The Factors Affecting Sleep Quality in Community-Dwelling Older Adults, Based on Spielman’s 3P Model of Insomnia
Abstract
Background: We aimed to identify the factors affecting sleep quality in community-dwelling older adults.
Methods: This cross-sectional descriptive study was conducted from 6 to 13 October 2021. A hypothetical model based on Spielman’s 3P model of insomnia was constructed using the multiple factors that influence sleep quality in older adults. Data were collected from 114 elderly adults at two welfare centers located in, South Korea and analyzed using IBM SPSS 21.0.
Results: The hierarchical regression model showing the predictors of sleep quality was significant, and it explained 23.9% of the variance (F=9.879, P<.001). Pre-sleep arousal (β=0.283, P=.005) and sleep hygiene (β=0.269, P=.014) were associated with sleep quality.
Conclusion: Sleep improvement interventions which consider pre-sleep arousal and sleep hygiene for older adults may improve sleep quality.
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27. Chung S, Cho SW, Jo MW, et al (2020). The prevalence and incidence of insomnia in Korea during 2005 to 2013. Psychiatry Investig, 17(6): 533-540.
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30. Khosla L, Huang AJ, Gong S, et al (2024). Association of sleep-related factors with nocturia. Continence, 9: 101062.
31. Weiss JP, Everaert K (2019). Management of nocturia and nocturnal polyuria. Urol-ogy, 133S:24-33.
32. Gorgoni M, Scarpelli S, Mangiaruga A, et al (2021). Pre-sleep arousal and sleep quali-ty during the COVID-19 lockdown in It-aly. Sleep Med, 88: 46-57.
33. Yeh ZT, Wung SK, Lin CM (2015). Pre-sleep arousal as a mediator of relationships among worry, rumination, and sleep quality. International Journal of Cognitive Therapy, 8(1): 21-34.
34. Shoji KD, Tighe CA, Dautovich ND, McCrae CS (2015). Beyond mean values: quantifying intraindividual variability in pre-sleep arousal and sleep in younger and older community-dwelling adults. Sleep Sci, 8(1): 24-30.
35. Zhang C, Yang L, Liu S, et al (2021). One-week self-guided internet cognitive be-havioral treatments for insomnia in adults with situational insomnia during the COVID-19 outbreak. Front Neurosci, 14: 622749.
36. Kline CE, Irish LA, Buysse DJ, et al (2014). Sleep hygiene behaviors among midlife women with insomnia or sleep-disordered breathing: the SWAN sleep study. J Womens Health (Larchmt), 23(11): 894–903.
37. Golenkov AV, Poluektov MG (2016). Awareness on sleep hygiene rules in Russian population. Zh Nevrol Psikhiatr Im S S Korsakova, 116(8): 57-61.
38. Chehri A, Parsa L (2019). Epidemiology of sleep hygiene and related factors in older adults. J Kermanshah Univ Med Sci, 23(2): e85794.
2. Green MJ, Espie CA, Hunt K, Benzeval M (2012). The longitudinal course of in-somnia symptoms: inequalities by sex and occupational class among two dif-ferent age cohorts followed for 20 years in the west of Scotland. Sleep, 35(6): 815-823.
3. Ahn DH (2013). Insomnia: causes and di-agnosis. Hanyang Med Rev, 33(4): 203-209.
4. Ohayon MM (2002). Epidemiology of in-somnia: what we know and what we still need to learn. Sleep Med Rev, 6(2): 97-111.
5. Benbir G, Demir AU, Aksu M, et al (2015). Prevalence of insomnia and its clinical correlates in a general population in Turkey. Psychiatry Clin Neurosci, 69(9): 543-552.
6. Cho YW, Shin WC, Yun CH, et al (2009). Epidemiology of insomnia in Korean adults: prevalence and associated fac-tors. J Clin Neurol, 5(1): 20-23.
7. Jaussent I, Bouyer J, Ancelin ML, et al (2011). Insomnia and daytime sleepiness are risk factors for depressive symptoms in the elderly. Sleep, 34(8): 1103-1110.
8. Kim YH, Han JS (2011). Factors related to the quality of sleep in the elderly wom-en. Journal of the Korea Academia-Industrial Cooperation Society, 12(10): 4467-4474.
9. Driscoll HC, Serody L, Patrick S, et al (2008). Sleeping well, aging well: a de-scriptive and cross-sectional study of sleep in "successful agers" 75 and older. Am J Geriatr Psychiatry, 16: 74-82.
10. Chen X, Gelaye B, Williams MA (2014). Sleep characteristics and health-related quality of life among a national sample of American young adults: assessment of possible health disparities. Qual Life Res, 23: 613-625.
11. Hu Q, Song Y, Wang S, et al (2023). Associa-tion of subjective cognitive complaints with poor sleep quality: A cross‐sectional study among Chinese elderly. Int J Geriatr Psychiatry, 38(6): e5956.
12. Desjardins S, Lapierre S, Hudon C, Desga-gné A (2019). Factors involved in sleep efficiency: a population-based study of community-dwelling elderly persons. Sleep, 42(5): zsz038.
13. Sok SR., Choi JY (2010). Factors influencing sleep of elderly women. J Korean Acad Nurs, 40(1): 119-126.
14. Kim A, Kim O (2015). The path model based on senescent sleep model for sleep in community-dwelling older adults. Korean J Adult Nurs, 27(2): 211-222.
