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Insomnia Older Adults

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)
Jin-Young Min, Kyoung-Bok Min
STUDY OBJECTIVES: Outdoor artificial nighttime light is increasingly recognized as a form of environmental pollution. Excessive nighttime light exposure, whether from indoor or outdoor sources, has been associated with a number of deleterious effects on human health. We performed a population-based cohort study in South Korea to assess the possible association between outdoor nocturnal lighting and insomnia in older adults, as measured by prescriptions for hypnotic drugs. METHODS: This study used data from the 2002-2013 National Health Insurance Service-National Sample Cohort (NHIS-NSC), and a total of 52,027 adults who were age 60 years or older were included in the study...
November 15, 2018: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
Li-Jung Chen, Kenneth R Fox, Wen-Jung Sun, Pei-Shu Tsai, Po-Wen Ku, Dachen Chu
Purpose: This 2-year follow-up study aimed to examine the associations between total volume, frequency, duration, and speed of walking with subsequent sleep difficulty in older adults. Methods: A total of 800 older adults aged 65 years and over participated in the first survey in 2012 and 511 of them were followed 2 years later. The 5-item Athens Insomnia Scale (AIS-5) was used to measure sleep difficulty. Frequency, duration, and speed of outdoor walking were self-reported...
January 2018: Journal of Sport and Health Science
Ashley F Curtis, Jacob M Williams, Karin J M McCoy, Christina S McCrae
STUDY OBJECTIVES: The goal of this study was to examine daily associations between sleep and cognition in older adults suffering from insomnia, with or without a history of chronic pain. METHODS: Sixty older adults with insomnia and a history of chronic pain (HxCP; n = 33, mean age = 69.5 years, standard deviation = 7.8) or no history of chronic pain (NCP; n = 27, mean age = 69.7 years, standard deviation = 7.9) completed 14 days of diaries and actigraphy, measuring sleep onset latency (SOL), wake after sleep onset (WASO), sleep efficiency (SE), and sleep quality...
October 15, 2018: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
David R Lee, Eilann C Santo, Joan C Lo, Miranda L Ritterman Weintraub, Mary Patton, Nancy P Gordon
BACKGROUND: Frailty is a condition of increasing importance, given the aging adult population. With an anticipated shortage of geriatricians, primary care physicians will increasingly need to manage care for frail adults with complex functional risks and social-economic circumstances. METHODS: We used cross-sectional data from 4551 adults ages 65-90 who responded to the 2014/2015 cycle of the Kaiser Permanente Northern California Member Health Survey (MHS), a self-administered survey that covers multiple health and social characteristics, to create a deficits accumulation model frailty index, classify respondents as frail or non-frail, and then compare prevalence of functional health issues including Activities of Daily Living (ADL)/Instrumental Activities of Daily Living (IADL) and social determinants of health (SDOHs) by frailty status...
October 19, 2018: BMC Family Practice
Enrico Sella, Nicola Cellini, Laura Miola, Michela Sarlo, Erika Borella
BACKGROUND: Sleep has a crucial role in physical and mental health across the lifespan. In addition to an excessive intrusive sleep-related cognitive activity, another factor that may influence sleep quality in old age is sleep-related metacognitive activity, such as metacognitive beliefs about sleeping difficulties, and night-time thought control strategies. Here, we aimed to assess the relationship between sleep-related metacognitive beliefs, thought control strategies, excessive intrusive cognitive activities, such as dysfunctional beliefs about sleep, or objective and/or perceived sleep disruptions in elderly people...
October 18, 2018: Applied Psychology. Health and Well-being
Grace E Dean, Patricia Ziegler, Hongbin Chen, Lynn M Steinbrenner, Suzanne S Dickerson
CONTEXT: A knowledge gap exists in our understanding of the illness and insomnia symptom treatment trajectory in adults with inoperable non-small cell lung cancer (NSCLC). OBJECTIVES: Compare valid and reliable sleep-wake measures for insomnia to interpretations of narrative descriptions of sleep to improve our comprehension of sleep-wake disturbances in adults with NSCLC. METHODS: This study employed mixed methods (quantitative and qualitative) in a longitudinal design to study adults (n = 26) from ambulatory thoracic clinics...
