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Insomnia Older Adults

Hsin-Yi Jean Tang, Susan M McCurry, Barbara Riegel, Kenneth C Pike, Michael V Vitiello
OBJECTIVE: People with chronic insomnia tend to have cortical hyperarousal marked by excessive beta-/gamma-frequency brain activity during both wake and sleep. Currently, treatment options for managing hyperarousal are limited. Open-loop audiovisual stimulation (AVS) may be such a treatment. The purpose of this study was to provide a mechanistic foundation for future AVS research in sleep promotion by examining quantitative electroencephalogram (QEEG) responses to an AVS sleep-induction program...
March 12, 2019: Biological Research for Nursing
Xia Zhao, Dan Zhang, Menglian Wu, Yang Yang, Hui Xie, Jihui Jia, Yuqin Li, Yonggang Su
AIMS: The aim of this study was to elucidate whether depressive symptoms mediate the association between insomnia symptoms and health-related quality of life (HRQOL) and to explore whether insomnia symptoms and depressive symptoms synergistically interact to affect HRQOL among older adults in nursing homes. METHODS: Older adults living in nursing homes (n = 323) completed Athens Insomnia Scale, the 15-item Geriatric Depression Scale, and the 36-item Short Form Health Survey...
March 5, 2019: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
Hung-Chun Lai, Nai-Wei Hsu, Pesus Chou, Hsi-Chung Chen
OBJECTIVES: Given the close relationship between sleep-wake disturbances and depression, an in-depth investigation of such a relationship is imperative. The present study aims at elucidating the relationship between various sleep-wake disturbances and depression in older adults and at examining the influence of co-occurring anxiety on such associations. METHOD: A community-based survey using the cohort from the Yilan Study in Taiwan was conducted from August 2013 to November 2016...
March 5, 2019: Aging & Mental Health
Paul Sadler, Suzanne McLaren, Britt Klein, Megan Jenkins
OBJECTIVES: To explore the experiences of older adults who participated in a randomised controlled trial (RCT) that tested cognitive behaviour therapy for insomnia and depression. METHODS: Focus groups were conducted post treatment for older adults (M age = 75 years; 61% female) who participated in a RCT that tested two experiential interventions targeting comorbid insomnia and depression (cognitive behaviour therapy for insomnia, CBT-I; cognitive behaviour therapy for insomnia plus positive mood strategies, CBT-I+)...
February 12, 2019: Aging & Mental Health
Hong Fang, Sheng Tu, Jifang Sheng, Anwen Shao
Sleep disturbance is the most prominent symptom in depressive patients and was formerly regarded as a main secondary manifestation of depression. However, many longitudinal studies have identified insomnia as an independent risk factor for the development of emerging or recurrent depression among young, middle-aged and older adults. This bidirectional association between sleep disturbance and depression has created a new perspective that sleep problems are no longer an epiphenomenon of depression but a predictive prodromal symptom...
February 7, 2019: Journal of Cellular and Molecular Medicine
Mika Tanaka, Mari Kusaga, Adey M Nyamathi, Katsutoshi Tanaka
BACKGROUND: Cognitive behavioral therapy for insomnia (CBT-I) has been shown to improve depressive symptoms in older adults with comorbid insomnia and depression. However, it remains unclear whether brief CBT-I is effective for improving depressive symptoms in community-dwelling older adults with insomnia symptoms of varying severity. AIM: This study sought to examine the effectiveness of a brief CBT-I intervention delivered by public health nurses to improve depressive symptoms among older adults recruited from a community setting...
February 3, 2019: Worldviews on Evidence-based Nursing
Malihe Saboor, Ahmad-Ali Akbari Kamrani, Yadollah Abolfathi Momtaz, Robab Sahaf
Aim Potentially inappropriate medications (PIMs) in older people are associated with the increased use of health care services. The aim of this study was to investigate the prevalence of PIMs among the elderly being referred to pharmacies in Tehran using the Beers criteria of 2012, and identify factors related to PIMs. Methods This cross-sectional study was conducted on elderly patients (60 years and above) referred to pharmacies in Tehran, in 2017. The Beers' criteria 2012 were used to evaluate PIMs. The logistic regression analysis was used to find sociodemographic predictors of PIMs...
