Sleep Continuity, Sleep Related Daytime Dysfunction, and Problem Endorsement: Do These Vary Concordantly by Age?
Sleep Continuity, Sleep Related Daytime Dysfunction, and Problem Endorsement: Do These Vary Concordantly by Age?
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DOI：
10.1080/15402002.2022.2124994
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发表时间：
2023-07
影响因子：
3.1
通讯作者：
Perlis, Michael
中科院分区：
文献类型：
--
作者：
Boyle, Julia T.;Rosenfield, Bradley;Di Tomasso, Robert A.;Moye, Jennifer;Bamonti, Patricia M.;Grandner, Michael;Vargas, Ivan;Perlis, Michael
睡眠连续性（即，启动和/或维持睡眠的能力）随年龄增长而下降。目前尚不清楚问题认可和/或日间功能障碍是否显示出类似的年龄相关趋势。因此，一个大的档案数据集被用来检查睡眠连续性，问题认可，和睡眠相关的日间功能障碍的年龄差异。参与者分为：年轻人（18-29岁）;成年人（30-44岁）;中年人（45-64岁）;老年人（65-89岁）。根据性别、人种、种族和BMI，年轻人、成年人和中年人与老年人（n = 233）1：1匹配。进行MANOVA、ANOVA和卡方分析以评估年龄相关差异。在932名自我报告睡眠连续性障碍的成年人样本中（即，失眠），睡眠连续性在老年组中明显更差。这种影响仅限于中晚期失眠，中年和老年人在夜间和清晨醒来的频率更高，持续时间更长。不同年龄组（睡眠潜伏期除外）的问题认可率大大增加，但与睡眠相关的日间功能障碍的总体报告没有显示出年龄差异。在评估睡眠连续性障碍时，评估患者是否认为他们的睡眠连续性障碍是一个问题，以及它是否影响他们的日间功能可以提供信息，特别是在老年人中。它可以用来揭示（个案），当有不一致的发病率/严重程度的疾病和问题背书/日间功能障碍。这些信息可以更好地告知是否应该开始治疗。
Sleep continuity (i.e., ability to initiate and/or maintain sleep) worsens with age. It is unclear whether problem endorsement and/or daytime dysfunction show similar age-related trends. Accordingly, a large archival dataset was used to examine age differences in sleep continuity, problem endorsement, and sleep related daytime dysfunction. Participants were categorized as: Young Adults (18–29 years); Adults (30–44 years); Middle Aged Adults (45–64 years); and Older Adults (65–89 years). Young Adults, Adults, and Middle Aged Adults were 1:1 matched with Older Adults (n = 233) on the basis of gender, race, ethnicity, and BMI. MANOVA, ANOVAs, and chi-square analysis were performed to assess for age-related differences. In a sample of 932 adults with self-reported sleep continuity disturbance (i.e., insomnia), sleep continuity was significantly worse in older age groups. This effect was limited to middle and late insomnia with middle aged and older adults waking up with greater frequency and for longer durations of time during the night and in the early morning than younger cohorts. Problem endorsement largely increased across age groups (except for sleep latency) but reports of overall sleep-related daytime dysfunction showed no difference by age. When evaluating sleep continuity disturbance, assessing whether the patient identifies their sleep continuity disturbance as a problem and whether it affects their daytime function can be informative, particularly in older adults. It may serve to reveal (case-by-case) when there are discordances between incidence/severity of illness and problem endorsement/daytime dysfunction. Such information may better inform if treatment should be initiated.
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影响因子：
5.6
作者：
Ohayon, MM;Carskadon, MA;Vitiello, MV
通讯作者：
Vitiello, MV
DOI：
10.2217/ahe.12.21
发表时间：
2012-06-01
期刊：
Aging health
影响因子：
--
作者：
Grandner, Michael A;Patel, Nirav P;Gooneratne, Nalaka S
通讯作者：
Gooneratne, Nalaka S
DOI：
10.1093/geronb/gbu035
发表时间：
2015-01-01
影响因子：
6.2
作者：
Dillon, Haley R.;Lichstein, Kenneth L.;Bush, Andrew J.
通讯作者：
Bush, Andrew J.
影响因子：
3.8
作者：
Åkerstedt T;Discacciati A;Miley-Åkerstedt A;Westerlund H
通讯作者：
Westerlund H
影响因子：
5.5
作者：
Healy, Genevieve N.;Clark, Bronwyn K.;Matthews, Charles E.
通讯作者：
Matthews, Charles E.