Christine E Gould1, Rosy Karna2, Josh Jordan3, Makoto Kawai4, Rayna Hirst5, Nathan Hantke6, Sophia Pirog4, Isabelle Cotto4, Sophia Miryam Schussler-Fiorenza Rose7, Sherry A Beaudreau8, Ruth O'Hara4. 1. Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA; Geriatric Research Education and Clinical Center, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA. Electronic address: Christine.Gould@va.gov. 2. Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA. 3. Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA; California School of Professional Psychology, Alliant International University, San Francisco, CA; Department of Psychiatry, University of California, San Francisco, CA. 4. Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA; Sierra Pacific Mental Illness Research Education and Clinical Center, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA. 5. Pacific Graduate School of Psychology, Palo Alto University, Palo Alto, CA. 6. Sierra Pacific Mental Illness Research Education and Clinical Center, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA; Rural TeleMental Health, Veterans Affairs Portland Health Care System, Portland, OR; Sierra Pacific Mental Illness Research Education and Clinical Centers, Spinal Cord Injury Service, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA. 7. Spinal Cord Injury Service, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA; Department of Neurosurgery, Stanford School of Medicine, Stanford, CA. 8. Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, Stanford, CA; Sierra Pacific Mental Illness Research Education and Clinical Center, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA; School of Psychology, University of Queensland, Brisbane, Queensland, Australia.
Abstract
OBJECTIVE: To examine the relationship between subclinical anxiety and depressive symptoms and objective sleep architecture measures and subjective sleep reports in older adults. METHODS: Community-dwelling older adults (N = 167) self-rated their current severity of anxiety symptoms, depressive symptoms, daytime sleepiness, and global sleep quality. Participants received overnight ambulatory polysomnography to assess sleep architecture. Multivariate linear regression models examined associations between anxiety and depressive symptoms and objective and subjective sleep measures. RESULTS: Significant findings emerged for subjective sleep, with higher depression and anxiety scores associated with worse global sleep quality and greater anxiety scores associated with greater daytime sleepiness. No significant associations were observed between subclinical levels of anxiety or depressive symptoms with sleep architecture. CONCLUSION: Subclinical levels of late-life anxiety and depression have distinct associations with subjective sleep disturbance. Findings implicate subjective measures of sleep quality and daytime sleepiness as stronger trait markers for subthreshold psychiatric symptoms than objective sleep biomarkers. Published by Elsevier Inc.
OBJECTIVE: To examine the relationship between subclinical anxiety and depressive symptoms and objective sleep architecture measures and subjective sleep reports in older adults. METHODS: Community-dwelling older adults (N = 167) self-rated their current severity of anxiety symptoms, depressive symptoms, daytime sleepiness, and global sleep quality. Participants received overnight ambulatory polysomnography to assess sleep architecture. Multivariate linear regression models examined associations between anxiety and depressive symptoms and objective and subjective sleep measures. RESULTS: Significant findings emerged for subjective sleep, with higher depression and anxiety scores associated with worse global sleep quality and greater anxiety scores associated with greater daytime sleepiness. No significant associations were observed between subclinical levels of anxiety or depressive symptoms with sleep architecture. CONCLUSION: Subclinical levels of late-life anxiety and depression have distinct associations with subjective sleep disturbance. Findings implicate subjective measures of sleep quality and daytime sleepiness as stronger trait markers for subthreshold psychiatric symptoms than objective sleep biomarkers. Published by Elsevier Inc.
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