February 1, 2019: Medicinski Glasnik
Michael R Irwin, Michael V Vitiello
Nearly half of all adults older than 60 years of age report sleep disturbance, as characterised either by reports of insomnia complaints with daytime consequences, dissatisfaction with sleep quality or quantity, or the diagnosis of insomnia disorder. Accumulating evidence shows that sleep disturbance contributes to cognitive decline and might also increase the risk of Alzheimer's disease dementia by increasing β-amyloid burden. That sleep disturbance would be a candidate risk factor for Alzheimer's disease might seem surprising, given that disturbed sleep is usually considered a consequence of Alzheimer's disease...
January 17, 2019: Lancet Neurology
Meng Zhao, Jie Gao, Ming Li, Kefang Wang
OBJECTIVES: Previous literature has reported that loneliness is the strongest predictor of frailty, which is also closely associated with activity engagement. Yet, to date, the path from loneliness to frailty has not been investigated. In this study, we evaluated whether activity engagement mediates the relationship between loneliness and frailty among older adults living in nursing homes. DESIGN: We employed the use of a cross-sectional descriptive survey. SETTING AND PARTICIPANTS: Residents (N = 370; aged ≥60 years; 220 female, 150 male) were from 33 nursing homes in China...
January 7, 2019: Journal of the American Medical Directors Association
Julie H Ishida, Charles E McCulloch, Michael A Steinman, Barbara A Grimes, Kirsten L Johansen
BACKGROUND: Guidelines recommend avoidance of several psychoactive medications such as hypnotics in older adults due to their adverse effects. Older patients on hemodialysis may be particularly vulnerable to complications related to use of these agents, but only limited data are available about the risks in this population. OBJECTIVES: To evaluate the association between the use of psychoactive medications and time to first emergency department visit or hospitalization for altered mental status, fall, and fracture among older patients receiving hemodialysis...
January 10, 2019: Journal of the American Geriatrics Society
Jennifer L Kuntz, Louis Kouch, Daniel Christian, Weiming Hu, Preston L Peterson
INTRODUCTION: Use of nonbenzodiazepine sedative hypnotics or "Z-drugs"-including eszopiclone, zolpidem, or zaleplon-is discouraged for older adults; however, these medications commonly are prescribed to treat insomnia in this population. We evaluated the impact of direct-to-patient education, with or without a pharmacist consultation, on Z-drug discontinuation among Kaiser Permanente Northwest members age 64 years and older. METHODS: We randomized 150 patients to usual care (UC), educational information only, or educational information and pharmacist consultation...
2019: Permanente Journal
Joseph M Dzierzewski, Jennifer L Martin, Constance H Fung, Yeonsu Song, Lavinia Fiorentino, Stella Jouldjian, Juan Carlos Rodriguez, Michael Mitchell, Karen Josephson, Cathy A Alessi
Subjective and objective estimates of sleep are often discordant among individuals with insomnia who typically under-report sleep time and over-report wake time at night. This study examined the impact and durability of cognitive-behavioural therapy for insomnia on improving the accuracy of sleep and wake perceptions in older adults, and tested whether changes in sleep quality were related to changes in the accuracy of sleep/wake perceptions. One-hundred and fifty-nine older veterans (97% male, mean age 72...
January 4, 2019: Journal of Sleep Research
Yajun Liang, Christian Rausch, Lucie Laflamme, Jette Möller
BACKGROUND: Evidence is scarce on the trend in prevalence of geriatric syndromes (GS). This study assesses how GS prevalence changes over time in Swedish older community-dwellers by socio-demography, and attempts to highlight factors that may contribute to explain the trend. METHODS: Data from Stockholm County Council Public Health Surveys in 2006, 2010 and 2014 were used. Old adults, aged 65-84 years, with measurements on GS items were identified. Thus, a total of 17,560 participants were selected in 2006 (n = 6295), 2010 (n = 6733) and 2014 (n = 4532)...
December 29, 2018: BMC Geriatrics
Kevin Morgan, Iuliana Hartescu
OBJECTIVES: To assess sleep duration-mortality relationships across a 27-year follow-up period in a well characterized random sample of older people, and to test the hypothesis that mortality risks associated with long sleep duration confound with, and can be explained by, low levels of functional capacity indicative of frailty. METHODS: Face-to-face interviews conducted among 1002 randomly sampled older (65+) people in 1985 provided baseline profiles of health, functional capacity, physical activity, and sleep quality and duration...
