Sleep Mediates the Relationship Between Depression and Cognitive Impairment in Older Men
| Autor: | Ting Jhen Chen, Hui-Chuan Huang, Yu Ting Chen, Chia Rung Wu, Shu Hua Hsieh, Hsiao Yean Chiu, Pin Yuan Chen |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Sleep Wake Disorders medicine.medical_specialty Health (social science) Sobel test Taiwan lcsh:Medicine older people 03 medical and health sciences 0302 clinical medicine Epidemiology Humans Medicine National Health Interview Survey Cognitive Dysfunction sleep Cognitive impairment Adverse effect Geriatric Assessment Depression (differential diagnoses) Aged cognitive impairment 030214 geriatrics Depression business.industry lcsh:R Public Health Environmental and Occupational Health Cognition Health Surveys Sleep in non-human animals Female Original Article Independent Living business 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | American Journal of Men's Health, Vol 13 (2019) American Journal of Men's Health |
| ISSN: | 1557-9891 |
| Popis: | Sleep and depression are strongly associated with cognitive impairment. The role of sleep disturbances in the adverse effect of depression on cognitive dysfunction in older adults remains unclear. This study explored the mediating effect of self-reported sleep disturbances on the relationship between depression and cognitive impairment in older adults according to sex differences. This study derived data from the 2009 Taiwan National Health Interview Survey and included 2,175 community-dwelling adults aged 65 years and older (men = 991; women = 1,184). Sleep disturbances were measured using self-reported survey questions. The Center for Epidemiological Studies Depression scale was used to assess depression. The Mini-Mental State Examination was used to evaluate cognitive impairment. A higher proportion of female older persons had cognitive impairment and depression than male older persons (cognition: 24.4% vs. 11.5%; depression: 17.0% vs. 10.8%). The meditating effect of sleep was detected in only men. Difficulty in initiating sleep was a complete mediator of the adverse effect of depression on cognitive impairment (Sobel test: p = .03). In summary, difficultly in initiating sleep may be a crucial, treatable mediator of the adverse effect of depression on cognitive impairment in older men. |
| Databáze: | OpenAIRE |
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