb/gbt030</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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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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