Sleep: A marker of physical and mental health in the elderly

Kathryn Jean Reid, Zoran Martinovich, Sanford Finkel, Judy Statsinger, Robyn Golden, Kathryne Harter, Phyllis C Zee*

*Corresponding author for this work

Research output: Contribution to journalArticle

133 Citations (Scopus)

Abstract

Objective: The objective of this study was to determine the occurrence and recognition of common sleep-related problems and their relationship to health-related quality-of-life measures in the elderly. Method: A total of 1,503 participants with a mean age of 75.5 (± 6.8, range: 62-100) years from 11 primary care sites serving primarily elderly patients were interviewed. Subjects completed a five-item sleep questionnaire and the SF-12. A Physical Component Summary (PCS-12) and Mental Component Summary (MCS-12) score was calculated. A systematic medical chart review was conducted to determine whether sleep problems were identified by the healthcare providers. Results: A total of 68.9% of patients reported at least one sleep complaint and 40% had two or more. Participants most commonly endorsed (45%) that they had "difficulty falling asleep, staying asleep, or being able to sleep." The number and type of sleep problems endorsed was associated with both physical and mental health quality-of-life status. Excessive daytime sleepiness was the best predictor of poor mental and physical health-related quality of life. Even when all five sleep questions were endorsed, a sleep complaint was only reported in the chart 19.2% of the time. Conclusions: When elicited, sleep complaints predicted the general physical and mental health-related quality-of-life status in elderly populations with comorbid medical and mental illnesses. Yet, questions regarding sleep are not an integral component of most clinical evaluations. Given the growing evidence of a relationship between sleep and health, identification of sleep disorders could lead to improved management of common age-related chronic illnesses and quality of life of elderly patients.

Original languageEnglish (US)
Pages (from-to)860-866
Number of pages7
JournalAmerican Journal of Geriatric Psychiatry
Volume14
Issue number10
DOIs
StatePublished - Jan 1 2006

Fingerprint

Mental Health
Sleep
Quality of Life
Health Personnel
Primary Health Care
Chronic Disease
Health
Population

Keywords

  • Aging
  • Mental health
  • Physical health
  • Sleep

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health

Cite this

Reid, Kathryn Jean ; Martinovich, Zoran ; Finkel, Sanford ; Statsinger, Judy ; Golden, Robyn ; Harter, Kathryne ; Zee, Phyllis C. / Sleep : A marker of physical and mental health in the elderly. In: American Journal of Geriatric Psychiatry. 2006 ; Vol. 14, No. 10. pp. 860-866.
@article{6c8d2ce9a24a4b21b1ff6856524e8f5e,
title = "Sleep: A marker of physical and mental health in the elderly",
abstract = "Objective: The objective of this study was to determine the occurrence and recognition of common sleep-related problems and their relationship to health-related quality-of-life measures in the elderly. Method: A total of 1,503 participants with a mean age of 75.5 (± 6.8, range: 62-100) years from 11 primary care sites serving primarily elderly patients were interviewed. Subjects completed a five-item sleep questionnaire and the SF-12. A Physical Component Summary (PCS-12) and Mental Component Summary (MCS-12) score was calculated. A systematic medical chart review was conducted to determine whether sleep problems were identified by the healthcare providers. Results: A total of 68.9{\%} of patients reported at least one sleep complaint and 40{\%} had two or more. Participants most commonly endorsed (45{\%}) that they had {"}difficulty falling asleep, staying asleep, or being able to sleep.{"} The number and type of sleep problems endorsed was associated with both physical and mental health quality-of-life status. Excessive daytime sleepiness was the best predictor of poor mental and physical health-related quality of life. Even when all five sleep questions were endorsed, a sleep complaint was only reported in the chart 19.2{\%} of the time. Conclusions: When elicited, sleep complaints predicted the general physical and mental health-related quality-of-life status in elderly populations with comorbid medical and mental illnesses. Yet, questions regarding sleep are not an integral component of most clinical evaluations. Given the growing evidence of a relationship between sleep and health, identification of sleep disorders could lead to improved management of common age-related chronic illnesses and quality of life of elderly patients.",
keywords = "Aging, Mental health, Physical health, Sleep",
author = "Reid, {Kathryn Jean} and Zoran Martinovich and Sanford Finkel and Judy Statsinger and Robyn Golden and Kathryne Harter and Zee, {Phyllis C}",
year = "2006",
month = "1",
day = "1",
doi = "10.1097/01.JGP.0000206164.56404.ba",
language = "English (US)",
volume = "14",
pages = "860--866",
journal = "American Journal of Geriatric Psychiatry",
issn = "1064-7481",
publisher = "Lippincott Williams and Wilkins",
number = "10",

}

Sleep : A marker of physical and mental health in the elderly. / Reid, Kathryn Jean; Martinovich, Zoran; Finkel, Sanford; Statsinger, Judy; Golden, Robyn; Harter, Kathryne; Zee, Phyllis C.

