Sleep Quality and Daytime Functioning in Older European Adults
Abstract
Abstract. The aim of this article was to review research studies related to the issues of sleep in older adults, examining the relationship between sleep quality and a set of psychological variables of daytime functioning in healthy older adults: quality of life, subjective health, functional ability, cognitive function, and emotional state, in Europe. Combined scoping review search strategies resulted in a total of 84 articles selected for review. We conclude there is a considerable amount of European research on sleep quality and its correlates in older adults’ population. Studying these relationships may be the basis for the targeted planning of psychological interventions aiming at raising the quality of life in older adults. The selected domains of older adults’ everyday functioning were all well represented in the retrieved research studies.
References Reference entries marked with * were studies analyzed in the Results section.
*2018). Investigating the associations between productive housework activities, sleep hours and self-reported health among elderly men and women in western industrialised countries. BMC Public Health, 18, 110–120. https://doi.org/10.1186/s12889-017-4979-z
(*2018). Sleep duration and mortality – Does weekend sleep matter? Journal of Sleep Research, 28, e12712. https://doi.org/10.1111/jsr.12712
(*2014). The dynamic relationship between cognitive function and positive well-being in older people: A prospective study using the English Longitudinal Study of Aging. Psychology and Aging, 29, 306–318. https://doi.org/10.1037/a0036551
(2011).
(Sleep medicine in the elderly . In H. MeirM. H. KrygerT. RothW. C. DementEds., Principles and practice of sleep medicine (5th ed., pp. 1524–1543). St. Louis, MO: Elsevier Saunders.*2014). Assessment of sleep and circadian rhythm disorders in the very old: The Newcastle 85+ Cohort Study. Age and Ageing, 43, 57–63. https://doi.org/10.1093/ageing/aft153
(*2015). Optimising quality of sleep among older people in the community and care homes: An integrated approach, UK Data Archive. https://doi.org/10.5255/UKDA-SN-851802
(*2012). Assessment of loneliness, quality of sleep and affecting factors in elders. Turkish Journal of Geriatrics – Turk Geriatri Dergisi, 15, 81–88.
(2009). Evidence-based recommendations for the assessment and management of sleep disorders in older persons. Journal of the American Geriatrics Society, 57, 761–789. https://doi.org/10.1111/j.1532-5415.2009.02220.x
(*2019). Effect of therapeutic touch on sleep quality in elders living at nursing homes. Journal of Religion and Health. Advance online publication. https://doi.org/10.1007/s10943-019-00831-9
(*2010). Sleep disturbances in elderly subjects: An epidemiological survey in an Italian district. Acta Neurologica Scandinavica, 122, 389–397. https://doi.org/10.1111/j.1600-0404.2010.01324.x
(*2018). Depression and quality of life in older adults: Mediation effect of sleep quality. International Journal of Clinical and Health Psychology, 18, 8–17. https://doi.org/10.1016/j.ijchp.2017.10.002
(*2018). Sex-specific associations between self-reported sleep duration, depression, anxiety, fatigue and daytime sleepiness in an older community-dwelling population. Scandinavian Journal of Caring Sciences, 32, 290–298. https://doi.org/10.1111/scs.12461
(*2012). The Pittsburgh Sleep Quality Index in older primary care patients with generalized anxiety disorder: Psychometrics and outcomes following cognitive behavioral therapy. Psychiatry Research, 199, 24–30. https://doi.org/10.1016/j.psychres.2012.03.045
(1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research, 28, 193–213.
(*2017). Mediterranean diet and changes in sleep duration and indicators of sleep quality in older adults. Sleep, 40, zsw083. https://doi.org/10.1093/sleep/zsw083
(2010). Sleep duration and all-cause mortality: A systematic review and meta-analysis of prospective studies. Sleep, 33, 585–592. https://doi.org/10.1093/sleep/33.5.585
(*2016). Do stress, health behavior, and sleep mediate the association between loneliness and adverse health conditions among older people? Social Science & Medicine, 152, 80–86. https://doi.org/10.1016/j.socscimed.2016.01.020
(in press). Life satisfaction determinants in older adults: Do different living arrangements count?
(*2013). Can poor sleep quality suggest depression in elderly patients undergoing hemodialysis? Turk Geriatri Dergisi, 16, 383–388.
