Sleep symptomatology is associated with greater subjective cognitive concerns: findings from the community-based Healthy Brain Project
Abstract Study Objectives To examine if sleep symptomatology was associated with subjective cognitive concerns or objective cognitive performance in a dementia-free community-based sample. Methods A total of 1,421 middle-aged participants (mean ± standard deviation = 57 ± 7; 77% female) from the Hea...
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| Veröffentlicht in: | Sleep (New York, N.Y.) N.Y.), 2021-09, Vol.44 (9), p.1 |
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| container_title | Sleep (New York, N.Y.) |
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| creator | Nicolazzo, Jessica Xu, Katharine Lavale, Alexandra Buckley, Rachel Yassi, Nawaf Hamilton, Garun S Maruff, Paul Baril, Andree-Ann Lim, Yen Ying Pase, Matthew P |
| description | Abstract
Study Objectives
To examine if sleep symptomatology was associated with subjective cognitive concerns or objective cognitive performance in a dementia-free community-based sample.
Methods
A total of 1,421 middle-aged participants (mean ± standard deviation = 57 ± 7; 77% female) from the Healthy Brain Project completed the Pittsburgh Sleep Quality Index, Insomnia Severity Index, and Epworth Sleepiness Scale to measure sleep quality, insomnia symptom severity, and daytime sleepiness, respectively. Participants were classified as having no sleep symptomatology (normal scores on each sleep measure), moderate sleep symptomatology (abnormal scores on one sleep measure), or high sleep symptomatology (abnormal scores on at least two sleep measures), using established cutoff values. Analysis of covariance was used to compare objective cognitive function (Cogstate Brief Battery) and subjective cognitive concerns (Modified Cognitive Function Instrument) across groups.
Results
Following adjustments for age, sex, education, mood, and vascular risk factors, persons classified as having high sleep symptomatology, versus none, displayed more subjective cognitive concerns (d = 0.24) but no differences in objective cognitive performance (d = 0.00–0.18). Subjective cognitive concerns modified the association between sleep symptomatology and psychomotor function. The strength of the relationship between high sleep symptomatology (versus none) and psychomotor function was significantly greater in persons with high as compared with low cognitive concerns (β ± SE = −0.37 ± 0.16; p = 0.02).
Conclusions
More severe sleep symptomatology was associated with greater subjective cognitive concerns. Persons reporting high levels of sleep symptomatology may be more likely to display poorer objective cognitive function in the presence of subjective cognitive concerns. |
| doi_str_mv | 10.1093/sleep/zsab097 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8436141</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A700253232</galeid><oup_id>10.1093/sleep/zsab097</oup_id><sourcerecordid>A700253232</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4663-7221b020da230397790409315f77c1ad1f6c19e94cd176d6db93ebdca5659aaa3</originalsourceid><addsrcrecordid>eNqFksFu1DAQhi0EosvCkSuyxIVLWk-cxDEHpFIVilQJJOBsObaT9Sqxg50UhQfoc-PQpbQICc3BHs83vzWjH6HnQI6BcHoSe2PGkx9RNoSzB2gDZUkynkoP0YZABVkNpDxCT2Lck5QXnD5GR5TWtCZFuUHXn9d-HJdhnPwgJ9_7bsE2YhmjV1ZORuPvdtrhLpiUBBznZm_UZK8MVr5z9nBzygQXX-PWOm1dF3Eb_ICn3VobhjlxS9bImNQujOyn3YLfBmkd_hT8KvcUPWplH82zw7lFX9-dfzm7yC4_vv9wdnqZqaKqaMbyHBqSEy1zSihnjJMiLQHKljEFUkNbKeCGF0oDq3SlG05No5Usq5JLKekWvbnRHedmMFoZNwXZizHYQYZFeGnF_YqzO9H5K1EXtIICksCrg0Dw32YTJzHYqEzfS2f8HEVeAuQFAKsT-vIvdO_n4NJ4iWIl5cD4HaqTvRHWtT79q1ZRccoIyUuap9ii439QKbQZbNq-aW16v9eQ3TSo4GMMpr2dEYhYjSN-GUccjJP4F3cXc0v_dsqfwf08_kfrJ9gA0H8</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2575391798</pqid></control><display><type>article</type><title>Sleep symptomatology is associated with greater subjective cognitive concerns: findings from the community-based Healthy Brain Project</title><source>MEDLINE</source><source>Oxford University Press Journals All Titles (1996-Current)</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Nicolazzo, Jessica ; Xu, Katharine ; Lavale, Alexandra ; Buckley, Rachel ; Yassi, Nawaf ; Hamilton, Garun S ; Maruff, Paul ; Baril, Andree-Ann ; Lim, Yen Ying ; Pase, Matthew P</creator><creatorcontrib>Nicolazzo, Jessica ; Xu, Katharine ; Lavale, Alexandra ; Buckley, Rachel ; Yassi, Nawaf ; Hamilton, Garun S ; Maruff, Paul ; Baril, Andree-Ann ; Lim, Yen Ying ; Pase, Matthew P</creatorcontrib><description>Abstract
Study Objectives
To examine if sleep symptomatology was associated with subjective cognitive concerns or objective cognitive performance in a dementia-free community-based sample.
