How is good and poor sleep in older adults and college students related to daytime sleepiness, fatigue, and ability to concentrate?

How is good and poor sleep in older adults and college students related to daytime sleepiness, fatigue, and ability to concentrate?
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DOI:
10.1016/s0022-3999(00)00194-x
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发表时间:
2000-11-01
影响因子:
4.7
通讯作者:
Wright, J
Wright, J
中科院分区:
医学3区
文献类型:
--
作者:
Alapin, I;Fichten, CS;Wright, J

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我们比较了良好的睡眠者与最低和高度痛苦的睡眠差者的三项日间功能:自我报告的疲劳,嗜睡和认知效率低下。在两个样本中(194名老年人,136名大学生),我们测试了以下假设:(1)睡眠不好的人比睡眠好的人经历更多的日间功能问题,(2)高度苦恼的睡眠不好的人比睡眠好的人或轻度苦恼的睡眠不好的人报告更大的日间功能障碍,(3)日间症状与心理调节和心理负荷睡眠变量的关系比与定量睡眠参数的关系更密切,和(4)白天症状与较长的夜间觉醒时间比与较短的睡眠时间更密切相关。两个样本的结果表明,睡眠不好的人比睡眠好的人报告更多的日间困难。虽然低和高痛苦的睡眠不好的人没有不同的睡眠参数,高度痛苦的睡眠不好的人报告一贯更多的困难,在白天的功能,经历了更大的紧张和抑郁比最低限度的痛苦的睡眠不好的人。所有三个白天的问题的严重程度一般显着和积极的心理调整,心理负荷的睡眠变量,以及,除嗜睡,定量睡眠参数。结果被用来讨论白天功能的经验和定量措施之间的差异。(C)2000 Elsevier Science Inc. All rights reserved.
We compared good sleepers with minimally and highly distressed poor sleepers on three measures of daytime functioning: self-reported fatigue, sleepiness, and cognitive inefficiency. In two samples (194 older adults, 136 college students), we tested the hypotheses that (1) poor sleepers experience more problems with daytime functioning than good sleepers, (2) highly distressed poor sleepers report greater impairment in functioning during the day than either good sleepers or minimally distressed poor sleepers, (3) daytime symptoms are more closely related to psychological adjustment and to psychologically laden sleep variables than to quantitative sleep parameters, and (4) daytime symptoms are more closely related to longer nocturnal wake times than to shorter sleep times. Results in both samples indicated that poor sleepers reported more daytime difficulties than good sleepers. While low- and high-distress poor sleepers did not differ on sleep parameters, highly distressed poor sleepers reported consistently more difficulty in functioning during the day and experienced greater tension and depression than minimally distressed poor sleepers. Severity of all three daytime problems was generally significantly and positively related to poor psychological adjustment, psychologically laden sleep variables, and, with the exception of sleepiness, to quantitative sleep parameters. Results are used to discuss discrepancies between experiential and quantitative measures of day time functioning. (C) 2000 Elsevier Science Inc. All rights reserved.