(*2011). Cross-country variation in sleep disturbance among working and older age groups: An analysis based on the European Social Survey. International Psychogeriatrics, 29, 1413–1420. https://doi.org/10.1017/S1041610211000664
(*2019). Impact of a nurse-led sleep programme on the sleep quality and depressive symptomatology among older adults in nursing homes: A non-randomised controlled study. International Journal of Older People Nursing, 14(1), e12215. https://doi.org/10.1111/opn.12215
(1998). Differences in self-reported sleep complaints in elderly persons living in the community who do or do not take sleep medication. Journal of Clinical Psychiatry, 59, 137–144. https://doi.org/10.4088/JCP.v59n0310
(*2007). Sleep quality of older adults in nursing homes in Turkey: Enhancing the quality of sleep improves quality of life. Journal of Gerontology Nursing, 33, 42–49.
(*2012). Associations between sleep quality and different correlates in the elderly. Journal of Sleep Research, 21, 142.
(2019). Statistics explained: Population structure and ageing. Retrieved from https://ec.europa.eu/eurostat/statistics-explained/index.php/Population_structure_and_ageing
. (*2006). Sleep quality among nursing home residents. Turkish Journal of Geriatrics, 9, 165–169.
(*2009). Sleep duration and health-related quality of life among older adults: A population-based cohort in Spain. Sleep, 32, 1059–1068. https://doi.org/10.1093/sleep/32.8.1059
(*2009). Usual sleep duration and cognitive function in older adults in Spain. Journal of Sleep Research, 18, 427–435. https://doi.org/10.1111/j.1365-2869.2009.00759.x
(*2010). Incidence and persistence of sleep complaints in a community older population. International Journal of Geriatric Psychiatry, 25, 37–45. https://doi.org/10.1002/gps.2295
(*2004). Sleep disturbances and chronic disease in older adults: Results of the 2003 National Sleep Foundation Sleep in America Survey. Journal of Psychosomatic Research, 56, 497–502. https://doi.org/10.1016/j.jpsychores.2004.02.010
(*1998). Sleep patterns of a rural elderly population. British Journal of General Practice, 48, 913–914.
(*1992). Psychic correlates of sleep symptoms in the elderly. International Journal of Geriatric Psychiatry, 7, 891–898. https://doi.org/10.1002/gps.930071208
(*2017). Sleep and cognitive functioning in older adults. Zeitschrift für Gerontologie und Geriatrie, 50, 603–608. https://doi.org/10.1007/s00391-017-1289-0
(2013).
(Impact of daytime sleepiness on rehabilitation outcome in the elderly . In M. PokorskiEd., Respiratory regulation – clinical advances, advances in experimental medicine and biology. Heidelberg, Germany: Springer Science+Business Media Dordrecht. https://doi.org/10.1007/978-94-007-4546-9_14*2011). Measurement of daytime sleepiness in the elderly. Somnologie, 15, 154–159. https://doi.org/10.1007/s11818-011-0520-2
(*2016). The relationship between physical activity, sleep duration and depressive symptoms in older adults: The English Longitudinal Study of Ageing (ELSA). Preventive Medicine Reports, 4, 512–516. https://doi.org/10.1016/j.pmedr.2016.09.006
(*1996). Principal lifetime occupation and sleep quality in the elderly. Gerontology, 42, 163–169. https://doi.org/10.1159/000213788
(2014). Insomnia in long-term care facilities: A comparison of seven European countries and Israel: The Services and Health for Elderly in Long Term Care Study. Journal of the American Geriatric Society, 62, 2033–2039. https://doi.org/10.1111/jgs.13099
(*2002). Sleep problems in a very old population: Drug use and clinical correlates. The Journals of Gerontology: Biological Sciences and Medical Sciences, 57, M236–M240. https://doi.org/10.1093/gerona/57.4.M236
(2010). Sociodemographic and health correlates of sleep quality and duration among very old Chinese. Sleep, 33, 601–610. https://doi.org/10.1093/sleep/33.5.601
(*2015). Effects of sleep quality, income level and comorbid conditions on quality of life in a Turkish elderly population: A multicentre study. Turkish Journal of Geriatrics-Turk Geriatri Dergisi, 18, 136–142.
