BACKGROUND: Sleep problems are common in the general population. A strong association between stress due to inadequate social relationships or loneliness and sleep problems has been found. This paper aims to investigate stress in close social relationships in relation to disrupted sleep patterns in middle-aged and older adults. In addition, in exploring the underlying processes involved in poor social interactions, loneliness is assumed to be a mediator in the stress-sleep quality relation. METHODS: Data from a community sample of 7074 Norwegian middle-aged and older adults in the Hordaland Health Study (HUSK) were used to examine the mediating role of loneliness. RESULTS: A significant association between interpersonal stress and both nocturnal sleep problems and daytime sleepiness was found in both age groups. This relation was mediated by loneliness (indirect path) as well as effected by a direct path (RMSEA = 0.051; CFI = 0.93). The size of the indirect effect varied with age. Nocturnal sleep problems were fully mediated by loneliness in the older group, while 74% of the total effect was mediated through loneliness in the middle-aged group. For daytime sleepiness, a partial mediation of 36% and 40% was observed for the two groups respectively. CONCLUSIONS: The mediation effects found in this study indicate that the wider social aspects of an individual's life should be taken into account when planning interventions for improving sleep quality in the elderly.
BACKGROUND: Sleep problems are common in the general population. A strong association between stress due to inadequate social relationships or loneliness and sleep problems has been found. This paper aims to investigate stress in close social relationships in relation to disrupted sleep patterns in middle-aged and older adults. In addition, in exploring the underlying processes involved in poor social interactions, loneliness is assumed to be a mediator in the stress-sleep quality relation. METHODS: Data from a community sample of 7074 Norwegian middle-aged and older adults in the Hordaland Health Study (HUSK) were used to examine the mediating role of loneliness. RESULTS: A significant association between interpersonal stress and both nocturnal sleep problems and daytime sleepiness was found in both age groups. This relation was mediated by loneliness (indirect path) as well as effected by a direct path (RMSEA = 0.051; CFI = 0.93). The size of the indirect effect varied with age. Nocturnal sleep problems were fully mediated by loneliness in the older group, while 74% of the total effect was mediated through loneliness in the middle-aged group. For daytime sleepiness, a partial mediation of 36% and 40% was observed for the two groups respectively. CONCLUSIONS: The mediation effects found in this study indicate that the wider social aspects of an individual's life should be taken into account when planning interventions for improving sleep quality in the elderly.
Authors: Ellen E Lee; Colin Depp; Barton W Palmer; Danielle Glorioso; Rebecca Daly; Jinyuan Liu; Xin M Tu; Ho-Cheol Kim; Peri Tarr; Yasunori Yamada; Dilip V Jeste Journal: Int Psychogeriatr Date: 2019-10 Impact factor: 3.878
Authors: Michael A Grandner; Lauren Hale; Nicholas Jackson; Nirav P Patel; Nalaka S Gooneratne; Wendy M Troxel Journal: Behav Sleep Med Date: 2012-10 Impact factor: 2.964
Authors: Sarah C Griffin; Allison Baylor Williams; Samantha N Mladen; Paul B Perrin; Joseph M Dzierzewski; Bruce D Rybarczyk Journal: J Aging Health Date: 2019-12-21