Sleep problems and social support: Frailty in a Brazilian Elderly Multicenter Study

Costa, Shíntia Viana da; Ceolim, María Filomena; Néri, Anita Liberalesso

doi:10.1590/s0104-11692011000400010

Cited by 38 publications

(32 citation statements)

References 18 publications

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“…Costa et al [12] suggested that older adults with a lower score on the Interpersonal Support Evaluation List had increased sleep onset latency or nonrestorative sleep. A longitudinal study also found older adults, who felt subjectively lonely in the past, complained of more severe insomnia [13] .…”

Section: Social Isolation and Sleep Disturbancementioning

confidence: 99%

Impact of social isolation on behavioral health in elderly: Systematic review

Choi

Irwin

Cho

2015

WJP

114

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AIM:To examine and compare the effects of subjective and objective social isolation on behavioral health in elderly adults. METHODS:A systematic search of PubMed was performed for original research articles from peerreviewed journals examining one of the following topics: "Social isolation and sleep disturbance", "social isolation and depression", or "social isolation and fatigue in older adults". Studies were selected following the criteria established based on the aim of this review. Data were extracted from the articles by two independent reviewers. Due to the heterogeneity in study designs and outcome measures of the included studies, qualitative and narrative analyses were conducted. RESULTS:The set criteria were used to select a total of 16 studies for the review. Of the 16, 13 were crosssectional studies. The characteristics of study populations were identified as follows. A total of 12 studies randomly selected subjects irrespective of pre-existing health conditions. Consequently, an unspecified number of the study subjects had chronic diseases in the studies compared. In addition, cultural and ethnic backgrounds of studies in this review were diverse, and included subjects living in North America, South America, Asia, Europe, and Oceania. Both subjective and objective types of social isolation increased behavioral symptoms, such as sleep disturbance, depressive symptoms, and fatigue in older adults. Furthermore, a few recent studies reported stronger effects of subjective social isolation than objective social isolation on sleep disturbance and depressive symptoms. CONCLUSION: Social isolation affects behavioral SYSTEMATIC REVIEWS 432December 22, 2015|Volume 5|Issue 4|

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Section: Social Isolation and Sleep Disturbancementioning

confidence: 99%

Impact of social isolation on behavioral health in elderly: Systematic review

Choi

Irwin

Cho

2015

WJP

114

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“…Empirically, Costa, Ceolim, and Neri () noted that older adults who had reported having sleep problems also reported having received lower levels of social support than those who did not report such sleep problems. In particular, older adults are more likely to experience social isolation or loneliness than younger adults are, due to certain inevitable life events, such as retirement and bereavement.…”

Section: Introductionmentioning

confidence: 99%

Intergenerational relationships and depressive symptoms among older adults in urban China: The roles of loneliness and insomnia symptoms

2020

Health Soc Care Community

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The prevalence of depressive symptoms in older Chinese adults has increased recently. Intergenerational relationships play an important role in the mental health conditions of older adults, especially in Chinese culture. Therefore, this study aims to unravel the complex connection between intergenerational relationships and depression, and to explore the potential mediating roles of loneliness and nighttime insomnia symptoms within that connection. A cross-sectional household survey was conducted in China with 2038 participants aged 65 years or above. Variables were measured using the Center for Epidemiologic Studies Short Depression Scale, the Intergenerational Relationship Quality Scale for Aging Chinese Parents (IRQS-AP), three nighttime insomnia symptoms extracted from the Insomnia Severity Index and the De Jong Gierveld Six-Item Loneliness Scale. The IRQS-AP includes four subdimensions: consensual-normative solidarity, structural-associational solidarity, affectual closeness and intergenerational conflicts. Path analyses were performed in Mplus to investigate regression coefficients and mediating effects. Results showed that three general intergenerational relationships (consensual-normative solidarity, affectual closeness and intergenerational conflicts) were significantly correlated with all mental health outcomes, including their symptoms of loneliness, insomnia and depression. A serial mediation model suggested that loneliness mediated the connection between those constructs of intergenerational relationships and depression, with an independent path to insomnia symptoms via loneliness. The proposed mediators fully mediated the effects of affectual closeness on depression. Nighttime insomnia symptoms alone mediated only the relationship between intergenerational conflicts and depression independently from paths involving depression. Removal of sleep item from CES-D did not affect the results of paths. Our findings highlight the importance of intergenerational relationships for mental health, especially for the mediating effects of loneliness and nighttime insomnia symptoms on the relationship between intergenerational relationships and depression. Effective mental health services for older adults can address their feelings of loneliness and sleep problems, especially for those who have a poor relationship with their adult children. K E Y W O R D S depression, intergenerational relationships, loneliness, nighttime insomnia symptoms | 1311 FU and JI

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“…Among them, we emphasize: quantitative reduction of deep sleep stages; reduction of the threshold for waking up due to noise associated with the quantitative increase in the superficial sleep; higher latency to sleep onset, increased daytime naps; reduction of the total nocturnal sleep duration; high number of transitions from one stage to another and to wakefulness; higher frequency of respiratory disturbances during sleep (3) .…”

Section: Introductionmentioning

confidence: 99%

Perfil dos idosos que cochilam

Santos

Oliveira

Freitas

et al. 2013

Rev. esc. enferm. USP

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RESUMO ABSTRACTThis study aimed to characterize the elderly who naps according to sociodemographic characteristics and frailty. A descriptive, cross-sectional study part of the multicenter project Frailty in the Elderly Brazilians. We evaluated 1,866 elderly people using a sociodemographic questionnaire. The frailty was assessed using the phenotype proposed by Fried. The data were analyzed with descriptive statistics. The results showed that the profile of the elderly who naps consists predominantly of women, married, retired, pre-frail, with an average age of 73 years, four years of study, with monthly family income of 3.9 minimum salary, with 4,4 children who were living with them only. The elderly reported napping on average 5.9 days per week, lasting 53.5 minutes per nap. Knowing the profile of the elderly who naps contributes to health professionals in the development of actions in relation to sleep problems of the frail/pre-frail elderly, preventing, minimizing or solving these problems. DESCRIPTORS Aged Sleep Geriatric nursing RESUMEnEl objetivo de este estudio fue caracterizar a adultos mayores que dormitan según las características socio-demográficas y de fragilidad. Estudio descriptivo, transversal, un recorte del proyecto multicéntrico Fragilidad en los adultos mayores brasileños. Fueron evaluados 1866 adultos mayores mediante el cuestionario socio-demográfico. La fragilidad se evaluó mediante el fenotipo propuesto por Fried. Los datos fueron procesados mediante estadística descriptiva. Los resultados mostraron que el perfil del anciano que dormita fue constituido principalmente por mujeres, casadas, jubiladas, pre-frágiles, siendo el promedio de edad de 73 años, cuatro años de educación, con ingreso familiar mensual de 3,9 sueldos mínimos, con 4,4 hijos, y que vivían sólo con sus hijos. Los adultos mayores reportaron dormitar en promedio 5,9 días por semana, con duración de 53,5 minutos por siesta. Conocer el perfil de los adultos mayores que dormitan contribuye para que los profesionales de la salud desarrollen acciones relacionadas con los problemas de sueño de los adultos mayores frágiles/ pre-frágiles, previniendo, minimizando o resolviendo estos problemas.

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Sleep problems and social support: Frailty in a Brazilian Elderly Multicenter Study

Cited by 38 publications

References 18 publications

Impact of social isolation on behavioral health in elderly: Systematic review

Impact of social isolation on behavioral health in elderly: Systematic review

Intergenerational relationships and depressive symptoms among older adults in urban China: The roles of loneliness and insomnia symptoms

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