Bodily pain, social support, depression symptoms and stroke history are independently associated with sleep disturbance among the elderly: a cross-sectional analysis of the Fujiwara-kyo study.

Kishimoto, Yuko ; Okamoto, Nozomi ; et al.

In: Environmental health and preventive medicine, Jg. 21 5 (2016-09-01)

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Titel:	Bodily pain, social support, depression symptoms and stroke history are independently associated with sleep disturbance among the elderly: a cross-sectional analysis of the Fujiwara-kyo study.
Autor/in / Beteiligte Person:	Kishimoto, Yuko ; Okamoto, Nozomi ; Saeki, Keigo ; Tomioka, Kimiko ; Obayashi, Kenji ; Komatsu, Masayo ; Kurumatani, Norio
Link:	View record in National Diet Library Digital Collections (Volltext) View record at Springer (Volltext)
Zeitschrift:	Environmental health and preventive medicine, Jg. 21 5 (2016-09-01)
Veröffentlichung:	2016
Medientyp:	Hochschulschrift
ISSN:	1342-078X (print)
DOI:	10.1007/s12199-016-0529-z
Schlagwort:	Bodily pain Elderly people PSQI Sleep disturbance Social support
Sonstiges:	Nachgewiesen in: National Diet Library Digital Collections - 国立国会図書館デジタルコレクション Sprachen: English Contents Note: Bodily pain, social support, depression symptoms and stroke history are independently associated with sleep disturbance among the elderly: a cross-sectional analysis of the Fujiwara-kyo study. ; 体の痛み、社会的支援、抑うつ状態、脳血管疾患は独立して高齢者の睡眠障害と関連する : 藤原京スタディ横断解析 Document Type: 博士論文 File Description: application/pdf Language: English Degree: 博士（医学） -- 奈良県立医科大学 Notes: 収集根拠 : 博士論文（自動収集） ; 資料形態 : テキストデータ ; コレクション : 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文 ; type:Thesis ; OBJECTIVE: To investigate independent effects of various factors associated with sleep disturbance among community-dwelling elderly individuals. METHODS: We analyzed data obtained from 3732 individuals aged ≥65 years who responded to a self-administered questionnaire and participated in a structured interview which assessed the Pittsburgh Sleep Quality Index (PSQI), subjective bodily pain, the Jichi Medical School Social Support Scale, the Geriatric Depression Scale (GDS-15), health status, and demographic characteristics. Sleep disturbance was defined as a global PSQI score >5.5, which was used as a dependent variable in multiple logistic regression analysis to determine adjusted odds ratios (ORs) and 95 % confidence intervals (CIs) of related factors. RESULTS: We identified a significant increase in the adjusted ORs for female (OR 1.56, 95 % CI 1.34-1.83), age ≥80 years (1.31, 1.01-1.69), history of stroke (1.44, 1.08-1.92), and a GDS-15 score ≥6 as compared to 0-2 (2.29, 1.86-2.81), with regard to sleep disturbance. Participants with severe or very severe bodily pain had the highest adjusted OR (3.00, 2.15-4.19), and those with very mild bodily pain also had a relatively high OR (1.30, 1.06-1.60), relative to those without subjective bodily pain. In addition, compared with participants with strong social support from spouse or family, those with weak social support had significantly increased adjusted ORs (1.21, 1.01-1.44, 1.44, 1.23-1.70, respectively). CONCLUSIONS: The present study indicates that sleeping disturbances among the elderly are closely associated with social support from a spouse and family. They are also associated with pain, even at stages in which subjective bodily pain is very mild. ; 博士（医学）・乙第1381号・平成28年9月28日 ; © The Japanese Society for Hygiene 2016 ; The final publication is available at Springer via http://dx.doi.org/10.1007/s12199-016-0529-z ; identifier:Environmental health and preventive medicine Vol.21 No.5 p.295-303(2016 Sep) ; identifier:1342078X ; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3271 ; identifier:Environmental health and preventive medicine, 21(5): 295-303

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