Methods
A total of 1,421 middle-aged participants (mean ± standard deviation = 57 ± 7; 77% female) from the Healthy Brain Project completed the Pittsburgh Sleep Quality Index, Insomnia Severity Index, and Epworth Sleepiness Scale to measure sleep quality, insomnia symptom severity, and daytime sleepiness, respectively. Participants were classified as having no sleep symptomatology (normal scores on each sleep measure), moderate sleep symptomatology (abnormal scores on one sleep measure), or high sleep symptomatology (abnormal scores on at least two sleep measures), using established cutoff values. Analysis of covariance was used to compare objective cognitive function (Cogstate Brief Battery) and subjective cognitive concerns (Modified Cognitive Function Instrument) across groups.
Results
Following adjustments for age, sex, education, mood, and vascular risk factors, persons classified as having high sleep symptomatology, versus none, displayed more subjective cognitive concerns (d = 0.24) but no differences in objective cognitive performance (d = 0.00–0.18). Subjective cognitive concerns modified the association between sleep symptomatology and psychomotor function. The strength of the relationship between high sleep symptomatology (versus none) and psychomotor function was significantly greater in persons with high as compared with low cognitive concerns (β ± SE = −0.37 ± 0.16; p = 0.02).
Conclusions
More severe sleep symptomatology was associated with greater subjective cognitive concerns. Persons reporting high levels of sleep symptomatology may be more likely to display poorer objective cognitive function in the presence of subjective cognitive concerns.</description><identifier>ISSN: 0161-8105</identifier><identifier>EISSN: 1550-9109</identifier><identifier>DOI: 10.1093/sleep/zsab097</identifier><identifier>PMID: 33838045</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Alzheimer's disease ; Analysis ; Analysis of covariance ; Batteries ; Brain ; Brain research ; Cognition ; Cognitive ability ; Female ; Humans ; Insomnia ; Male ; Middle Aged ; Risk factors ; Sleep ; Sleep Initiation and Maintenance Disorders - complications ; Sleep Initiation and Maintenance Disorders - epidemiology ; Sleep Wake Disorders - epidemiology ; Sleep, Health and Disease</subject><ispartof>Sleep (New York, N.Y.), 2021-09, Vol.44 (9), p.1</ispartof><rights>The Author(s) 2021. Published by Oxford University Press on behalf of Sleep Research Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2021</rights><rights>Sleep Research Society 2021. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.</rights><rights>COPYRIGHT 2021 Oxford University Press</rights><rights>The Author(s) 2021. Published by Oxford University Press on behalf of Sleep Research Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4663-7221b020da230397790409315f77c1ad1f6c19e94cd176d6db93ebdca5659aaa3</citedby><cites>FETCH-LOGICAL-c4663-7221b020da230397790409315f77c1ad1f6c19e94cd176d6db93ebdca5659aaa3</cites><orcidid>0000-0002-5356-5537 ; 0000-0001-5044-0766 ; 0000-0003-3671-7081</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,1584,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33838045$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nicolazzo, Jessica</creatorcontrib><creatorcontrib>Xu, Katharine</creatorcontrib><creatorcontrib>Lavale, Alexandra</creatorcontrib><creatorcontrib>Buckley, Rachel</creatorcontrib><creatorcontrib>Yassi, Nawaf</creatorcontrib><creatorcontrib>Hamilton, Garun S</creatorcontrib><creatorcontrib>Maruff, Paul</creatorcontrib><creatorcontrib>Baril, Andree-Ann</creatorcontrib><creatorcontrib>Lim, Yen Ying</creatorcontrib><creatorcontrib>Pase, Matthew P</creatorcontrib><title>Sleep symptomatology is associated with greater subjective cognitive concerns: findings from the community-based Healthy Brain Project</title><title>Sleep (New York, N.Y.)</title><addtitle>Sleep</addtitle><description>Abstract
Study Objectives
To examine if sleep symptomatology was associated with subjective cognitive concerns or objective cognitive performance in a dementia-free community-based sample.