October 15, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Souraya Sidani, Sarah Ibrahim, Jana Lok, Hannah O'Rourke, Laura Collins, Mary Fox
The prevalence of chronic insomnia is on the rise among young, middle-aged, and older adults. This secondary data analysis examined age-group differences in the experience of and factors perpetuating insomnia severity. Pretest data, obtained from a trial of behavioral interventions, were collected from 742 participants, using psychometrically sound measures of perpetuating factors (sleep habits, unhelpful beliefs, presleep arousal), insomnia experience (symptoms, perceived severity), and consequences or impact on daytime functioning...
October 15, 2018: Clinical Nursing Research
Ritva Lähteenmäki, Pertti J Neuvonen, Juha Puustinen, Tero Vahlberg, Markku Partinen, Ismo Räihä, Sirkka-Liisa Kivelä
Long-term use of benzodiazepines or benzodiazepine receptor agonists is widespread, although guidelines recommend short-term use. Only few controlled studies have characterized the effect of discontinuation of their chronic use on sleep and quality of life. We studied perceived sleep and quality of life in 92 older (age 55-91 years) outpatients with primary insomnia before and after withdrawal from long-term use of zopiclone, zolpidem or temazepam (BZDA). BZDA was withdrawn during one month, during which the participants received psychosocial support and blindly melatonin or placebo...
October 8, 2018: Basic & Clinical Pharmacology & Toxicology
Ian R Reynolds, Danielle R Fixen, Bennett L Parnes, Hillary D Lum, Prajakta Shanbhag, Skotti Church, Sunny A Linnebur, Gretchen Orosz
OBJECTIVES: To understand patterns of marijuana use in community-dwelling older adults in Colorado. DESIGN: Anonymous survey. SETTING: Two academic geriatric primary care clinics. PARTICIPANTS: English-speaking individuals. MEASUREMENTS: We assessed self-reported characteristics and patterns of marijuana use and effect on targeted symptoms. Survey analysis focused on current users, defined as individuals who had used marijuana in the past 3 years...
November 2018: Journal of the American Geriatrics Society
Timothy Yeung, Jennifer L Martin, Constance H Fung, Lavinia Fiorentino, Joseph M Dzierzewski, Juan C Rodriguez Tapia, Yeonsu Song, Karen Josephson, Stella Jouldjian, Michael N Mitchell, Cathy Alessi
We examined whether baseline self-reported physical activity is associated with the efficacy of cognitive behavioral therapy for insomnia (CBT-I) in older veterans. Community-dwelling veterans aged 60 years and older with insomnia received CBT-I in a randomized controlled trial. Participants who received active treatment were divided into low and high physical activity based on self-report. Sleep outcomes were measured by sleep diary, questionnaire and wrist actigraphy; collected at baseline, post-treatment, 6-month and 12-month follow-up...
2018: Frontiers in Aging Neuroscience
Minhui Liu, Susan M McCurry, Basia Belza, Diana T Buchanan, Adrian Dobra, Michael Von Korff, Michael V Vitiello
BACKGROUND: Determinants of prescribing psychoactive medications for symptom management in older adults remain underexamined despite known risks and cautions concerning these medications. OBJECTIVE: To examine independent and combined effects of pain, concurrent insomnia and depression symptoms on psychoactive medications supplied to older adults with osteoarthritis (OA). RESEARCH DESIGN: Survey data on pain, insomnia, and depression obtained from OA patients screened for a randomized controlled trial were used to identify predictors of psychoactive medication supply [opioids, sedatives, tricyclic antidepressants (TCAs), and non-TCAs] over a 4-year period...