(*2017). Sleep quality in the general population: Psychometric properties of the Pittsburgh Sleep Quality Index, derived from a German community sample of 9284 people. Sleep Medicine, 30, 57–63. https://doi.org/10.1016/j.sleep.2016.03.008
(2015). National Sleep Foundation’s sleep time duration recommendations: Methodology and results summary. Sleep Health, 1, 40–43. https://doi.org/10.1016/j.sleh.2014.12.010
(*2005). Perceived anxiety, depression, and sleeping problems in relation to psychotropic drug use among elderly in assisted-living facilities. European Journal of Clinical Pharmacology, 61, 215–224. https://doi.org/10.1007/s00228-004-0857-6
(*2011). Insomnia and daytime sleepiness are risk factors for depressive symptoms in the elderly. Sleep, 34, 1103–1110. https://doi.org/10.5665/SLEEP.1170
(*2012). Excessive sleepiness is predictive of cognitive decline in the elderly. Sleep, 35, 1201–1207. https://doi.org/10.5665/sleep.2070
(*1979). A survey on the quality of sleep of elderly people. Zeitschrift fur Gerontologie, 12, 200–206.
(*2002). Subjective sleep problems in later life as predictors of cognitive decline. Report from the Maastricht Ageing Study (MAAS). International Journal of Geriatric Psychiatry, 17, 73–77. https://doi.org/10.1002/gps.529
(*2006). Sleep disturbances, daytime sleepiness and depressive symptomatology in elderly. The corokind study. Journal of Sleep Research, 15, 114.
(*2016). Impaired sleep predicts cognitive decline in old people: Findings from the prospective KORA age study. Sleep, 39, 217–226. https://doi.org/10.5665/sleep.5352
(*1993). A gerontopsychological pilot study of sleep in old adults: Initial experiences with the Nuremberg Aging Inventory (NAI). Zeitschrift fur Gerontologie, 26, 471–475.
(*2013). Sleep and emotions: Bidirectional links and underlying mechanisms. International Journal of Psychophysiology, 89, 218–228. https://doi.org/10.1016/j.ijpsycho.2013.05.010
(*1986). Sleep disturbances and agitational states in elderly: Therapeutic possibilities and limitations in West Germany. Acta Psychiatrica Scandinavica, 73(329), 77–80. https://doi.org/10.1111/j.1600-0447.1986.tb10540.x
(*2019). Psychosocial predictors of sleep quality in residents of nursing homes. GeroPsych, 32, 93–105. https://doi.org/10.1024/1662-9647/a000206
(2015). Measuring sleep quality in older adults: A comparison using subjective and objective methods. Frontiers in Aging Neuroscience, 7, 166. https://doi.org/10.3389/fnagi.2015.00166
(*2018). Effects of a 10-week functional training programme on pain, mood state, depression, and sleep in healthy older adults. Japanese Psychogeriatric Society, 18(4), 292–298. https://doi.org/10.1111/psyg.12323
(*2013). The course of subjective sleep quality in middle and old adulthood and its relation to physical health. The Journals of Gerontology: Psychological Sciences and Social Sciences, 68, 721–729. https://doi.org/10.1093/geronb/gbs113
(2018). Sleep in normal aging. Sleep Medicine Clinics, 13, 1–11. https://doi.org/10.1016/j.jsmc.2017.09.001
(*1993). Does sleep disturbance predict depression in elderly people? A study in inner London. British Journal of General Practice, 43, 445–448.
(*2007). Subjective sleep duration, quality of sleep and cognitive impairment in older persons. American Journal of Epidemiology, 165, S54.
(2017). Longitudinal psychosocial predictors of life satisfaction in old persons. 20th psychology days in Zadar, book of selected proceedings (pp. 115–125). Zadar, Croatia: Department of Psychology, University of Zadar.
(*2015). 24-hour activity rhythm and sleep disturbances in depression and anxiety: A population-based study of middle-aged and older persons. Depression and Anxiety, 32, 684–692. https://doi.org/10.1002/da.22355
(*2015). Associations of the 24-h activity rhythm and sleep with cognition: A population-based study of middle-aged and elderly persons. Sleep Medicine, 16, 850–855. https://doi.org/10.1016/j.sleep.2015.03.012
(*1997). A survey of sleep habits and sleeping difficulties in an elderly Swedish population. Upsala Journal of Medical Sciences, 102, 185–197. https://doi.org/10.3109/03009739709178940
(2017). Sleep and human aging. Neuron, 94, 19–36. https://doi.org/10.1016/j.neuron.2017.02.004
(2008). Sleep disturbances in long-term care. Clinics in Geriatric Medicine, 24, 39–50. https://doi.org/10.1016/j.cger.2007.08.001
(2010). Sleep quality in residents of assisted living facilities: Effect on quality of life, functional status, and depression. Journal of American Geriatric Society, 58, 829–836. https://doi.org/10.1111/j.1532-5415.2010.02815.x
(2011). Poor self-reported sleep quality predicts mortality within one year of inpatient post-acute rehabilitation among older adults. Sleep, 34, 1715–1721. https://doi.org/10.5665/sleep.1444
(2019). Comparing sleep quality in institutionalized and non-institutionalized elderly individuals. Aging and Mental Health. Advance online publication. https://doi.org/10.1080/13607863.2019.1619168
(*2011). Psychosocial correlates of aspects of sleep quality in community-dwelling Irish older adults. Aging & Mental Health, 15, 749–755. https://doi.org/10.1080/13607863.2011.562180
(*2013). Perceived stress mediates the relationship between emotional loneliness and sleep quality over time in older adults. British Journal of Health Psychology, 18, 546–555. https://doi.org/10.1111/j.2044-8287.2012.02101.x
(*2014). Time to bed is associated with cognitive outcome: An analysis of sleep-times and wake-times in community-dwelling older adults. Biological Rhythm Research, 45, 103–114.