Methods
A total of 1,421 middle-aged participants (mean ± standard deviation = 57 ± 7; 77% female) from the Healthy Brain Project completed the Pittsburgh Sleep Quality Index, Insomnia Severity Index, and Epworth Sleepiness Scale to measure sleep quality, insomnia symptom severity, and daytime sleepiness, respectively. Participants were classified as having no sleep symptomatology (normal scores on each sleep measure), moderate sleep symptomatology (abnormal scores on one sleep measure), or high sleep symptomatology (abnormal scores on at least two sleep measures), using established cutoff values. Analysis of covariance was used to compare objective cognitive function (Cogstate Brief Battery) and subjective cognitive concerns (Modified Cognitive Function Instrument) across groups.
Results
Following adjustments for age, sex, education, mood, and vascular risk factors, persons classified as having high sleep symptomatology, versus none, displayed more subjective cognitive concerns (d = 0.24) but no differences in objective cognitive performance (d = 0.00–0.18). Subjective cognitive concerns modified the association between sleep symptomatology and psychomotor function. The strength of the relationship between high sleep symptomatology (versus none) and psychomotor function was significantly greater in persons with high as compared with low cognitive concerns (β ± SE = −0.37 ± 0.16; p = 0.02).
Conclusions
More severe sleep symptomatology was associated with greater subjective cognitive concerns. Persons reporting high levels of sleep symptomatology may be more likely to display poorer objective cognitive function in the presence of subjective cognitive concerns.</description><subject>Alzheimer's disease</subject><subject>Analysis</subject><subject>Analysis of covariance</subject><subject>Batteries</subject><subject>Brain</subject><subject>Brain research</subject><subject>Cognition</subject><subject>Cognitive ability</subject><subject>Female</subject><subject>Humans</subject><subject>Insomnia</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Risk factors</subject><subject>Sleep</subject><subject>Sleep Initiation and Maintenance Disorders - complications</subject><subject>Sleep Initiation and Maintenance Disorders - epidemiology</subject><subject>Sleep Wake Disorders - epidemiology</subject><subject>Sleep, Health and Disease</subject><issn>0161-8105</issn><issn>1550-9109</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFksFu1DAQhi0EosvCkSuyxIVLWk-cxDEHpFIVilQJJOBsObaT9Sqxg50UhQfoc-PQpbQICc3BHs83vzWjH6HnQI6BcHoSe2PGkx9RNoSzB2gDZUkynkoP0YZABVkNpDxCT2Lck5QXnD5GR5TWtCZFuUHXn9d-HJdhnPwgJ9_7bsE2YhmjV1ZORuPvdtrhLpiUBBznZm_UZK8MVr5z9nBzygQXX-PWOm1dF3Eb_ICn3VobhjlxS9bImNQujOyn3YLfBmkd_hT8KvcUPWplH82zw7lFX9-dfzm7yC4_vv9wdnqZqaKqaMbyHBqSEy1zSihnjJMiLQHKljEFUkNbKeCGF0oDq3SlG05No5Usq5JLKekWvbnRHedmMFoZNwXZizHYQYZFeGnF_YqzO9H5K1EXtIICksCrg0Dw32YTJzHYqEzfS2f8HEVeAuQFAKsT-vIvdO_n4NJ4iWIl5cD4HaqTvRHWtT79q1ZRccoIyUuap9ii439QKbQZbNq-aW16v9eQ3TSo4GMMpr2dEYhYjSN-GUccjJP4F3cXc0v_dsqfwf08_kfrJ9gA0H8</recordid><startdate>20210901</startdate><enddate>20210901</enddate><creator>Nicolazzo, Jessica</creator><creator>Xu, Katharine</creator><creator>Lavale, Alexandra</creator><creator>Buckley, Rachel</creator><creator>Yassi, Nawaf</creator><creator>Hamilton, Garun S</creator><creator>Maruff, Paul</creator><creator>Baril, Andree-Ann</creator><creator>Lim, Yen Ying</creator><creator>Pase, Matthew P</creator><general>Oxford University Press</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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5356-5537</orcidid><orcidid>https://orcid.org/0000-0001-5044-0766</orcidid><orcidid>https://orcid.org/0000-0003-3671-7081</orcidid></search><sort><creationdate>20210901</creationdate><title>Sleep symptomatology is associated with greater subjective cognitive concerns: findings from the community-based Healthy Brain Project</title><author>Nicolazzo, Jessica ; Xu, Katharine ; Lavale, Alexandra ; Buckley, Rachel ; Yassi, Nawaf ; Hamilton, Garun S ; Maruff, Paul ; Baril, Andree-Ann ; Lim, Yen Ying ; Pase, Matthew P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4663-7221b020da230397790409315f77c1ad1f6c19e94cd176d6db93ebdca5659aaa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Alzheimer's disease</topic><topic>Analysis</topic><topic>Analysis of covariance</topic><topic>Batteries</topic><topic>Brain</topic><topic>Brain research</topic><topic>Cognition</topic><topic>Cognitive