Measuring Sleep in Vulnerable Older Adults: A Comparison of Subjective and Objective Sleep Measures.
Measuring Sleep in Vulnerable Older Adults: A Comparison of Subjective and Objective Sleep Measures.
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DOI：
10.1080/07317115.2017.1408734
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发表时间：
2018-03
影响因子：
2.8
通讯作者：
Martin JL
中科院分区：
文献类型：
--
作者：
Hughes JM;Song Y;Fung CH;Dzierzewski JM;Mitchell MN;Jouldjian S;Josephson KR;Alessi CA;Martin JL
这项研究比较了主观（问卷）和客观（活动记录）的睡眠评估，并检查这些方法之间的协议，在脆弱的老年人参加退伍军人管理局成人日间医疗保健（ADHC）计划。59名ADHC参与者（95%为男性，平均年龄= 78岁）完成了睡眠问卷调查和72小时连续腕动记录。线性回归用于检查方法之间的一致性，并探索主观/客观测量的差异。睡眠障碍很常见，但主观和客观睡眠评估方法之间没有一致性。与客观测量相比，一半的参与者在问卷调查中报告了更差的睡眠效率（SE），而四分之一的SE被高估。报告疼痛更严重的参与者在主观和客观SE之间存在更大的差异。脆弱的老年人表现出独特的模式报告睡眠质量时，比较主观和客观的方法。需要更多的研究来更好地了解脆弱的老年人如何评估睡眠问题。客观和主观的睡眠指标可能代表了这一人群中独特且同等重要的结构。临床医生应该考虑利用客观和主观的睡眠指标来识别可能从行为睡眠治疗中受益的个体，未来的研究需要为脆弱的老年人开发和验证适当的睡眠评估。
This study compared subjective (questionnaire) and objective (actigraphy) sleep assessments, and examined agreement between these methods, in vulnerable older adults participating in a Veterans Administration Adult Day Health Care (ADHC) program. 59 ADHC participants (95% male, mean age = 78 years) completed sleep questionnaires and 72 continuous hours of wrist actigraphy. Linear regression was used to examine agreement between methods and explore discrepancies in subjective/objective measures. Disturbed sleep was common, yet there was no agreement between subjective and objective sleep assessment methods. Compared with objective measures, one-half of participants reported worse sleep efficiency (SE) on questionnaires while one-quarter over-estimated SE. Participants reporting worse pain had a greater discrepancy between subjective and objective SE. Vulnerable older adults demonstrated unique patterns of reporting sleep quality when comparing subjective and objective methods. Additional research is needed to better understand how vulnerable older adults evaluate sleep problems. Objective and subjective sleep measures may represent unique and equally important constructs in this population. Clinicians should consider utilizing both objective and subjective sleep measures to identify individuals who may benefit from behavioral sleep treatments, and future research is needed to develop and validate appropriate sleep assessments for vulnerable older adults.
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影响因子：
6.3
作者：
Fung CH;Vitiello MV;Alessi CA;Kuchel GA;AGS/NIA Sleep Conference Planning Committee and Faculty
通讯作者：
AGS/NIA Sleep Conference Planning Committee and Faculty
影响因子：
6.3
作者：
Alessi C;Martin JL;Fiorentino L;Fung CH;Dzierzewski JM;Rodriguez Tapia JC;Song Y;Josephson K;Jouldjian S;Mitchell MN
通讯作者：
Mitchell MN
影响因子：
5.6
作者：
Martin, Jennifer L;Song, Yeonsu;Alessi, Cathy A
通讯作者：
Alessi, Cathy A
影响因子：
4.8
作者：
Bastien, Celyne H.;Vallieres, Annie;Morin, Charles M.
通讯作者：
Morin, Charles M.
影响因子：
4.8
作者：
Landry GJ;Best JR;Liu-Ambrose T
通讯作者：
Liu-Ambrose T