B W. Riedel1, C F. Winfield, K L. Lichstein. 1. University of Memphis Center for Community Health, 5350 Poplar Avenue, Suite 550, TN 38119, Memphis, USA
Abstract
Objective: The main objective was to examine first night effect (FNE) and reverse first night effect (RFNE) in older insomniacs and the role played by anxiety in these processes.Background: RFNE has been documented in a middle-aged sample of insomniacs, but little research has been done on RFNE or FNE in older insomniacs. Also, a relationship between anxiety and FNE has not been established. Methods:Participants were 77 older adults with primary insomnia (57 females, 20 males). Two consecutive nights of polysomnography (PSG) were conducted, and the state form of the State-Trait Anxiety Inventory was completed each night. Sleep diaries were completed the morning after each (PSG) and for 2 weeks at home. Results: Most participants exhibited a FNE (57%) rather than a RFNE (26%). State anxiety was elevated on PSG night 1 relative to PSG night 2 in the FNE group but not the RFNE group, and the FNE group reported greater home total sleep time. Among FNE participants, self-reported total sleep and sleep efficiency were significantly higher on PSG night 2 than at home.Conclusions: Most older insomniacs show a FNE, but a portion exhibit a RFNE. Elevated anxiety on PSG night 1 may play a role in FNE.
RCT Entities:
Objective: The main objective was to examine first night effect (FNE) and reverse first night effect (RFNE) in older insomniacs and the role played by anxiety in these processes.Background: RFNE has been documented in a middle-aged sample of insomniacs, but little research has been done on RFNE or FNE in older insomniacs. Also, a relationship between anxiety and FNE has not been established. Methods:Participants were 77 older adults with primary insomnia (57 females, 20 males). Two consecutive nights of polysomnography (PSG) were conducted, and the state form of the State-Trait Anxiety Inventory was completed each night. Sleep diaries were completed the morning after each (PSG) and for 2 weeks at home. Results: Most participants exhibited a FNE (57%) rather than a RFNE (26%). State anxiety was elevated on PSG night 1 relative to PSG night 2 in the FNE group but not the RFNE group, and the FNE group reported greater home total sleep time. Among FNE participants, self-reported total sleep and sleep efficiency were significantly higher on PSG night 2 than at home.Conclusions: Most older insomniacs show a FNE, but a portion exhibit a RFNE. Elevated anxiety on PSG night 1 may play a role in FNE.
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