ability</topic><topic>Female</topic><topic>Humans</topic><topic>Insomnia</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Risk factors</topic><topic>Sleep</topic><topic>Sleep Initiation and Maintenance Disorders - complications</topic><topic>Sleep Initiation and Maintenance Disorders - epidemiology</topic><topic>Sleep Wake Disorders - epidemiology</topic><topic>Sleep, Health and Disease</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nicolazzo, Jessica</creatorcontrib><creatorcontrib>Xu, Katharine</creatorcontrib><creatorcontrib>Lavale, Alexandra</creatorcontrib><creatorcontrib>Buckley, Rachel</creatorcontrib><creatorcontrib>Yassi, Nawaf</creatorcontrib><creatorcontrib>Hamilton, Garun S</creatorcontrib><creatorcontrib>Maruff, Paul</creatorcontrib><creatorcontrib>Baril, Andree-Ann</creatorcontrib><creatorcontrib>Lim, Yen Ying</creatorcontrib><creatorcontrib>Pase, Matthew P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Sleep (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nicolazzo, Jessica</au><au>Xu, Katharine</au><au>Lavale, Alexandra</au><au>Buckley, Rachel</au><au>Yassi, Nawaf</au><au>Hamilton, Garun S</au><au>Maruff, Paul</au><au>Baril, Andree-Ann</au><au>Lim, Yen Ying</au><au>Pase, Matthew P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sleep symptomatology is associated with greater subjective cognitive concerns: findings from the community-based Healthy Brain Project</atitle><jtitle>Sleep (New York, N.Y.)</jtitle><addtitle>Sleep</addtitle><date>2021-09-01</date><risdate>2021</risdate><volume>44</volume><issue>9</issue><spage>1</spage><pages>1-</pages><issn>0161-8105</issn><eissn>1550-9109</eissn><abstract>Abstract
Study Objectives
To examine if sleep symptomatology was associated with subjective cognitive concerns or objective cognitive performance in a dementia-free community-based sample.
Methods
A total of 1,421 middle-aged participants (mean ± standard deviation = 57 ± 7; 77% female) from the Healthy Brain Project completed the Pittsburgh Sleep Quality Index, Insomnia Severity Index, and Epworth Sleepiness Scale to measure sleep quality, insomnia symptom severity, and daytime sleepiness, respectively. Participants were classified as having no sleep symptomatology (normal scores on each sleep measure), moderate sleep symptomatology (abnormal scores on one sleep measure), or high sleep symptomatology (abnormal scores on at least two sleep measures), using established cutoff values. Analysis of covariance was used to compare objective cognitive function (Cogstate Brief Battery) and subjective cognitive concerns (Modified Cognitive Function Instrument) across groups.
Results
Following adjustments for age, sex, education, mood, and vascular risk factors, persons classified as having high sleep symptomatology, versus none, displayed more subjective cognitive concerns (d = 0.24) but no differences in objective cognitive performance (d = 0.00–0.18). Subjective cognitive concerns modified the association between sleep symptomatology and psychomotor function. The strength of the relationship between high sleep symptomatology (versus none) and psychomotor function was significantly greater in persons with high as compared with low cognitive concerns (β ± SE = −0.37 ± 0.16; p = 0.02).
Conclusions
More severe sleep symptomatology was associated with greater subjective cognitive concerns. Persons reporting high levels of sleep symptomatology may be more likely to display poorer objective cognitive function in the presence of subjective cognitive concerns.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>33838045</pmid><doi>10.1093/sleep/zsab097</doi><orcidid>https://orcid.org/0000-0002-5356-5537</orcidid><orcidid>https://orcid.org/0000-0001-5044-0766</orcidid><orcidid>https://orcid.org/0000-0003-3671-7081</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Sleep (New York, N.Y.), 2021-09, Vol.44 (9), p.1 |
| issn | 0161-8105 1550-9109 |
| language | eng |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Alzheimer's disease Analysis Analysis of covariance Batteries Brain Brain research Cognition Cognitive ability Female Humans Insomnia Male Middle Aged Risk factors Sleep Sleep Initiation and Maintenance Disorders - complications Sleep Initiation and Maintenance Disorders - epidemiology Sleep Wake Disorders - epidemiology Sleep, Health and Disease |
| title | Sleep symptomatology is associated with greater subjective cognitive concerns: findings from the community-based Healthy Brain Project |
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