September 25, 2018: Medical Care
Hulya Kulakci Altintas, Gülbahar Korkmaz Aslan, Nuriye Yıldırım Sısman, Makbule Tokur Kesgin
The current study was conducted to detect the incidence of falls among individuals in nursing homes, as well as the impact of pain and sleep quality on falls. The sample for this cross-sectional study comprised 291 older adults. Pain was assessed using the Geriatric Pain Measure and insomnia was assessed using the Insomnia Severity Index. Incidence of falls within the past 1 year was 40.9%. Risk factors for falling were determined using logistic regression analysis. Based on the analysis, being single (odds ratio [OR] = 2...
September 1, 2018: Research in Gerontological Nursing
Mika Tanaka, Mayumi Ikeuchi, Hideaki Matsuki, Koichi Yaguchi, Tomoko Kutsuzawa, Katsutoshi Tanaka, Yoshitaka Kaneita
Objectives Chronic insomnia is common in late adulthood. A non-pharmacological approach should take priority in the treatment of insomnia for the elderly. Many studies have shown the efficacy of Cognitive Behavioral Therapy for Insomnia (CBT-I) for elderly diagnosed with insomnia. However the effect of CBT-I on mild insomnia among older adults in community settings has not been ascertained. We conducted a randomized controlled trial to evaluate the effectiveness of a brief CBT-I delivered by nurses, which is feasible in community settings, to improve sleep quality and decrease the dose of hypnotics use for older adults...
2018: [Nihon Kōshū Eisei Zasshi] Japanese Journal of Public Health
Christina S McCrae, Ashley F Curtis, Jacob M Williams, Natalie D Dautovich, Joseph P H McNamara, Ashley Stripling, Joseph M Dzierzewski, Wai Sze Chan, Richard B Berry, Karin J M McCoy, Michael Marsiske
OBJECTIVE: The aim of the present study was to examine the effects of a brief behavioral intervention for insomnia (BBTi) on sleep parameters, mood, and cognitive functioning in older adults. METHODS: Older adults (aged 65 years or more) underwent four weekly sessions of BBTi or self-monitoring control (SMC). Participants completed 14 days of sleep diaries and actigraphy measuring sleep onset latency (SOL), wake after sleep onset (WASO), total sleep time (TST), sleep efficiency (SE), and sleep quality ratings at baseline, post-treatment, and three month follow-up...
November 2018: Sleep Medicine
Lauren B Gerlach, Ilse R Wiechers, Donovan T Maust
OBJECTIVES: Despite evidence for many potential risks, use of benzodiazepines (BZDs) among older adults is common. The authors evaluated the available evidence for BZD effectiveness and tolerability for use in older adults in three psychiatric conditions for which BZDs are commonly prescribed: insomnia, anxiety disorders, and behavioral and psychological symptoms of dementia. DESIGN: Electronic databases, including PubMed/MEDLINE, were searched to identify articles that (1) included patients ≥50 years of age, (2) focused on patients diagnosed with insomnia, anxiety disorders, or behavioral and psychological symptoms of dementia, and (3) were either a randomized, placebo-controlled trial or a randomized trial comparing a BZD with either another psychotropic medication or psychotherapy...
September 2018: Harvard Review of Psychiatry
Martino Belvederi Murri, Mario Amore, Matteo Respino, George S Alexopoulos
The network theory conceptualizes mental disorders as complex networks of symptoms influencing each other by creating feedback loops, leading to a self-sustained syndromic constellation. Symptoms central to the network have the greatest impact in sustaining the rest of symptoms. This analysis focused on the network structure of depressive symptoms in late-life because of their distinct etiologic factors, clinical presentation, and outcomes. We analyzed cross-sectional data from wave 2 of the 19 country Survey of Health, Ageing, and Retirement in Europe (SHARE) and included non-institutionalized adults aged 65 years or older (mean age 74 years, 59% females) endorsing at least one depressive symptom on the EURO-D scale for depression (N =8,557)...
August 31, 2018: Molecular Psychiatry
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