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.

2016

Online Elektronische Ressource

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View this record from OAIster (Volltext)

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 final publication is available at Springer via http://dx.doi.org/10.1007/s12199-016-0529-z

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.
Link:	View this record from OAIster (Volltext)
Veröffentlichung:	2016
Medientyp:	Elektronische Ressource
Schlagwort:	Index Terms: Bodily pain Elderly people PSQI Sleep disturbance Social support Thesis Thesis or Dissertation
Sonstiges:	Nachgewiesen in: OAIster Additional Titles: 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 : 藤原京スタディ横断解析 Added Details: Kishimoto, Yuko ; Okamoto, Nozomi ; Saeki, Keigo ; Tomioka, Kimiko ; Obayashi, Kenji ; Komatsu, Masayo ; Kurumatani, Norio Document Type: Electronic Resource Availability: Open access content. Open access content ; ETD Note: English Contributing Source: NARA MED UNIV LIBR ; From OAIster®, provided by the OCLC Cooperative.

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