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Insomnia Older Adults

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 BZDA was withdrawn during one month, during which the participants received psychosocial support and blindly melatonin or placebo...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...
October 6, 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...
June 2, 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
José Alberto Laredo-Aguilera, Juan Manuel Carmona-Torres, Felipe García-Pinillos, Pedro Ángel Latorre-Román
BACKGROUND: The purpose of this study was to analyze the effects of a 10-week functional training (FT) programme on pain, mood state, sleep, and depression in healthy older adults. METHOD: A group of 38 older adults (32 women, 6 men) voluntarily participated in this study. Participants were randomly assigned to either the experimental group (n = 20; age: 75.44 ± 5.31 years) or the control group (n = 18: age: 76.35 ± 6.45 years). Pain, depression, mood state, and sleep were tested before and after FT...
July 2018: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
Ugur Kalan, Pinar Soysal, Ahmet Turan Isik
Both insomnia and its treatment can lead to the development of delirium in older adults. In the present case, delirium occurred after a single dose of zopiclone was given for insomnia treatment in an 84-year-old patient. Considering the case, patients and caregivers should be informed about the rare complication when zopiclone is prescribed.
July 2018: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
Iuliana Hartescu, Kevin Morgan
Both very low and very high levels of regular physical activity have been associated with degraded sleep quality. Cross-national variations in habitual physical activity levels, therefore, may contribute to cross-national differences in insomnia prevalence. The present study assesses and compares the extent to which weekly durations of moderate-intensity physical activity contribute to insomnia risk. Demographic, sleep, physical activity and general health profiles were obtained from a convenience sample of 9,238 adults drawn from five countries (South Africa, Australia, China, South Korea and the UK) using social media...
August 16, 2018: Journal of Sleep Research
Minhui Liu, Susan M McCurry, Basia Belza, Adrian Dobra, Diana T Buchanan, Michael V Vitiello, Michael Von Korff
OBJECTIVE: To examine independent and combined effects of pain with concurrent insomnia and depression symptoms on health care use (HCU) in older adults with osteoarthritis (OA). METHODS: Participants were Group Health Cooperative (GHC) patients with a primary diagnosis of OA (N = 2,976). We used survey data on pain (Graded Chronic Pain Scale), insomnia (Insomnia Severity Index), and depression (Patient Health Questionnaire-8), and HCU extracted from GHC electronic health records (office visits, length of stay [LOS], outpatient and inpatient costs, and hip/knee replacement) for three years after the survey...
August 1, 2018: Arthritis Care & Research
Ashley F Curtis, Mary Beth Miller, Jeff Boissoneault, Michael Robinson, Roland Staud, Richard B Berry, Christina S McCrae
Sleep diary and actigraphy assessments of insomnia symptoms in patients with fibromyalgia (FM) are often discrepant. We examined whether opioid dose and age interact in predicting magnitude or direction of discrepancies. Participants (N = 199, M = 51.5 years, SD = 11.7) with FM and insomnia completed 14 days of diaries and actigraphy. Multiple regressions determined whether average opioid dose and its interaction with age predicted magnitude or direction of diary/actigraphy discrepancies in sleep onset latency (SOL), wake after sleep onset (WASO) and sleep efficiency (SE), controlling for sex, use of sleep medication, evening pain and total sleep time...
July 31, 2018: Journal of Sleep Research
Hyera Ryu, Eun Yeon Joo, Su Jung Choi, Sooyeon Suh
Objective: This study aimed to evaluate psychometric properties of the Munich ChronoType Questionnaire (MCTQ) in a sample of Korean older adults. Methods: One-hundred ninety two participants aged 65 and over completed interview-based questionnaires about chronotype, insomnia, depression, and anxiety. Additionally, a small subset of subjects completed a 7-day sleep diary and actigraphy measurements. Results: Morningness-Eveningness Questionnaire (MEQ) scores were significantly negatively correlated with Midpoint of sleep on free days corrected for sleep debt accumulated through weekdays (MSFsc) (r=-0...
August 2018: Psychiatry Investigation
Parinaz Moezi, Alireza Salehi, Hossein Molavi, Hossein Poustchi, Abdullah Gandomkar, Mohammad Hadi Imanieh, Reza Malekzadeh
BACKGROUND Chronic constipation is one of the most common gastrointestinal disorders. It has negative effects on the patients' quality of life, and their productivity, and results in a high economic burden on the healthcare services. The aim of the present study was to estimate the prevalence of chronic constipation and its associated factors in pars cohort study (PCS). METHODS A cross-sectional study was conducted on the baseline data of the PCS. Data gathering was done by structured questionnaire and physical examination...
April 2018: Middle East Journal of Digestive Diseases
Galit Levi Dunietz, Leslie M Swanson, Erica C Jansen, Ronald D Chervin, Louise M O'Brien, Lynda D Lisabeth, Tiffany J Braley
Pain is common among older adults and negatively impacts functioning. Sleep disturbances and mood disorders, specifically depression and anxiety, are closely associated with pain in older individuals, but the directionality of these associations remains unclear. In this study, we deconstruct long-term temporal effects of two key insomnia symptoms on incident pain into direct and indirect pathways, with focus on depression and anxiety symptoms, within a nationally representative sample. We utilized 2011-2013 data from the National Health and Aging Trends Study, a longitudinal survey of 2239 community-dwelling Medicare beneficiaries...
September 1, 2018: Sleep
Yao-Chi Shih, Sae Hwang Han, Jeffrey A Burr
Background: Symptoms of insomnia have been widely identified as risk factors for health, including heart disease. Despite the expansive and growing literature on health concordance among coupled individuals, few studies have examined insomnia as a shared risk factor for heart disease among middle-aged and older couples. Purpose: This study examined the association between insomnia and incident heart disease among couples. A dyadic modeling approach was employed to investigate the relationships between one's own insomnia and partners' insomnia for the risk of incident heart disease for each partner...
June 26, 2018: Annals of Behavioral Medicine: a Publication of the Society of Behavioral Medicine
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