(*2011). Duración del sueño y limitación funcional en adultos mayores
([Sleep duration and functional limitations in older adult] . Medicina Clinica (Barc), 136, 527–530. https://doi.org/10.1016/j.medcli.2010.06.019*2010). Sleep duration and mortality according to health status in older adults. Journal of the American Geriatrics Society, 58, 1870–1877. https://doi.org/10.1111/j.1532-5415.2010.03071.x
(2011). The association between habitual sleep duration and sleep quality in older adults according to health status. Age and Ageing, 40, 318–323. https://doi.org/10.1093/ageing/afr004
(*2019). The longitudinal and cross-sectional associations of grief and complicated grief with sleep quality in older adults. Behavioral Sleep Medicine, 17, 31–40. https://doi.org/10.1080/15402002.2016.1276016
(2018). Sleep in the aging population. Sleep Medicine Clinics, 12, 31–38. https://doi.org/10.1016/j.jsmc.2016.10.008
(2018). Psychiatric illness and sleep in older adults: Comorbidity and opportunities for intervention. Sleep Medicine Clinics, 13, 81–91. https://doi.org/0.1016/j.jsmc.2017.09.008
(2013). Insomnia symptoms, nightmares, and suicidal ideation in older adults. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 68(2), 145–152. https://doi.org/10.1093/geronb/gbs061
(*2016). Subjective sleep quality, depressive symptoms, feelings of loneliness, and institutionalization in elderly people. Portuguese Journal of Behavioral and Social Research, 2(2), 12–24.
(2010). Sleep disturbances in nursing homes. The Journal of Nutrition, Health and Aging, 14, 207–211. https://doi.org/10.1007/s12603-010-0051-8
(2004). Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals: Developing normative sleep values across the human lifespan. Sleep, 27, 1255–1273. https://doi.org/10.1093/sleep/27.7.1255
(*2002). Daytime sleepiness and cognitive impairment in the elderly population. Archives of Internal Medicine, 162, 201–208. https://doi.org/10.1001/archinte.162.2.201
(*2005). Normative sleep data, cognitive function and daily living activities in older adults in the community. Sleep, 28, 981–989. https://doi.org/10.1093/sleep/28.8.981
(2001). How age and daytime activities are related to insomnia in the general population: consequences for older people. Journal of American Geriatric Society, 49, 60–366. https://doi.org/10.1046/j.1532-5415.2001.49077.x
(*2012). Relationship between sleep quality and depression among elderly nursing home residents in Turkey. Sleep and Breathing, 16, 1059–1067. https://doi.org/10.1007/s11325-011-0601-2
(2018). Time perspective biases are associated with poor sleep quality, daytime sleepiness, and lower levels of subjective well-being among older adults. Frontiers in Psychology, 9, 1356–1367. https://doi.org/10.3389/fpsyg.2018.01356
(*2012). Does subjective sleep affect cognitive function in healthy elderly subjects? The proof cohort. Sleep Medicine, 13, 1146–1152. https://doi.org/10.1016/j.sleep.2012.06.021
(*2012). Subjective sleep, cognitive complaints and neuropsychological performances in healthy elderly subjects: The proof cohort. Journal of Sleep Research, 21, 368.
