Assessment and Managment of SLEEP DISORDERS IN THE ELDERLY

Beck-Little, Rebecca; Weinrich, Sally

doi:10.3928/0098-9134-19980401-08

Cited by 20 publications

(29 citation statements)

References 37 publications

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“…Using a clinical method, seven sleep quality components are calculated regarding the participants' responses to PSQI, including subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime medication in the previous month. A total score is also calculated by summing the seven components (4)(5)(6). PSQI shows satisfactory reliability and validity when administered to patients with mental and sleep disorders (7) and physical illnesses (8).…”

Section: Introductionmentioning

confidence: 99%

Psychometric Properties of the Persian Translation of Pittsburgh Sleep Quality Index

et al. 2014

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Background: Pittsburgh sleep quality index (PSQI) is one of the most important instruments frequently used to assess sleep quality. This questionnaire is used to assess sleep styles and quality in adults through seven dimensions. Objectives: The study aims to investigate the reliability, validity and factor structure of the Persian version of PSQI. Materials and Methods:A Survey method with quantitative analytic approach was used in this research. A sample of 415 employees of Kerman hospitals participated in this study and filled the questionnaire. Forward-backward method was applied to translate the questionnaire from English to Persian. The following aspects of the Persian version of PSQI were evaluated: internal consistency (using Chronbach's alpha), concurrent validity (correlation with GHQ-28), and factor structure of the questionnaire. Results: Mean age of the participants was 35.18 years, and participants' average year of education was 15.3. The Chronbach's alpha coefficient was 0.55. According to the factor analysis, three factors were extracted accounting for 63.485% of the total variance. There was a significant correlation among different dimensions of the Persian version of PSQI. Concurrent validity analysis showed that PSQI and GHQ-28 were correlated significantly. Conclusions: The Persian version of PSQI exerted a satisfactory validity and reliability in our sample.

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Section: Introductionmentioning

confidence: 99%

Psychometric Properties of the Persian Translation of Pittsburgh Sleep Quality Index

et al. 2014

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“…Evidence suggests that a large number of older adults experience sleep disturbances due to age‐related changes to sleep cycles or age‐related sleep disorders. As many as 50% of independently living older adults and 67% of those residing in long‐term care facilities experience difficulties sleeping 1,2 …”

Section: Introductionmentioning

confidence: 99%

“…These changes mean the older adult experiences an increase in night awakening and sleep fragmentation, frequently feels unrested on wakening and is more inclined to nap during the day. Elderly people commonly experience early morning wakening, a decrease in ability to stay asleep and an increase in the time taken to fall asleep, all of which are considered to be age‐related changes to sleep patterns 1–5 …”

Section: Introductionmentioning

confidence: 99%

“…Sleep apnoea syndrome, a disorder characterised by inability to maintain sleep and breathing at the same time, results in short periods of breathing cessation that disrupts sleep continuity. The disorder is more prevalent in the elderly, affecting 20–40% of individuals aged over 65 1,6 . Periodic limb movement disorder affects approximately 44% of those aged over 65 and is characterised by excessive limb movement that may cause difficulty in establishing and maintaining sleep 1,6 .…”

Section: Introductionmentioning

confidence: 99%

“…The disorder is more prevalent in the elderly, affecting 20–40% of individuals aged over 65 1,6 . Periodic limb movement disorder affects approximately 44% of those aged over 65 and is characterised by excessive limb movement that may cause difficulty in establishing and maintaining sleep 1,6 . In addition to these specific sleep disorders, older individuals commonly experience sleep disorders associated with a variety of medical and psychiatric problems including cardiovascular disease, diabetes, arthritis, depression and cognitive impairment 1,2 …”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of strategies to manage sleep in residents of aged care facilities

