Sleep correlates of depression and anxiety in an elderly <scp>A</scp>sian population

Yu, Junhong; Rawtaer, Iris; Fam, Johnson; Jiang, Minjun; Feng, Lei; Kua, Ee Heok; Mahendran, Rathi

doi:10.1111/psyg.12138

Cited by 154 publications

(104 citation statements)

References 31 publications

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“…Depression and anxiety are known to be associated with sleep problems (Jansson‐Fröjmark & Lindblom, ; Yu et al, ), and it was important to evaluate if improvement in sleep disturbance was due to improvement in depressive and anxiety symptoms. We found that improvements in sleep disturbance were independent of the improvement in Geriatric Depression Scale and GAI scores.…”

Section: Discussionmentioning

confidence: 85%

“…This is an interesting finding and may point toward the biologic effects of the relaxation-response elicitation (Bhasin et al, 2013) including changes in energy metabolism and inflammatory responses. Moreover, evidence suggests that mindfulness and tai-chi are beneficial for pain reduction (Yan et al, 2013;Zeidan, Grant, Brown, Mchaffie, & Coghill, 2012) Depression and anxiety are known to be associated with sleep problems (Jansson-Fröjmark & Lindblom, 2008;Yu et al, 2016), and it was important to evaluate if improvement in sleep disturbance was due to improvement in depressive and anxiety symptoms. We found that improvements in sleep disturbance were independent of the improvement in Geriatric Depression Scale and GAI scores.…”

Section: Discussionmentioning

confidence: 99%

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A nonpharmacological approach to improve sleep quality in older adults

Rawtaer

Mahendran

Chan

et al. 2017

Asia-Pacific Psychiatry

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

A nonpharmacological approach to improve sleep quality in older adults

Rawtaer

Mahendran

Chan

et al. 2017

Asia-Pacific Psychiatry

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“…Also, the variation cannot be attributed purely to differences between ethnic groups, rural and non-rural population, and nursing home and non-nursing home data. A relatively low percentage (15%) of elders has insomnia in the Domkhar valley in India's Ladakh Foley et al 55 23-34% USA Ohayon 56 30% France Maggi et al 57 45% Italy Chiu et al 58 38.2% Hong Kong (Chinese population) Babar et al 59 32.6% Hawaii (Japanese Americans) Kim et al 60 26.4% Japan Pallesen et al 61 38.6% Norway Schubert et al 62 26.4% USA Sukying et al 63 46.3% Thailand Su et al 64 6% Taiwan Yu et al 65 10.4% China Bonanni et al 66 44.2% Italy López-Torres et al 67 36.1% Spain Kim et al 68 29.2% South Korea Li et al 69 49.7% China (rural) Tsou 70 41% Taiwan Ayoub et al 71 33.4% Egypt Ford et al 72 21.3% USA Sagayadevan et al 73 13.7% Singapore (Chinese, Malay, Indian descent) Sakamoto et al 74 15.2% Ladakh, India El-Gilany et al 75 62.1% Egypt (rural) Eser et al 76 60.9% Turkey (nursing home) Makhlouf et al 77 33.4% Egypt (geriatric home) Gambhir et al 78 32% India (hospital) Ogunbode et al 80 27.5% Nigeria (geriatric centre) region, which is at a high altitude of 2900-4200 m. 74 According to some reports, there is a higher prevalence of insomnia in the aged in nursing homes and rural areas. 69,75,76 However, other studies have found no differences in the insomnia patterns of elders in nursing homes and in other homes.…”

Section: Insomnia In the Elderlymentioning

confidence: 99%

Sleep disorders in the elderly: a growing challenge

2018

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In contrast to newborns, who spend 16-20 h in sleep each day, adults need only about sleep daily. However, many elderly may struggle to obtain those 8 h in one block. In addition to changes in sleep duration, sleep patterns change as age progresses. Like the physical changes that occur during old age, an alteration in sleep pattern is also a part of the normal ageing process. As people age, they tend to have a harder time falling asleep and more trouble staying asleep. Older people spend more time in the lighter stages of sleep than in deep sleep. As the circadian mechanism in older people becomes less efficient, their sleep schedule is shifted forward. Even when they manage to obtain 7 or 8 h sleep, they wake up early, as they have gone to sleep quite early. The prevalence of sleep disorders is higher among older adults. Loud snoring, which is more common in the elderly, can be a symptom of obstructive sleep apnoea, which puts a person at risk for cardiovascular diseases, headaches, memory loss, and depression. Restless legs syndrome and periodic limb movement disorder that disrupt sleep are more prevalent in older persons. Other common medical problems of old age such as hypertension diabetes mellitus, renal failure, respiratory diseases such as asthma, immune disorders, gastroesophageal reflux disease, physical disability, dementia, pain, depression, and anxiety are all associated with sleep disturbances.

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“…Participants were recruited from 2011 to 2016 as part of the Aging in a Community Environment Study 19 with details described in prior work. 20 Participants of any gender or race, aged 60-85, were recruited if they met the diagnostic criteria 6 of MCI. In brief, MCI was defined by the presence of subjective cognitive complaint and objective cognitive impairment, but with no loss of functional independence.…”

Section: Participantsmentioning

confidence: 99%

Mindfulness practice alters brain connectivity in community‐living elders with mild cognitive impairment

Fam

Sun

et al. 2020

Psychiatry Clin Neurosci

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Aim There is increasing evidence that mild cognitive impairment (MCI) is associated with widespread brain dysconnectivity. Mindfulness practice, which involves focused attention to experience the present moment in a purposeful way, has been shown to confer positive psychological and functional brain changes in healthy practitioners. It is unclear whether mindfulness practice could improve functional brain connectivity in older adults with cognitive impairment. Methods Forty‐seven participants with MCI were randomized into two groups: a mindfulness practice group and a control group. Functional magnetic resonance imaging of the brain and neurocognitive tests were performed before and after the 3‐month intervention. A temporal efficiency analysis approach was used to examine the spatiotemporal networks of the brain. Results Participants in the mindfulness group had significantly better temporal global efficiency than controls after 3‐months of intervention. Localized changes of temporal nodal properties were present in the right cingulate gyrus, insula, and left superior temporal gyrus. Together, these results suggest greater information transmission efficiency at both the global and local spatiotemporal level. In terms of cognitive function, verbal recognition memory improved in the mindfulness group compared to the controls. Conclusion Elders who practiced mindfulness had better brain network efficiency and neurocognitive function relative to controls in this study, suggesting that mindfulness may be of benefit to aging adults with early cognitive degeneration.

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Sleep correlates of depression and anxiety in an elderly Asian population

Abstract: Depression and anxiety in a cohort of elderly Asian subjects are associated with a number of sleep-related issues; both are related to a somewhat different profile of sleep problems.

Cited by 154 publications

References 31 publications

A nonpharmacological approach to improve sleep quality in older adults

A nonpharmacological approach to improve sleep quality in older adults

Sleep disorders in the elderly: a growing challenge

Mindfulness practice alters brain connectivity in community‐living elders with mild cognitive impairment

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