November 24, 2018: Sleep Medicine
Takayuki Harada, Hiroshi Tsutomi, Rintaro Mori, David B Wilson
BACKGROUND: Amphetamine-type stimulants (ATS) refer to a group of synthetic stimulants including amphetamine, methamphetamine, 3,4-methylenedioxy-methamphetamine (MDMA) and related substances. ATS are highly addictive and prolonged use may result in a series of mental and physical symptoms including anxiety, confusion, insomnia, mood disturbances, cognitive impairments, paranoia, hallucinations and delusion.Currently there is no widely accepted treatment for ATS-use disorder. However, cognitive-behavioural treatment (CBT) is the first-choice treatment...
December 22, 2018: Cochrane Database of Systematic Reviews
Jean-Philippe Chaput, Jessica Yau, Deepa P Rao, Charles M Morin
This study estimates the prevalence of nighttime insomnia symptoms among Canadians aged 6 to 79, and examines trends over time (2007 to 2015). The study is based on 21,826 respondents from the 2007-to-2015 Canadian Health Measures Survey, a nationally representative, cross-sectional survey. Nighttime insomnia symptoms and duration were self-reported. A 42% increase in nighttime insomnia symptoms was observed for adults aged 18 or older (from 16.8% to 23.8%). The majority of Canadians with insomnia symptoms reported having the symptoms for more than one year...
December 19, 2018: Health Reports
B L King-Kallimanis, B Kanapuru, G M Blumenthal, M R Theoret, P G Kluetz
BACKGROUND: Older adults with lung cancer often have comorbidities that may increase risk of symptomatic adverse events (AEs) and physical function decline. The objective of this study was to examine age-related differences in patient-reported symptoms and functional domains in patients with advanced lung cancer receiving immunotherapy drugs. METHODS: Three randomized controlled trials of anti-programmed death receptor-1/programmed death-ligand 1 therapy in patients with advanced non-small cell lung cancer that included patient-reported outcomes (PROs) were identified...
October 25, 2018: Seminars in Oncology
Camila Stéfani Estancial Fernandes, Renata Cruz Soares de Azevedo, Moisés Goldbaum, Marilisa Berti de Azevedo Barros
This study analyzed differences between men and women regarding the use of psychotropic drugs and associated factors in a population of adults and seniors in the city of Campinas, Brazil. A population-based, cross-sectional study was conducted using data from the ISACamp 2014/2015 health survey in the city of Campinas. The sample was composed of 1999 individuals aged 20 years or older. For each sex, prevalence rates and prevalence ratios were estimated for the use of psychotropic drugs according to demographic characteristics, socioeconomic characteristics, health problems, degree of limitation and type of emotional/mental problem...
2018: PloS One
Jacob M Williams, Daniel J Taylor, Danica C Slavish, Christie E Gardner, Marian R Zimmerman, Kruti Patel, David A Reichenberger, Jade M Francetich, Jessica R Dietch, Rosemary Estevez
OBJECTIVE/BACKGROUND: Actigraphy is an inexpensive and objective wrist-worn activity sensor that has been validated for the measurement of sleep onset latency (SOL), number of awakenings (NWAK), wake after sleep onset (WASO), total sleep time (TST), and sleep efficiency (SE) in both middle-aged and older adults with insomnia. However, actigraphy has not been evaluated in young adults. In addition, most previous studies compared actigraphy to in-lab polysomnography (PSG), but none have compared actigraphy to more ecologically valid ambulatory polysomnography...
November 25, 2018: Behavioral Sleep Medicine
Helané Wahbeh
Background: Older adults have fewer physiological reserves and are more likely to be affected by stress. Mindfulness meditation has the potential to be an effective treatment for depression, but little research has been conducted on older adults. The primary objective of this study was to evaluate depression symptom changes in older adults (55⁻80 years old) taking an Internet Mindfulness Meditation Intervention (IMMI) compared to a waitlist control. The secondary aims were to collect data on pain, perceived stress, resilience, mindfulness, sleep quality, and spirituality...
November 2, 2018: Medicines (Basel, Switzerland)
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