Haesler

2004

JBI Reports

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Executive summary Background The promotion of sleep in older adults is a significant issue in high‐level residential aged care facilities, with as many as 67% of residents experiencing disruptions to their sleep patterns. Not only do health concerns such as cognitive impairment, pain and incontinence impact upon this population's sleep quality and quantity, but environmental factors including noise, light and night‐time nursing care also affect sleep of those residing in institutions. In order to address the issue of sleep disruption, assessment and diagnosis of sleep problems and implementation of interventions that are effective in promoting sleep are essential. Objectives The objective of this review was to determine the most effective tools for the assessment and diagnosis of sleep in older adults in high‐level aged care. The review also sought to determine the most effective strategies for the promotion of sleep in this population. Outcome measures for this review were: indicators of improved sleep quality and quantity, including an improvement in daytime functioning and improved night‐time sleep; reduction in use of hypnotics and sedatives; and increased satisfaction with sleep. Search strategy A literature search was performed using the following databases for the years 1993–2003: AgeLine, APAIS Health, CINAHL, Cochrane Library, Current Contents, Dissertation Abstracts International, Embase, Medline, Proquest, PsycInfo, Science Citations Index. A second search stage was conducted through review of reference lists of studies retrieved during the first search stage. The search was limited to published and unpublished material in English language. Selection criteria The review was limited to papers addressing sleep diagnosis, assessment and/or management in adults aged 65 or over who were residing in high‐level aged care. The review included randomised controlled trials (RCTs) and, due to the limited number of RCTs available, non‐RCTs, cohort and case control studies and qualitative research were also considered for inclusion. Research was included if it addressed the assessment, diagnosis or management of sleep using outcome measure of improved night‐time sleep or daytime function, improvements in resident satisfaction with sleep or reduction in medication use associated with sleep. The types of interventions considered by this review were alternative therapies including massage, aromatherapy and medicinal herbs; behavioural or cognitive interventions; biochemical interventions; environmental interventions; pharmacological interventions and related nocturnal interventions such as continence care. Instruments and strategies to diagnose and assess the sleep of older high‐level care residents, including objective and subjective assessment tools, were considered by this review. Data collection and analysis All retrieved papers were critically appraised for eligibility for inclusion and methodological quality independently by two reviewers, and the same reviewers collected details of eligible research. Paper...

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Time-of-day dependent pharmacodynamic and pharmacokinetic profiles of caffeine in rats

Pélissier-Alicot

Schreiber-Deturmeny

Simon

et al. 2002

Naunyn-Schmiedeberg's Archives of Pharmacology

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This study aims to investigate the effects of caffeine on the daily rhythms of heart rate (HR), body temperature (BT) and locomotor activity (LA) in rats in relation to time-of-day of administration, as well as their possible mechanisms, particularly related to caffeine pharmacokinetics. During the pharmacodynamic study, HR, BT and LA were measured every 10 min by radiotelemetry and analysed by Cosinor. This study was divided into three periods: a control period P1, a treatment period P2 and a recovery period P3. During P2, rats of the morning group ( M(tel)) received a 25 mg/kg s.c. dose of caffeine at 08.00 while rats of the evening group ( E(tel)) received the same dose of caffeine at 20.00. The pharmacokinetic study was conducted in parallel with the telemetric study and was divided into two periods: a control period P1, and a treatment period P2. During P2, animals of the morning ( M(pk)) and the evening ( E(pk)) groups received the same treatment as the animals of the telemetric study. At the last day of P2, blood samples were drawn 0.25, 0.5, 1, 2, 4, 8, 12 and 24 h after the last morning and the last evening administration in order to determine the pharmacokinetics of M(pk) and E(pk). Our results showed that morning administration of caffeine suppressed the daily rhythmicity of LA and modified the mesors and amplitudes of the HR and BT daily rhythms, while the evening administration did not suppress the daily rhythm of LA, but altered the mesors, amplitudes and acrophases of the three rhythms, indicating a chronopharmacological effect. With respect to the pharmacokinetic effects, the area under the curve (AUC) was significantly lower in rats of E(pk) compared with M(pk), due to an increase of the total plasma clearance and the volume of distribution. Our data suggest that the chronopharmacokinetic effects of caffeine may explain, at least in part, the observed caffeine-induced modifications on the daily rhythms.

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Assessment and Managment of SLEEP DISORDERS IN THE ELDERLY

Cited by 20 publications

References 37 publications

Psychometric Properties of the Persian Translation of Pittsburgh Sleep Quality Index

Psychometric Properties of the Persian Translation of Pittsburgh Sleep Quality Index

Effectiveness of strategies to manage sleep in residents of aged care facilities

Time-of-day dependent pharmacodynamic and pharmacokinetic profiles of caffeine in rats

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