Differential predictors of nighttime and daytime sleep complaints in older adults with comorbid insomnia and osteoarthritis pain.
Differential predictors of nighttime and daytime sleep complaints in older adults with comorbid insomnia and osteoarthritis pain.
复制标题
患有共病失眠和骨关节炎疼痛的老年人夜间和白天睡眠抱怨的差异预测因素。
DOI：
10.1016/j.jpsychores.2017.06.020
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发表时间：
2017
影响因子：
4.7
通讯作者：
Vitiello,MichaelV
中科院分区：
文献类型：
--
作者：
Tang,Hsin-YiJean;McCurry,SusanM;Pike,KennethC;VonKorff,Michael;Vitiello,MichaelV
骨关节炎（OA）在老年人中非常常见，影响50%的65岁或以上的人，超过一半的OA老年人抱怨严重的睡眠障碍。本研究比较了预测夜间睡眠投诉和白天睡眠相关的后果，测量的失眠严重程度指数（ISI）和匹兹堡睡眠质量指数（PSQI）在老年人共病OA疼痛和insomnia.MethodsA二次分析的基线数据从一个大型纵向随机对照试验。结果367例老年OA伴失眠患者（平均年龄72. 9 ± 8. 2岁，女性78. 5%）纳入本研究。在模型1中，疲劳和抑郁预测ISI和PSQI的日间睡眠相关后果。当措施的睡眠和疼痛的信念/态度（模型2），疲劳，睡眠和疼痛的信念/态度预测夜间睡眠投诉ISI和PSQI;抑郁症不再是一个显着的预测ISI白天的后果，但仍然在模型PSQI白天consequence.ConclusionsThis研究发现的相似性和差异的因素预测夜间睡眠投诉和白天睡眠相关的后果。个人对睡眠和疼痛的信念/态度比抑郁和疼痛更能预测睡眠困难。疲劳是与夜间睡眠抱怨和白天睡眠相关后果相关的最强和最一致的预测因子，无论用于测量这些概念的量表如何。
ObjectivesOsteoarthritis (OA) is extremely common in older adults, affecting 50% of people aged 65 or older, and more than half of older adults with OA complain of significantly disturbed sleep. This study compared predictors of nighttime sleep complaints and daytime sleep-related consequences as measured by the Insomnia Severity Index (ISI) and Pittsburgh Sleep Quality Index (PSQI) in older adults with comorbid OA pain and insomnia.MethodsA secondary analysis of baseline data from a large longitudinal randomized controlled trial. Multivariate regression analyses were performed to test two sets of predictive models.Results367 older adults (mean age 72.9 ± 8.2 years; female 78.5%) with OA and insomnia were included in this analysis. In Model 1, fatigue and depression predicted daytime sleep-related consequences for both ISI and PSQI. When measures of sleep and pain beliefs/attitudes were added (Model 2), fatigue, and sleep and pain beliefs/attitudes predicted nighttime sleep complaints for both ISI and PSQI; depression was no longer a significant predictor of ISI daytime consequences, but remained in the model for PSQI daytime consequences.ConclusionsThis study found both similarities and differences in factors predicting nighttime sleep complaints and daytime sleep-related consequences. Individual beliefs/attitudes about sleep and pain were stronger predictors of sleep difficulties than were depression and pain. Fatigue was the strongest and most consistent predictor associated with both nighttime sleep complaints and daytime sleep-related consequences regardless of the scale used to measure these concepts.