Differential predictors of nighttime and daytime sleep complaints in older adults with comorbid insomnia and osteoarthritis pain
| Autor: | Susan M. McCurry, Hsin-Yi Jean Tang, Kenneth C. Pike, Michael V. Vitiello, Michael Von Korff |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
Sleep Wake Disorders medicine.medical_specialty Comorbid insomnia Pain Comorbidity Osteoarthritis Article Pittsburgh Sleep Quality Index 03 medical and health sciences 0302 clinical medicine Daytime sleep Nighttime sleep Sleep Initiation and Maintenance Disorders mental disorders Insomnia medicine Humans 030212 general & internal medicine Depression (differential diagnoses) Aged medicine.disease Sleep in non-human animals Psychiatry and Mental health Clinical Psychology Physical therapy Female medicine.symptom Psychology 030217 neurology & neurosurgery |
| Zdroj: | Journal of Psychosomatic Research. 100:22-28 |
| ISSN: | 0022-3999 |
| DOI: | 10.1016/j.jpsychores.2017.06.020 |
| Popis: | Osteoarthritis (OA) is extremely common in older adults, affecting 50% of people aged 65 or older, and more than half of older adults with OA complain of significantly disturbed sleep. This study compared predictors of nighttime sleep complaints and daytime sleep-related consequences as measured by the Insomnia Severity Index (ISI) and Pittsburgh Sleep Quality Index (PSQI) in older adults with comorbid OA pain and insomnia.A secondary analysis of baseline data from a large longitudinal randomized controlled trial. Multivariate regression analyses were performed to test two sets of predictive models.367 older adults (mean age 72.9±8.2years; female 78.5%) with OA and insomnia were included in this analysis. In Model 1, fatigue and depression predicted daytime sleep-related consequences for both ISI and PSQI. When measures of sleep and pain beliefs/attitudes were added (Model 2), fatigue, and sleep and pain beliefs/attitudes predicted nighttime sleep complaints for both ISI and PSQI; depression was no longer a significant predictor of ISI daytime consequences, but remained in the model for PSQI daytime consequences.This study found both similarities and differences in factors predicting nighttime sleep complaints and daytime sleep-related consequences. Individual beliefs/attitudes about sleep and pain were stronger predictors of sleep difficulties than were depression and pain. Fatigue was the strongest and most consistent predictor associated with both nighttime sleep complaints and daytime sleep-related consequences regardless of the scale used to measure these concepts. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect