Association between number of comorbid conditions, depression, and sleep quality using the Pittsburgh Sleep Quality Index: Results from a population-based survey
Association between number of comorbid conditions, depression, and sleep quality using the Pittsburgh Sleep Quality Index: Results from a population-based survey
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DOI:
10.1016/j.sleep.2009.05.021
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发表时间:
2010-04-01
期刊:
影响因子:
4.8
通讯作者:
Fukuhara, Shunichi
中科院分区:
文献类型:
--
作者:
Hayashino, Yasuaki;Yamazaki, Shin;Fukuhara, Shunichi
Objectives: Although sleep problems are a serious public concern, it is not clear if the presence of depression or multiple comorbid conditions has an additive or multiplicative effect on sleep quality.Methods: We conducted a population-based, cross-sectional survey in a rural town in Japan. Multivariable-adjusted linear regression models were used to explore the association between the number of comorbid conditions and the Pittsburgh Sleep Quality Index (PSQI) global score. The association between the number of comorbid conditions and presence of depression, as defined by the five-item Mental Health Inventory (scores 5) was determined using a non-parametric trend test.Results: Of 5107 respondents, 3403 (mean age: 51.0 years, women: 52.6%) were used for the analysis after exclusion of missing PSQI data. The PSQI global score (mean: 4.9) increased as the number of comorbid conditions increased in a linear and statistically significant manner (p