15. Jang I, Park S (2014). Comparison of de-pression according to health-related characteristics among the elderly who visited a senior center. J Korean Data Anal Soc, 16(4): 2205-2216.
16. Jaqua EE, Hanna M, Labib W, et al (2023). Common sleep disorders affecting old-er adults. Perm J, 27(1): 122-132.
17. Cross NE, Carrier J, Postuma RB, et al (2019). Association between insomnia disorder and cognitive function in mid-dle-aged and older adults: A cross-sectional analysis of the Canadian Lon-gitudinal Study on Aging. Sleep, 42(8): zsz114.
18. Spielman AJ, Caruso LS, Glovinsky PB (1987). A behavioral perspective on in-somnia treatment. Psychiatr Clin North Am, 10(4): 541-553.
19. Dikeos DG, Soldatos CR (2005). The con-dition of insomnia: etiopathogenetic considerations and their impact on treatment practices. Int Rev Psychiatry, 17(4): 255-262.
20. Riemann D, Spiegelhalder K, Feige B, et al (2010). The hyperarousal model of in-somnia: a review of the concept and its evidence. Sleep Med Rev, 14: 19–31.
21. Nicassio PM, Mendlowitz DR, Fussell JJ, Petras L (1985). The phenomenology of the pre-sleep state: the development of the pre-sleep arousal scale. Behav Res Ther, 23(3): 263-271.
22. LeBourgeois MK, Giannotti F, Cortesi F, et al (2005). The relationship between re-ported sleep quality and sleep hygiene in Italian and American adolescents. Pe-diatrics, 115(1 Suppl):257-65.
23. Seow LSE, Verma SK, Mok YM, et al (2018). Evaluating DSM-5 insomnia disorder and the treatment of sleep problems in a psychiatric population. J Clin Sleep Med, 14(2): 237-244.
24. Buysse DJ, Reynolds III CF, Monk TH, et al (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res, 28(2): 193-213.
25. Cohen S, Williamson G (1988). Perceived stress in a probability sample of the U.S. In Spacapam S, Oskamp S (Eds.), The so-cial psychology of health: Claremont symposium on applied social psychology. Newbury Park, CA: Sage.
26. Yang CM, Lin SC, Hsu SC, Cheng CP (2010). Maladaptive sleep hygiene practices in good sleepers and patients with insom-nia. J Health Psychol, 15(1): 147-155.
27. Chung S, Cho SW, Jo MW, et al (2020). The prevalence and incidence of insomnia in Korea during 2005 to 2013. Psychiatry Investig, 17(6): 533-540.
28. La YK, Choi YH, Chu MK, et al (2020). Gender differences influence over in-somnia in Korean population: a cross-sectional study. PLoS One, 15(1): e0227190.
29. Vaughan CP, Fung CH, Huang AJ, et al (2016). Differences in the association of nocturia and functional outcomes of sleep by age and gender: a cross-sectional, population-based study. Clin Ther, 38(11): 2386-2393.e1.
30. Khosla L, Huang AJ, Gong S, et al (2024). Association of sleep-related factors with nocturia. Continence, 9: 101062.
31. Weiss JP, Everaert K (2019). Management of nocturia and nocturnal polyuria. Urol-ogy, 133S:24-33.
32. Gorgoni M, Scarpelli S, Mangiaruga A, et al (2021). Pre-sleep arousal and sleep quali-ty during the COVID-19 lockdown in It-aly. Sleep Med, 88: 46-57.
33. Yeh ZT, Wung SK, Lin CM (2015). Pre-sleep arousal as a mediator of relationships among worry, rumination, and sleep quality. International Journal of Cognitive Therapy, 8(1): 21-34.
34. Shoji KD, Tighe CA, Dautovich ND, McCrae CS (2015). Beyond mean values: quantifying intraindividual variability in pre-sleep arousal and sleep in younger and older community-dwelling adults. Sleep Sci, 8(1): 24-30.
35. Zhang C, Yang L, Liu S, et al (2021). One-week self-guided internet cognitive be-havioral treatments for insomnia in adults with situational insomnia during the COVID-19 outbreak. Front Neurosci, 14: 622749.
36. Kline CE, Irish LA, Buysse DJ, et al (2014). Sleep hygiene behaviors among midlife women with insomnia or sleep-disordered breathing: the SWAN sleep study. J Womens Health (Larchmt), 23(11): 894–903.
37. Golenkov AV, Poluektov MG (2016). Awareness on sleep hygiene rules in Russian population. Zh Nevrol Psikhiatr Im S S Korsakova, 116(8): 57-61.
38. Chehri A, Parsa L (2019). Epidemiology of sleep hygiene and related factors in older adults. J Kermanshah Univ Med Sci, 23(2): e85794.
| Files | ||
| Issue | Vol 53 No 12 (2024) | |
| Section | Original Article(s) | |
| Keywords | ||
| Insomnia Older adult Sleep arousal Sleep hygiene Sleep quality | ||
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How to Cite
1.
Han EK, Son HK. The Factors Affecting Sleep Quality in Community-Dwelling Older Adults, Based on Spielman’s 3P Model of Insomnia. Iran J Public Health. 2024;53(12):2739-2748.
