Does sleep disturbance predict depression in elderly people? A study in inner London.
Does sleep disturbance predict depression in elderly people? A study in inner London.
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发表时间：
1993-11
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通讯作者：
G. Livingston;B. Blizard;A. Mann
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作者：
G. Livingston;B. Blizard;A. Mann
传统上，老年人的失眠被认为是不可避免的和微不足道的。一项纵向研究旨在调查伦敦社区内老年人睡眠障碍的患病率及其与人口统计学变量、抑郁症、痴呆症和残疾的关系。这些年龄在65岁及以上的家庭生活进行了采访，使用一个有效的和可靠的半结构化的采访时间表。在一九八七至八八年度，当局共访问了705人，而在一九九零年，又再度访问了524人。主观睡眠障碍是常见的（分别为33%和43%）。睡眠障碍与女性、未婚、独居、残疾以及当前和未来的抑郁症有关，但与痴呆症或老年无关。在没有抑郁的老年人中，未来抑郁的最佳预测因素是当前的睡眠障碍。在当前睡眠障碍的存在下，抑郁症的传统预测因素-女性，残疾，未婚，独居和老年人-没有进一步贡献。这项研究表明，睡眠障碍与病理学有关。对老年人的营养不良需要进行评估，这必须伴随着对潜在疾病的治疗和对未来健康的监测。
Insomnia in elderly people has traditionally been regarded as inevitable and trivial. A longitudinal study was undertaken to examine the prevalence of sleep disturbance among elderly people in an inner London community and its association with demographic variables, depression, dementia and disability. Those aged 65 years and over living at home were interviewed using a validated and reliable semi-structured interview schedule. A total of 705 people were interviewed in 1987-88 and 524 were re-interviewed in 1990. Subjective sleep disturbance was found to be common (33% and 43%, respectively). Sleep disturbance was associated with being a woman, being unmarried, living alone, disability, and current and future depression, but not with dementia or older age. The best predictor of future depression in elderly people who were not depressed was current sleep disturbance. In the presence of current sleep disturbance, the traditional predictors of depression--being a woman, having a disability, being unmarried, living alone and being older--did not contribute further. This study has shown that sleep disorder is associated with pathology. Insomnia in elderly people requires assessment and this must be accompanied by the treatment of underlying disorders and monitoring of future health.