The Contribution of Heart Failure to Sleep Disturbances and Depressive Symptoms in Older Adults
2012 (English)In: Journal of Geriatric Psychiatry and Neurology, ISSN 0891-9887, E-ISSN 1552-5708, Vol. 25, no 3, 179-187 p.Article in journal (Refereed) Published
Background: The aim of this study was to explore the associations between physical symptoms, sleep disturbances, and depressive symptoms in community-dwelling elderly individuals, comparing persons with and without heart failure (HF). Methods: A total of 613 older adults (mean age 78 years) underwent clinical and echocardiographic examinations. Questionnaires were used to evaluate sleep disturbances and depressive symptoms. A model was developed in those with HF (n = 107) and compared with those without HF (n = 506). Results: Cardiopulmonary symptoms (ie, dyspnea and nighttime palpitations) and pain had significant direct associations with sleep disturbances, which indirectly affected depressive symptoms. The model was essentially the same in those with and without HF except that the effect of sleep disturbances on depressive symptoms was stronger in those with HF (beta = 0.64 vs beta = 0.45, P = .006). Conclusion: In community-dwelling older adults, regardless of their diagnosis, physical symptoms had a direct effect on sleep disturbances and an indirect effect on depressive symptoms.
Place, publisher, year, edition, pages
SAGE Publications (UK and US) , 2012. Vol. 25, no 3, 179-187 p.
elderly, chronic heart failure, sleep disturbance, depressive symptoms
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-85859DOI: 10.1177/0891988712458366ISI: 000310627400007OAI: oai:DiVA.org:liu-85859DiVA: diva2:573250
Funding Agencies|Health Research Council in the South-East of Sweden|F2004-233|Lisa & Johan Gronbergs foundation||2012-11-302012-11-302014-01-13