Quantification of subjective sleep quality in healthy elderly men and women using the Pittsburgh Sleep Quality Index (PSQI)
Quantification of subjective sleep quality in healthy elderly men and women using the Pittsburgh Sleep Quality Index (PSQI)
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DOI：
10.1093/sleep/14.4.331
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发表时间：
1991-07
期刊：
影响因子：
5.6
通讯作者：
Daniel J Buysse;C. Reynolds;T. Monk;C. C. Hoch-C.;A. Yeager;D. Kupfer
中科院分区：
文献类型：
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作者：
Daniel J Buysse;C. Reynolds;T. Monk;C. C. Hoch-C.;A. Yeager;D. Kupfer
主观睡眠质量随着年龄的增长而恶化，但这种情况在多大程度上是年龄本身的产物，而不是与衰老相关的医学或精神问题，尚未得到仔细研究。为了调查这个问题，我们使用匹兹堡睡眠质量指数 (PSQI) 检查了 44 名 80 岁以上的健康受试者（20 名男性，24 名女性）和 35 名[校正]20 至 30 岁之间的健康受试者（23 名男性，12 名女性）的主观睡眠质量。所有受试者都接受了严格的医学和精神评估，以验证他们的身体和心理健康状况良好。全球 PSQI 评分和多个 PSQI 组成评分均受到显着的年龄影响，但大多数 (68.1%) 80 岁老年人的整体睡眠质量落在明确定义的“良好”睡眠者范围内。老年受试者的习惯性睡眠质量测量与大多数多导睡眠测量、使用的药物数量或昼夜节律测量没有很强的相关性。这些结果表明，健康老年人的主观睡眠质量确实恶化，但没有达到睡眠障碍患者的水平。极其健康的老年受试者似乎能够适应他们对客观睡眠障碍的感知。
Subjective sleep quality deteriorates with aging, but the extent to which this is a product of age itself, as opposed to the medical or psychiatric problems associated with aging, has not been carefully studied. To investigate this issue, we examined the subjective sleep quality of 44 healthy subjects over 80 years of age (20 men, 24 women), and 35 healthy subjects [corrected] between the ages of 20 and 30 (23 men, 12 women) using the Pittsburgh Sleep Quality Index (PSQI). All subjects underwent rigorous medical and psychiatric evaluations to verify that they were in excellent physical and psychological health. Significant age effects were noted for the global PSQI score and several PSQI component scores, but overall sleep quality for the majority (68.1%) of 80-yr-olds fell within a categorically defined range for "good" sleepers. Measures of habitual sleep quality did not correlate strongly with most polysomnographic sleep measures, number of medications used or circadian measures in elderly subjects. These results show that subjective sleep quality does deteriorate in the healthy elderly, but not to the level seen in patients with sleep disorders. Extremely healthy elderly subjects appear to adapt in their perception of objectively disturbed sleep.