In: American Journal of Geriatric Psychiatry, Vol. 14, No. 10, 01.01.2006, p. 860-866.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Sleep

T2 - A marker of physical and mental health in the elderly

AU - Reid, Kathryn Jean

AU - Martinovich, Zoran

AU - Finkel, Sanford

AU - Statsinger, Judy

AU - Golden, Robyn

AU - Harter, Kathryne

AU - Zee, Phyllis C

PY - 2006/1/1

Y1 - 2006/1/1

N2 - Objective: The objective of this study was to determine the occurrence and recognition of common sleep-related problems and their relationship to health-related quality-of-life measures in the elderly. Method: A total of 1,503 participants with a mean age of 75.5 (± 6.8, range: 62-100) years from 11 primary care sites serving primarily elderly patients were interviewed. Subjects completed a five-item sleep questionnaire and the SF-12. A Physical Component Summary (PCS-12) and Mental Component Summary (MCS-12) score was calculated. A systematic medical chart review was conducted to determine whether sleep problems were identified by the healthcare providers. Results: A total of 68.9% of patients reported at least one sleep complaint and 40% had two or more. Participants most commonly endorsed (45%) that they had "difficulty falling asleep, staying asleep, or being able to sleep." The number and type of sleep problems endorsed was associated with both physical and mental health quality-of-life status. Excessive daytime sleepiness was the best predictor of poor mental and physical health-related quality of life. Even when all five sleep questions were endorsed, a sleep complaint was only reported in the chart 19.2% of the time. Conclusions: When elicited, sleep complaints predicted the general physical and mental health-related quality-of-life status in elderly populations with comorbid medical and mental illnesses. Yet, questions regarding sleep are not an integral component of most clinical evaluations. Given the growing evidence of a relationship between sleep and health, identification of sleep disorders could lead to improved management of common age-related chronic illnesses and quality of life of elderly patients.

AB - Objective: The objective of this study was to determine the occurrence and recognition of common sleep-related problems and their relationship to health-related quality-of-life measures in the elderly. Method: A total of 1,503 participants with a mean age of 75.5 (± 6.8, range: 62-100) years from 11 primary care sites serving primarily elderly patients were interviewed. Subjects completed a five-item sleep questionnaire and the SF-12. A Physical Component Summary (PCS-12) and Mental Component Summary (MCS-12) score was calculated. A systematic medical chart review was conducted to determine whether sleep problems were identified by the healthcare providers. Results: A total of 68.9% of patients reported at least one sleep complaint and 40% had two or more. Participants most commonly endorsed (45%) that they had "difficulty falling asleep, staying asleep, or being able to sleep." The number and type of sleep problems endorsed was associated with both physical and mental health quality-of-life status. Excessive daytime sleepiness was the best predictor of poor mental and physical health-related quality of life. Even when all five sleep questions were endorsed, a sleep complaint was only reported in the chart 19.2% of the time. Conclusions: When elicited, sleep complaints predicted the general physical and mental health-related quality-of-life status in elderly populations with comorbid medical and mental illnesses. Yet, questions regarding sleep are not an integral component of most clinical evaluations. Given the growing evidence of a relationship between sleep and health, identification of sleep disorders could lead to improved management of common age-related chronic illnesses and quality of life of elderly patients.

KW - Aging

KW - Mental health

KW - Physical health

KW - Sleep

UR - http://www.scopus.com/inward/record.url?scp=33749651502&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33749651502&partnerID=8YFLogxK

U2 - 10.1097/01.JGP.0000206164.56404.ba

DO - 10.1097/01.JGP.0000206164.56404.ba

M3 - Article

C2 - 17001025

AN - SCOPUS:33749651502

VL - 14

SP - 860

EP - 866

JO - American Journal of Geriatric Psychiatry

JF - American Journal of Geriatric Psychiatry

SN - 1064-7481

IS - 10

ER -