The experience of insomnia among older women
The experience of insomnia among older women
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DOI：
10.1093/sleep/28.8.972
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发表时间：
2005-08-01
期刊：
影响因子：
5.6
通讯作者：
Harris, MA
中科院分区：
文献类型：
--
作者：
Byles, JE;Mishra, GD;Harris, MA
研究目的：测量老年女性的睡眠困难和睡眠质量，探索睡眠经历和态度，并测试睡眠困难与健康相关生活质量之间的负相关性。设计：四年纵向研究。背景：女性是澳大利亚女性健康纵向研究的参与者。参与者：根据安眠药物的使用情况对女性进行抽样，分为 4 组：睡眠不好和使用安眠药物；不是睡眠不好，而是服用安眠药；睡眠不好，不使用安眠药；睡眠不好，不使用安眠药物。干预措施：无。测量和结果：在调查 1、调查 2（3 年后）和调查 3（4 年后）中测量了睡眠困难和安眠药物的使用情况。调查 3 包括：诺丁汉健康状况睡眠分量表、匹兹堡睡眠质量指数、Epworth 嗜睡量表、老年抑郁量表、杜克社会支持指数、医疗结果研究简式 36 项健康调查以及 21 项生活事件量表。 1011 名女性 (84%) 回复了调查 3。睡眠问题与 SF-36 子量表分数呈负相关。在模型中添加合并症、老年抑郁量表、生活事件评分和药物使用后，大多数关联仍然显着。大多数有睡眠问题的女性 (72%) 都会向医生寻求帮助，54% 的女性在过去一个月中使用了处方安眠药。结论：睡眠困难是老年女性的严重症状，并且与较差的生活质量相关。这种影响的部分原因可以通过合并症、抑郁评分、生活事件和安眠药物的使用来解释。
Study Objectives: To measure sleeping difficulty and sleep quality among older women, explore experience and attitudes towards sleep, and test for negative association between difficulty sleeping and health-related quality of life.Design: Four-year longitudinal study.Setting: Women were participants in the Australian Longitudinal Study on Women's Health.Participants: Women were sampled according to use of sleeping medication and classified into 4 groups: sleeping badly and using sleeping medications; not sleeping badly, but using sleeping medications; sleeping badly, not using sleeping medications; not sleeping badly, not using sleeping medications.Interventions: None.Measurements and Results: Sleeping difficulty and sleeping-medication use were measured at Survey 1, Survey 2 (3 years later), and Survey 3 (4 years later). Survey 3 included: Nottingham Health Profile Sleep Subscale, Pittsburgh Sleep Quality Index, Epworth Sleepiness Scale, Geriatric Depression Scale, Duke Social Support Index, Medical Outcomes Study Short-Form 36-item Health Survey, and a 21-item life events scale. Survey 3 was returned by 1011 women (84%). Sleeping problems were negatively associated with SF-36 subscale scores. Most associations remained significant after comorbid conditions, Geriatric Depression Scale, life events scores, and medication use were added to models. Most women with sleeping problems (72%) sought help from a doctor, and 54% used prescribed sleeping medications in the past month.Conclusions: Sleeping difficulty is a serious symptom for older women and is associated with poorer quality of life. Some of this effect can be explained by comorbidities, depression scores, life events, and use of sleeping medications.