Elizabeth A DiNapoli1,2, Marie Anne Gebara1,3, Terry Kho3, Meryl A Butters2, Ariel G Gildengers2, Steven M Albert4, Mary Amanda Dew2, Kirk I Erickson5, Charles F Reynolds2, Jordan F Karp2. 1. 1 VISN 4 Mental Illness Research, Education and Clinical Center (MIRECC), VA Pittsburgh Healthcare System, Pittsburgh, PA, USA. 2. 2 Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. 3. 3 University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. 4. 4 Department of Behavioral and Community Health Sciences, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA, USA. 5. 5 Department of Psychology, University of Pittsburgh, Pittsburgh, PA, USA.
Abstract
BACKGROUND/ OBJECTIVES: We investigated the prevalence and correlates of discrepancies between self-reported sleep quality (Pittsburgh Sleep Quality Index) and objective sleep efficiency (actigraphy) in older adults with mild cognitive impairment (MCI) and subsyndromal depression. METHODS: This was a secondary analysis of a clincial trial with 59 adults aged 60 years and older with MCI and subsyndromal depression. We included baseline data on participants' subjective sleep quality, objective sleep efficiency, depressive symptoms, insomnia diagnosis, and cognitive functioning. RESULTS: Pittsburgh Sleep Quality Index subjective sleep quality and actigraphy-measured sleep efficiency were not significantly correlated ( r = -.06; P = .64), with 61% of participants having subjective-objective sleep discrepancies. Correlates of subjective-objective sleep discrepancy included the presence of an insomnia diagnosis and impaired memory, particularly delayed memory. CONCLUSION: These findings are important because subjective underestimation of symptoms in older adults with memory impairments may result in sleep disturbances going unrecognized in clinical practice; on the other hand, an insomnia disorder may be a possible remediable contribution to subjective overestimation of sleep disturbances.
BACKGROUND/ OBJECTIVES: We investigated the prevalence and correlates of discrepancies between self-reported sleep quality (Pittsburgh Sleep Quality Index) and objective sleep efficiency (actigraphy) in older adults with mild cognitive impairment (MCI) and subsyndromal depression. METHODS: This was a secondary analysis of a clincial trial with 59 adults aged 60 years and older with MCI and subsyndromal depression. We included baseline data on participants' subjective sleep quality, objective sleep efficiency, depressive symptoms, insomnia diagnosis, and cognitive functioning. RESULTS: Pittsburgh Sleep Quality Index subjective sleep quality and actigraphy-measured sleep efficiency were not significantly correlated ( r = -.06; P = .64), with 61% of participants having subjective-objective sleep discrepancies. Correlates of subjective-objective sleep discrepancy included the presence of an insomnia diagnosis and impaired memory, particularly delayed memory. CONCLUSION: These findings are important because subjective underestimation of symptoms in older adults with memory impairments may result in sleep disturbances going unrecognized in clinical practice; on the other hand, an insomnia disorder may be a possible remediable contribution to subjective overestimation of sleep disturbances.
Authors: Geneviève St-Jean; Isabelle Turcotte; Alexandra D Pérusse; Célyne H Bastien Journal: Int J Psychophysiol Date: 2013-06-13 Impact factor: 2.997
Authors: Sanjay R Patel; Jia Weng; Michael Rueschman; Katherine A Dudley; Jose S Loredo; Yasmin Mossavar-Rahmani; Maricelle Ramirez; Alberto R Ramos; Kathryn Reid; Ashley N Seiger; Daniela Sotres-Alvarez; Phyllis C Zee; Rui Wang Journal: Sleep Date: 2015-09-01 Impact factor: 5.849
Authors: Colleen E Carney; Daniel J Buysse; Sonia Ancoli-Israel; Jack D Edinger; Andrew D Krystal; Kenneth L Lichstein; Charles M Morin Journal: Sleep Date: 2012-02-01 Impact factor: 5.849
Authors: Daniel F Kripke; Elizabeth K Hahn; Alexandra P Grizas; Kep H Wadiak; Richard T Loving; J Steven Poceta; Farhad F Shadan; John W Cronin; Lawrence E Kline Journal: J Sleep Res Date: 2010-12 Impact factor: 3.981
Authors: Rónán O'Caoimh; Yang Gao; Ciara McGlade; Liam Healy; Paul Gallagher; Suzanne Timmons; D William Molloy Journal: Age Ageing Date: 2012-05-18 Impact factor: 10.668
Authors: Wai Sze Chan; Natalie D Dautovich; Joseph P H McNamara; Ashley Stripling; Joseph M Dzierzewski; Karin McCoy; Christina S McCrae Journal: Behav Sleep Med Date: 2020-02-10 Impact factor: 2.964
Authors: Chris A Chou; Cristina D Toedebusch; Tiara Redrick; David Freund; Jennifer S McLeland; John C Morris; David M Holtzman; Brendan P Lucey Journal: Sleep Adv Date: 2020-10-24
Authors: Jonathan Blackman; Hamish Duncan Morrison; Katherine Lloyd; Amy Gimson; Luke Vikram Banerjee; Sebastian Green; Rebecca Cousins; Sarah Rudd; Sam Harding; Elizabeth Coulthard Journal: Sleep Date: 2022-07-11 Impact factor: 6.313
Authors: Joseph R Winer; Allison Morehouse; Laura Fenton; Theresa M Harrison; Lylian Ayangma; Mark Reed; Samika Kumar; Suzanne L Baker; William J Jagust; Matthew P Walker Journal: J Neurosci Date: 2021-07-21 Impact factor: 6.167
Authors: Lauren A Waterman; Bea Herbeck Belnap; Marie Anne Gebara; Yan Huang; Kaleab Z Abebe; Bruce L Rollman; Jordan F Karp Journal: Ann Clin Psychiatry Date: 2020-02 Impact factor: 1.567