(*2014). Sleep perception in non-insomniac healthy elderly: A 3-year longitudinal study. Rejuvenation Research, 17, 11–18. https://doi.org/10.1089/rej.2013.1457
(*2016). Effect of passive music therapy on sleep quality among elderly people living in nursing home. Journal of Psychiatric Nursing, 7(2), 55–60. https://doi.org/10.5505/phd.2016.05900
(2016). An investigation of the relationship between sleep duration and cognitive function in older adults. Age and Ageing, 45, 39. https://doi.org/10.1093/ageing/afw159.173
(*2018). Does sleep deprivation increase the vulnerability to acute psychosocial stress in young and older adults? Psychoneuroendocrinology, 96, 155–165. https://doi.org/10.1016/j.psyneuen.2018.06.003
(*2016). The effect of sleep loss on the response to acute psychosocial stress in young and elderly. Journal of Sleep Research, 25, 48.
(2019). Active ageing, emotional care and the threat of stigma: Identity management in older adults using sleeping medication long-term. Health, 23, 255–272. https://doi.org/10.1177/1363459318762034
(2004). Optimism, health-related hardiness and well-being among older Australian women. Journal of Health Psychology, 9, 741–752. https://doi.org/10.1177/1359105304045373
(*2015). Association of sleep quality and daytime sleepiness with cognition in the elderly. Turk Geriatri Dergisi, 18, 123–129.
(2009). Sleep quality and falls in older people living in self- and assisted care villages. Gerontology, 55, 162–168. https://doi.org/10.1159/000146786
(*2012). Sleep quality and cognitive function in healthy old age: The moderating role of subclinical depression. Neuropsychology, 26, 768–775. https://doi.org/10.1037/a0030033
(*2018). Sleep duration and sleep quality as predictors of health in elderly individuals. Sustainability, 10, 3918. https://doi.org/10.3390/su10113918
(*2015). Subjective sleep and cognitive complaints in 65 year old subjects: A significant association. The PROOF cohort. The Journal of Nutrition, Health & Aging, 19, 424–430. https://doi.org/10.1007/s12603-014-0547-8
(*2013). Sleep quality and quality of life among the elderly people. Neurology Psychiatry and Brain Research, 19, 48–52. https://doi.org/10.1016/j.npbr.2012.10.002
(*2018). Sleep and subjective cognitive decline in cognitively healthy elderly: Results from two cohorts. Journal of Sleep Research, 28(5), e12759. https://doi.org/10.1111/jsr.12759
(*2013). Nursing homes: Impact of sleep disturbances on functionality. Archives of Gerontology and Geriatrics, 56, 432–436. https://doi.org/10.1016/j.archger.2012.11.011
(*2008). Disagreement between subjective and actigraphic measures of sleep duration in a population-based study of elderly persons. Journal of Sleep Research, 17, 295–302. https://doi.org/10.1111/j.1365-2869.2008.00638.x
(*2009). Sleep in depression and anxiety disorders: A population-based study of elderly persons. Journal of Clinical Psychiatry, 70, 1105–1113. https://doi.org/10.4088/JCP.08m04448
(*2018). Correlates of sleep disturbances in depressed older persons: The Netherlands study of depression in older persons (NESDO). Aging and Mental Health, 22, 233–238. https://doi.org/10.1080/13607863.2016.1247421
(2015). How well does Europe sleep? A cross-national study of sleep problems in European older adults. International Journal of Public Health, 60, 643–650. https://doi.org/10.1007/s00038-015-0682-y
(2018). Medicalization of sleep problems in an aging population: A longitudinal cross-national study of medication use for sleep problems in older European adults. Journal of Aging and Health, 30, 816–838. https://doi.org/10.1177/0898264317696775
(2006). Sleep in normal aging. Sleep Medicine Clinics, 1, 171–176. https://doi.org/10.1016/j.jsmc.2006.04.007
(*2009). Recent advantages in understanding sleep disturbances in older adults: Growing older does not mean sleeping poorly. Current Directions in Psychological Science, 18, 316–320. https://doi.org/10.1111/j.1467-8721.2009.01659.x
(*1998). Correlates of daytime sleepiness in 4578 elderly persons: The Cardiovascular Health Study. Sleep, 21, 27–36.
(*2015). Sleep duration and mortality among older adults in a 22-year follow-up study: An analysis of possible effect modifiers. European Journal of Ageing, 12, 119–129. https://doi.org/10.1007/s10433-014-0318-8
(*2000). Sleep and quality of life in the Austrian population. Acta Neurologica Scandinavica, 102, 249–257. https://doi.org/10.1034/j.1600-0404.2000.102004249.x
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